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Electric cataract: a case report and review of the literature
1Department of Ophthalmology, Rangaraya Medical College, Kakinada, India.
Insights
A 12-year-old boy developed cataracts in both eyes after a high-voltage electrical shock. Prompt cataract surgery restored normal vision, highlighting the importance of screening electrical injury patients for ocular complications.
Area of Science:
- Ophthalmology
- Traumatology
Background:
- Electrical injuries can cause severe systemic and ocular damage.
- Cataract formation is a known, though less common, complication of electrical trauma.
Observation:
- A 12-year-old male sustained a high-voltage electrical shock, resulting in skin burns and subsequent bilateral cataract development.
- Cataracts appeared sequentially, initially in the left eye, followed by the right eye.
Findings:
- Cataract extraction and aphakic correction with spectacles successfully restored normal vision in both eyes.
- The visual outcome is dependent on the extent of other ocular damage caused by the electrical current.
Implications:
- Highlights the critical need for heightened awareness and comprehensive ophthalmic screening in all patients with electrical injuries.
- Emphasizes that while surgery often yields good results, the overall visual prognosis hinges on the severity of the initial electrical trauma to the eye.
Abstract:
A case of electrically induced cataract in both eyes in a 12-year-old boy, after a high-voltage electric shock, is reported. He sustained skin burns on the neck, chest, abdomen, and inner left arm. The cataract developed first in the left eye and later on in the right eye. The child regained normal vision in both eyes after cataract extraction and aphakic correction with spectacles. The need for awareness of the possibility of this complication and screening of all cases of electrical injuries is stressed. The majority of cases respond well to surgery, but final visual acuity will depend on the other ocular damage due to electrical current. The clinical features and pathogenesis of this condition are briefly reviewed.
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