Chorioretinitis sclopetaria is a rare entity resulting from an ocular injury caused by a bullet passing through the orbit. It is not common to find the condition associated with a damaged visual field caused by the subsequent path traversed and lodging of that bullet in the brain.
This rare case is related either to senile degenerative change or to angle-closure glaucoma. However, it is also associated with congenital syphilis with or without the presence of interstitial keratitis. Infant conjunctivitis and a "salt and pepper" appearance of the fundus oculi complete the diagnosis. It is confirmed that the patient had suffered from congenital late syphilis, cured by the age of 80: this confirmation is reached by treponemal (RPR-) and non-treponemal (TPHA+) serological tests.
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