This 22-year old man allowed a homeless man to stay at his house. The patient had a disagreement with his guest - I have a sneaking suspicion that alcohol was involved in the disagreement, as the patient's blood alcohol level was twice the legal driving limit when he arrived at the hospital - but regardless of the cause, the homeless man shot the patient at close range with a small-caliber weapon. The patient presented complaining of being unable to see.
The attached image is from his CT scan. The marked circles are the approximate locations of his eyeballs; the arrow shows the path of the bullet. He had no injuries to his brain, but both eyeballs were shattered and full of air, blood, and bits of bone and metal.
Surgery revealed irreparable posterior eyeball lacerations with protruding tissue and multiple metallic fragments inside both eyeballs.
Whenever you feel like you are having a bad day, just remember that it could be worse - you could be this guy. I shudder to even look at these images.
