Ophthalmic Manifestations of Lightning Strike

Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up

“…The neuronal damage in such injuries is caused by prolonged depolarization, direct neuronal damage, secondary tissue damage from edema, ischemia, and reperfusion injury. 3 The high-dose steroid therapy has several effects on the key steps of the neuronal injury cascade such as reducing lipid peroxidation, decreasing prostaglandin synthesis, and increasing lipocortin production. 3 The actual effectiveness of steroid treatment cannot be proven as it is not ethical to obtain control groups of patients who do not receive any treatment.…”

“…3 The high-dose steroid therapy has several effects on the key steps of the neuronal injury cascade such as reducing lipid peroxidation, decreasing prostaglandin synthesis, and increasing lipocortin production. 3 The actual effectiveness of steroid treatment cannot be proven as it is not ethical to obtain control groups of patients who do not receive any treatment. 11 There is not enough evidence on the issue of the corticosteroid treatment modalities for traumatic optic neuropathy cases.…”

“…The symptoms and findings of anterior segment injuries include blepharospasm, edema and necrosis of eyelids, thermal keratopathy, uveitis, iridocyclitis, superficial or deep corneal opacities, corneal scars, chemosis, midriasis, hyphema, anterior and posterior subcapsular cataract, and lens dislocation. 3 Posterior segment injuries include vitreous hemorrhage, retinal edema, retinal hemorrhage, retinal detachment, cystoid macular edema, chorioretinal rupture, lightning maculopathy, macular hole, central retinal vein occlusion, and central retinal artery occlusion. 3,4 Neurological injuries include thermal papillitis, optic neuropathy, loss of pupillary reflex, anisocoria, Horner's syndrome, multiple cranial nerve palsies, and nystagmus.…”

“…3 Posterior segment injuries include vitreous hemorrhage, retinal edema, retinal hemorrhage, retinal detachment, cystoid macular edema, chorioretinal rupture, lightning maculopathy, macular hole, central retinal vein occlusion, and central retinal artery occlusion. 3,4 Neurological injuries include thermal papillitis, optic neuropathy, loss of pupillary reflex, anisocoria, Horner's syndrome, multiple cranial nerve palsies, and nystagmus. 3,4 The purpose of this paper is to report a case of highvoltage electrical injury with central corneal edema, posterior subcapsular cataract, macular pseudohole/cyst/atrophy, and optic neuropathy in the right eye.…”

“…3,4 Neurological injuries include thermal papillitis, optic neuropathy, loss of pupillary reflex, anisocoria, Horner's syndrome, multiple cranial nerve palsies, and nystagmus. 3,4 The purpose of this paper is to report a case of highvoltage electrical injury with central corneal edema, posterior subcapsular cataract, macular pseudohole/cyst/atrophy, and optic neuropathy in the right eye.…”