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Bilateral cataract following lightning injury
A Gupta1, S Kaliaperumal, S Sengupta
1Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. arvind_ophthal@yahoo.co.in
European Journal of Ophthalmology
|September 5, 2006
Summary
Lightning can cause delayed vision loss through bilateral cataracts and posterior vitreous detachment, even years after the injury. Ocular complications from lightning strikes require long-term monitoring.
Area of Science:
- Ophthalmology
- Traumatology
Background:
- Lightning strikes are known to cause various systemic and ocular injuries.
- Ocular manifestations can be delayed and may not correlate with the apparent severity of external injury.
Observation:
- A 30-year-old male sustained a lightning injury with scalp impact and foot exit wound.
- The patient developed visually significant bilateral cataracts four years post-injury.
Findings:
- Cataract development was observed years after the initial lightning insult.
- Fundus evaluation post-cataract extraction revealed posterior vitreous detachment.
- Lightning-induced ocular changes, including cataracts and posterior vitreous detachment, can manifest years later.
Implications:
- Ophthalmologists should consider lightning injury in the differential diagnosis of delayed-onset cataracts and posterior vitreous detachment.
- Long-term ocular monitoring is crucial for patients with a history of lightning exposure.
- Lightning-induced posterior vitreous detachment carries a risk of retinal tear and detachment, emphasizing the need for comprehensive eye examinations.
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