Bilateral macular hole secondary to remote lightning strike

Krishna A. Rao; Lavanya G. Rao; Ajay N. Kamath; Vikram Jain

doi:10.4103/0301-4738.57156

Bilateral macular hole secondary to remote lightning strike

Krishna A. Rao, Lavanya G. Rao, Ajay N. Kamath, Vikram Jain

Department of Ophthalmology, Kasturba Medical College, Manipal

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

We report a case of a 16-year-old girl, who was struck by lightning, and experienced blurred vision in the right eye (RE) immediately following the episode. She reported for ophthalmic evaluation two months later. Examination revealed relative afferent pupillary defect in the RE. Posterior subcapsular cataract was noted in both eyes. Fundus examination revealed macular holes and multiple areas of RPE hyperpigmentation in the periphery in both eyes. Fundus fluorescein angiography showed increased choroidal transmission with early fluorescence and late fading in the foveal region and retinal pigment epithelium (RPE) stippling in the periphery in both eyes. This is the first case report of such nature in India to the best of our knowledge.

Original language	English
Pages (from-to)	470-472
Number of pages	3
Journal	Indian Journal of Ophthalmology
Volume	57
Issue number	6
DOIs	https://doi.org/10.4103/0301-4738.57156
Publication status	Published - 01-11-2009

All Science Journal Classification (ASJC) codes

Ophthalmology

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AB - We report a case of a 16-year-old girl, who was struck by lightning, and experienced blurred vision in the right eye (RE) immediately following the episode. She reported for ophthalmic evaluation two months later. Examination revealed relative afferent pupillary defect in the RE. Posterior subcapsular cataract was noted in both eyes. Fundus examination revealed macular holes and multiple areas of RPE hyperpigmentation in the periphery in both eyes. Fundus fluorescein angiography showed increased choroidal transmission with early fluorescence and late fading in the foveal region and retinal pigment epithelium (RPE) stippling in the periphery in both eyes. This is the first case report of such nature in India to the best of our knowledge.

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Bilateral macular hole secondary to remote lightning strike

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