A 25-year-old woman complained of sudden loss of vision in her right eye immediately following a car accident. She had fractured both femurs and numerous ribs, but had no major facial trauma. Her vision in the affected eye was reduced to the ability to only count fingers.

Ocular trauma can be associated with several findings including globe rupture, hyphema, angle recession, traumatic cataract in the anterior segment; retinal findings, including retinal tear and detachment, retinal “bruising” (called commotio retina and representing photoreceptor outer segment disruption), retinal dialysis (disinsertion of peripheral retina from the underlying choroid), and intraretinal or vitreous hemorrhage can also occur. Trauma distant from the eye, including chest and long-bone fracture, can also be associated with changes in the retina.