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Electric shock induced Purtscher-like retinopathy
Anuj Sharma1, Y C Venu Gopal Reddy1, Adheesh P Shetty1
1Department of Retina Vitreous, Aravind Eye Hospital, S.N. High Road, Tirunelveli, Tamil Nadu, India.
Indian Journal of Ophthalmology
|August 23, 2019
Summary
Electrical shock can cause vision loss and Purtscher-like retinopathy, affecting the deep retinal capillary plexus. This case highlights a rare ocular complication of electrical injury.
Area of Science:
- Ophthalmology
- Trauma Medicine
Background:
- Cataract is the most common ocular issue after electric shock.
- Retinal issues like macular holes and detachments can occur.
- Purtscher-like retinopathy following electrical injury is undocumented.
Observation:
- A 19-year-old electrician experienced severe vision reduction in his right eye two months post-electric shock.
- Fundus examination revealed macular ischemic degeneration, occluded vessels, cotton-wool spots, and hemorrhages.
- Optical coherence tomography angiography showed para-foveal capillary dropout, predominantly in the deep capillary plexus.
Findings:
- Electrical injury can mimic Purtscher's retinopathy.
- Deep capillary plexus damage is more extensive than superficial plexus damage in electrical injuries.
Implications:
- This case expands the spectrum of ocular complications from electrical injuries.
- Recognizing Purtscher-like retinopathy in electrical shock survivors is crucial for timely diagnosis and management.
- Understanding the specific vascular damage patterns can inform future treatment strategies.
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