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Bilateral electric cataracts: clinicopathologic report
Hassan Hashemi1, Mahmood Jabbarvand, Mehrdad Mohammadpour
1Ophthalmology Department and Eye Research Center, Cornea Consultant, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Journal of Cataract and Refractive Surgery
|July 29, 2008
Summary
Electric injuries can cause bilateral cataracts. Cataract surgery offers excellent outcomes for electric cataracts when the optic nerve and fundus are healthy.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Electric injuries are a known cause of ocular trauma.
- Cataract formation following electrical injury can be bilateral and intumescent.
Observation:
- A case study involving bilateral intumescent electric cataracts.
- Histopathologic examination of the anterior capsule was performed.
- Literature review on electric cataracts was conducted.
Findings:
- Cataract surgery with posterior chamber intraocular lens implantation achieved 20/20 visual acuity.
- Anterior capsule scar tissue showed fibroblast proliferation and hyaloid production.
- Scar formation may impair lens nutrition, contributing to cataract development.
Implications:
- Electrical injuries can lead to significant visual impairment via cataract formation.
- Prompt cataract surgery can restore vision in patients with electric cataracts.
- Understanding the histopathology aids in managing these unique cases.
