Lightning Maculopathy: A Case Report

Ruchi Shrestha; Ritesh Kumar Shah; Purushottam Joshi

Ruchi Shrestha Department of Retina, Mechi Eye Hospital, Birtamod, Jhapa, Nepal.
Ritesh Kumar Shah Department of Retina, Mechi Eye Hospital, Birtamod, Jhapa, Nepal.
Purushottam Joshi Department of Retina, Mechi Eye Hospital, Birtamod, Jhapa, Nepal.

Abstract

Lightning induced maculopathy is a very rare condition and there are barely any published reports on lightning induced maculopathy in our country. Here we present a case of twenty three years female who presented with lightning induced burns on the neck, chest and abdomen. She had unconsciousness for 3 days after lightening injury for which she was treated in intensive care unit. She presented with complain of diminution of vision in both eyes after 2 weeks. Optical Coherence tomography revealed cystic changes in fovea in right eye and a macular hole in left eye. Lightning injury is a life threatening condition. Lightning maculopathy should always be ruled out which can be best detected on optical coherence tomography.

Keywords: foveal cyst; lightning injury; maculopathy; optical coherence tomography.