• In three patients who had double-perforating ocular shotgun injuries, a single lead shotgun pellet apparently fragmented after striking the eye, resulting in two separate intraocular impact sites. The importance of detecting double-perforating eye injury and becoming aware of this potential complication with ocular shotgun injuries is emphasized.
Ford JG, Barr CC. Penetrating Pellet FragmentationA Complication of Ocular Shotgun Injury. Arch Ophthalmol. 1990;108(1):48-50. doi:10.1001/archopht.1990.01070030054027