Electric cataract: a case report and review of the literature

S C Reddy1

  • 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.

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