Lightning maculopathy. A case report.
BACKGROUND: Lightning can cause a number of ocular complications. A case involving a patient who developed a cataract and reversible maculopathy in both eyes after being struck by lightning is reported. METHODS: The patient was evaluated for cataract and macular edema by ophthalmoscopic examination, fluorescein angiography, and potential acuity meter. RESULTS: Maculopathy developed that was characterized initially by a retinal cyst with surrounding edema. Later, the lesions evolved to simulate a full-thickness hole. These lesions subsequently resolved, and the patient's visual acuity improved to 20/20 in each eye after cataract extraction. CONCLUSION: Because the visual prognosis for lightning-induced maculopathy is potentially different than that for full-thickness macular holes, careful retinal examination is essential in the preoperative workup.
Duke Scholars
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Related Subject Headings
- Visual Acuity
- Retinal Perforations
- Ophthalmology & Optometry
- Male
- Macular Edema
- Macula Lutea
- Lightning Injuries
- Lens, Crystalline
- Humans
- Fundus Oculi
Citation
Published In
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Visual Acuity
- Retinal Perforations
- Ophthalmology & Optometry
- Male
- Macular Edema
- Macula Lutea
- Lightning Injuries
- Lens, Crystalline
- Humans
- Fundus Oculi