The patient was a 44-year-old male. Chest pain accompanied by visual loss for 3 d after chest trauma caused by car accident, was seen in the Department of Ophthalmology of the First Hospital of Jilin University. General physical examination: anterior chest tenderness (+), coarse respiratory sound on both sides of auscultation, heavy on the right side; CT of the lungs: pleural effusion. Eye examination: the visual acuity was 1.0 in the right eye and the anterior index in the left eye, which was not improved by correction; IOP was 15 mmHg (1 mmHg =0.133 kPa) in the right eye and 17 mmHg in the left eye; The eyelids of both eyes were not congested, slightly swollen, and the eye movement was normal; No obvious abnormalities were found in the examination of the anterior segment and fundus of the right eye; The conjunctiva of the left eye is not congested, the cornea is transparent, the pupil is round, about 3 mm in diameter, and the light response is slow, and the lens is transparent; The fundus examination of the left eye is shown inQuintessence Picture 1Middle A; Fluorescein fundus angiography examination is shown inQuintessence Picture 1Middle B. Clinical diagnosis: chest trauma; Pleural effusion; Distal retinopathy of the left eye.