Handa J T, Jaffe G J
Duke Eye Center, Durham, North Carolina.
Retina. 1994;14(2):169-72.
Lightning can cause a number of ocular complications. A case involving a patient who developed a cataract and reversible maculopathy in both eyes after being struck by lightning is reported.
The patient was evaluated for cataract and macular edema by ophthalmoscopic examination, fluorescein angiography, and potential acuity meter.
Maculopathy developed that was characterized initially by a retinal cyst with surrounding edema. Later, the lesions evolved to simulate a full-thickness hole. These lesions subsequently resolved, and the patient's visual acuity improved to 20/20 in each eye after cataract extraction.
Because the visual prognosis for lightning-induced maculopathy is potentially different than that for full-thickness macular holes, careful retinal examination is essential in the preoperative workup.
闪电可导致多种眼部并发症。本文报告了一例患者在遭雷击后双眼出现白内障和可逆性黄斑病变。
通过检眼镜检查、荧光素血管造影和潜在视力计对该患者的白内障和黄斑水肿进行评估。
出现了黄斑病变，最初表现为伴有周围水肿的视网膜囊肿。后来，病变发展为类似全层裂孔。这些病变随后消退，白内障摘除术后患者每只眼的视力均提高到20/20。
由于闪电诱发的黄斑病变的视觉预后可能与全层黄斑裂孔不同，因此在术前检查中仔细的视网膜检查至关重要。
