Citation

Handa JT, Jaffe GJ. Retina 1994; 14(2): 169-172.

Affiliation

Duke Eye Center, Durham, North Carolina.

Copyright

(Copyright © 1994, Ophthalmic Communications Society, Publisher Lippincott Williams and Wilkins)

DOI

unavailable

PMID

8036327

Abstract

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.

Language: en