Purpose: To report a case of macular laceration from intraocular foreign body (IOFB) treated with pneumatic retinopexy. Observations: A 74 year old man sustained penetrating injury to his left globe with retained metallic intraocular foreign body (IOFB). The patient underwent prompt pars plana vitrectomy, intravitreal antibiotics and removal of IOFB. The posterior point of impact left a displaced foveo-macular laceration which was recognized postoperatively and treated with pneumatic retinopexy for re-approximation of the foveal tissue. Optical coherence tomography confirmed acute traumatic laceration and edema, closure of the tissue and subsequent healing and adjacent retinal and retinal pigment epithelial atrophy. He regained visual acuity of 20/30. Conclusions and importance: Traumatic macular lacerations can be treated with pneumatic retinopexy, after pars plana vitrectomy, with potentially good visual result.