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Ocular complications of lightning

L P Noel, W N Clarke, D Addison

    Journal of Pediatric Ophthalmology and Strabismus
    |July 1, 1980
    PubMed
    Summary

    Lightning strikes can cause delayed retinal damage, including stria, pigment epithelial defects, and posterior subcapsular cataracts, even after initial facial burns. This highlights the importance of comprehensive ophthalmologic evaluation following such trauma.

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    Area of Science:

    • Ophthalmology
    • Trauma Medicine
    • Electrophysiology

    Background:

    • Facial burns from lightning strikes are rare but can lead to significant ocular complications.
    • Prompt and thorough ophthalmologic examination is crucial for identifying potential vision-threatening injuries.

    Observation:

    • A 17-year-old female presented with first and second-degree facial burns after a lightning strike.
    • Ocular examination revealed retinal striae at 48 hours post-injury.
    • A retinal pigment epithelial defect was documented on day three.

    Findings:

    • A dense posterior subcapsular cataract developed by the 14th week of follow-up.
    • The retinal findings suggest delayed-onset ocular damage secondary to electrical trauma.

    Implications:

    • Lightning-induced ocular injuries can manifest with a delayed onset and progressive course.
    • Comprehensive, long-term ophthalmologic monitoring is essential for patients with lightning-related facial trauma.
    • Understanding these injury patterns can improve diagnostic and treatment strategies for electrical trauma to the eye.

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