Pradhan Eli, Khatri Anadi, Ahmed Akwasi Agyeman, Lama Ang Jangmu, Khanal Roshija, Bajracharya Leena, Adhikari Srijana
Department of Medical Retina, Tilganga Institute of Ophthalmology, Tilganga, Kathmandu, Nepal.
Department of Vitreo-Retina Services, Birat Eye Hospital, Biratnagar, Nepal.
Clin Ophthalmol. 2020 Feb 28;14:597-607. doi: 10.2147/OPTH.S242327. eCollection 2020.
In ophthalmology, injuries due to lightning strikes have been documented as various entities ranging from keratitis, cataracts, uveitis in the anterior segments to retinal detachments, papillitis, and macular hole formation in the posterior segment. We report the largest case series so far with a total of seven cases of lightning injuries with ocular involvement and its management and a brief review of the literature on this topic.
All of the patients were evaluated for ocular injuries due to a lightning strike and each of the cases has been individually described as case series with their findings and management in this report.
Ocular injuries caused by lightning are very rare, but when they occur, they can present with various ocular tissue pathology-ranging from anterior to the posterior segment structures. Most of the cases presented with maculopathy and foveschitic lesions, which resolved over time with the use of steroids.
Lightning injuries to the eyes, if detected early and managed appropriately, have a very good prognosis. The recovery is usually good with minimal functional loss if there is a quick referral. The macular region seems to be particularly involved in most cases and OCT can be a valuable diagnostic tool to detect and monitor the pathology.
在眼科领域，雷击所致损伤已被记录为多种情况，从前段的角膜炎、白内障、葡萄膜炎到后段的视网膜脱离、视乳头炎和黄斑裂孔形成等。我们报告了迄今为止最大的病例系列，共7例伴有眼部受累的雷击损伤病例及其治疗情况，并对该主题的文献进行简要综述。
所有患者均接受了雷击所致眼部损伤的评估，本报告中每个病例均作为病例系列单独描述了其检查结果及治疗情况。
雷击导致的眼部损伤非常罕见，但一旦发生，可出现从眼前段到后段结构的各种眼部组织病理改变。大多数病例表现为黄斑病变和黄斑缺血性病变，使用类固醇治疗后随时间推移病情好转。
眼部雷击伤若能早期发现并得到恰当治疗，预后非常好。如果能迅速转诊，恢复通常良好，功能损失最小。大多数病例中黄斑区似乎特别容易受累，光学相干断层扫描（OCT）可作为检测和监测病变的有价值的诊断工具。
