Evolution of Lightning Maculopathy: Presentation of Two Clinical Cases and Brief Review of the Literature.
Journal
Case reports in ophthalmological medicine
ISSN: 2090-6722
Titre abrégé: Case Rep Ophthalmol Med
Pays: United States
ID NLM: 101581018
Informations de publication
Date de publication:
2021
2021
Historique:
received:
31
07
2020
accepted:
05
01
2021
entrez:
8
2
2021
pubmed:
9
2
2021
medline:
9
2
2021
Statut:
epublish
Résumé
Lightning is a naturally occurring atmospheric phenomenon. Though uncommon, it is a potentially devastating and underreported natural calamity. Lightning accounts for the second leading cause of weather-related death in most parts of the world. Among the survivors of lightning injury, more than half of the victims may suffer from some form of ophthalmic injury. The lightning-associated ocular injury varies from a range of anterior segment to posterior segment pathologies. We report on two clinical cases of ocular injuries among the survivors of lightning injury. Anatomical involvement is seen at different levels with presentation as uveitis, pupillary abnormality, maculopathy, and later development of lenticular opacification. Optical coherence tomography (OCT), a noninvasive diagnostic tool, is particularly useful in the evaluation of lighting maculopathy as well as to monitor its progression through the course of time. Visual prognosis depends upon the structures of the eyes affected in the injury. The presence of irreversible retinal damage as well as optic nerve damage often result in poor visual outcome in the absence of significant anterior segment pathology. This report highlights the evolution of maculopathy through the course of time and signifies the importance of long-term follow-up postlightning injury.
Identifiants
pubmed: 33552607
doi: 10.1155/2021/8831987
pmc: PMC7847350
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8831987Informations de copyright
Copyright © 2021 Simanta Khadka et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Arch Ophthalmol. 1972 Feb;87(2):184-91
pubmed: 5057869
Retina. 2005 Apr-May;25(3):380-2
pubmed: 15805923
Am J Ophthalmol. 1984 Jun;97(6):792-4
pubmed: 6731550
Ophthalmic Surg Lasers Imaging. 2010 Nov-Dec;41 Suppl:S70-3
pubmed: 21117605
Angiology. 2006 Mar-Apr;57(2):219-23
pubmed: 16518531
Clin Exp Ophthalmol. 2006 Dec;34(9):893-4
pubmed: 17181625
Postgrad Med. 1986 Mar;79(4):109-12, 121-4
pubmed: 3952035
Arch Ophthalmol. 1995 Aug;113(8):1076-7
pubmed: 7639662
Compr Ther. 1985 Feb;11(2):32-40
pubmed: 3971698
Curr Probl Surg. 1997 Sep;34(9):677-764
pubmed: 9365421
Burns. 2008 Aug;34(5):585-94
pubmed: 18395987
Retin Cases Brief Rep. 2007 Summer;1(3):169-71
pubmed: 25390786
Can J Ophthalmol. 2009 Oct;44(5):605-6
pubmed: 19789603
Am J Ophthalmol. 1999 Feb;127(2):216-7
pubmed: 10030571
Eye (Lond). 2000 Dec;14(Pt 6):903-4
pubmed: 11584852
BMJ Case Rep. 2015 Mar 31;2015:
pubmed: 25827914
Clin Ophthalmol. 2020 Feb 28;14:597-607
pubmed: 32184548
Retina. 2009 Oct;29(9):1340-5
pubmed: 19934824
J Long Term Eff Med Implants. 2005;15(5):511-32
pubmed: 16218900
Indian J Ophthalmol. 2009 Nov-Dec;57(6):470-2
pubmed: 19861754
Burns. 1989 Jun;15(3):175-8
pubmed: 2757767
Retina. 2002 Dec;22(6):808-10
pubmed: 12476114
Ren Fail. 2005;27(2):129-34
pubmed: 15807175
J Fam Pract. 1989 Sep;29(3):267-72
pubmed: 2671249
Retina. 1994;14(2):169-72
pubmed: 8036327
Surv Ophthalmol. 2001 Jul-Aug;46(1):19-24
pubmed: 11525786
JAMA Ophthalmol. 2016 Jul 1;134(7):840-2
pubmed: 27149604
Ann Emerg Med. 1980 Mar;9(3):134-8
pubmed: 7362103
Crit Care Clin. 1999 Apr;15(2):319-31
pubmed: 10331131