Choe Hye Rim, Park Un Chul
Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea.
Case Rep Ophthalmol. 2019 Jan 17;10(1):19-23. doi: 10.1159/000496196. eCollection 2019 Jan-Apr.
We report a case of different types of maculopathy in eyes after a high-voltage electrical shock injury.
A 43-year-old male suffered high-voltage electrical injury through his left arm. He underwent cataract surgery in both eyes 3 months after the injury, but there was no vision improvement. Ocular examination, including spectral domain optical coherence tomography, revealed diffuse retinal atrophy in the left eye which did not change until the final visit. In the right eye, an impending macular hole was observed but regressed spontaneously 9 months after the injury, and the visual acuity improved to 20/32 at the final visit.
Two different types of maculopathy can occur in each eye after high-voltage electrical shock injury, and this might be due to asymmetric pathogenesis of the eyes according to the proximity to the route of electrical current.
我们报告一例高压电击伤后双眼出现不同类型黄斑病变的病例。
一名43岁男性左臂遭受高压电损伤。受伤3个月后他接受了双眼白内障手术，但视力并未改善。包括频域光学相干断层扫描在内的眼部检查显示，左眼存在弥漫性视网膜萎缩，直至最后一次就诊时仍未改变。右眼观察到一个即将形成的黄斑裂孔，但在受伤9个月后自发消退，最后一次就诊时视力提高到20/32。
高压电击伤后每只眼睛可能出现两种不同类型的黄斑病变，这可能是由于双眼根据与电流路径的接近程度而产生的不对称发病机制所致。
