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Lightning-induced cataract with concomitant optic nerve damage.

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Lightning strike survivors may develop traumatic cataracts and optic nerve damage. Surgical intervention improved vision, but managing combined injuries remains challenging.

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Area of Science:

  • Ophthalmology
  • Traumatology

Background:

  • Lightning strike injuries can cause severe ocular damage, including traumatic cataracts and optic nerve impairment.
  • Long-term sequelae of lightning-induced ocular trauma are not well-documented.

Purpose of the Study:

  • To report a case of a patient with a 20-year history of lightning-induced traumatic cataract and optic nerve damage.
  • To discuss the management and therapeutic challenges of combined lightning-induced ocular injuries.

Main Methods:

  • Case report of a 35-year-old male with a history of lightning strike.
  • Ophthalmic examinations, auxiliary tests, and phacoemulsification cataract surgery with intraocular lens implantation.

Main Results:

  • The patient presented with decreased visual acuity in the left eye due to traumatic cataract and optic nerve damage.
  • Phacoemulsification cataract surgery and intraocular lens implantation resulted in improved visual acuity and posterior segment status.

Conclusions:

  • Lightning-induced cataract with concomitant optic nerve damage presents complex therapeutic challenges.
  • Early assessment of optic nerve function is crucial in patients with lightning strike ocular injuries.