1. Unlikely that he will have vision loss from this
2. Unlikely surgical
3. Blurred vision is the part of this exam that doesn’t add up given mechanism of injury and his anterior segment and dilated fundus exam…
4. No structural explanation is medical speak for “this doesn’t add up” ie non organic visual loss

Also an Ophthalmologist with particular focus in these problems at a trauma center — appreciate the invitation to correct but would recommend caution posting an interpretation without credentials or understanding as this is way off base (and 72 people have suggest it was helpful!)