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Arc flash macular hole.

Ruminder Kaur1, Prateek Koul1

  • 1Sankara Eye Hospital, Ludhiana, Punjab, India.

European Journal of Ophthalmology
|November 27, 2020
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Summary
This summary is machine-generated.

A rare case of macular hole caused by an arc flash in an electrician is reported. This occupational hazard highlights a new potential cause of vision-threatening macular holes in the workplace.

Keywords:
Arc flashelectricianfull thickness macular hole

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Area of Science:

  • Ophthalmology
  • Occupational Health
  • Traumatic Eye Injury

Background:

  • Macular holes are a common cause of vision impairment.
  • While typically associated with aging or trauma, rare cases can result from specific light exposures like lightning, electric shock, or lasers.
  • Occupational eye injuries in electricians are a significant concern.

Purpose of the Study:

  • To report a novel case of a macular hole induced by an arc flash (spark flashlight) in an electrician.
  • To add a new etiological factor to the known causes of macular holes.
  • To raise awareness about potential workplace hazards for electricians.

Main Methods:

  • Case report of a 19-year-old male electrician.
  • Detailed patient history including occupational exposure to a bright flash from wire sparks.
  • Ophthalmic examination to assess visual acuity and structural integrity of the macula.

Main Results:

  • The patient presented with decreased vision in both eyes following exposure to an arc flash.
  • Examination revealed a full-thickness macular hole in the right eye.
  • Significant loss of foveal photoreceptors was observed in the left eye.

Conclusions:

  • Arc flash exposure can induce macular holes, representing a previously unreported cause.
  • Electricians are at risk of developing macular holes due to occupational hazards.
  • This finding expands the spectrum of light-induced macular pathology.