Lightning Injury to Eye: Brief Review of the Literature and Case Series
Received 14 December 2019
Accepted for publication 18 February 2020
Published 28 February 2020 Volume 2020:14 Pages 597—607
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Eli Pradhan,1 Anadi Khatri,2 Akwasi Agyeman Ahmed,3 Ang Jangmu Lama,4 Roshija Khanal,5 Leena Bajracharya,6 Srijana Adhikari7
1Department of Medical Retina, Tilganga Institute of Ophthalmology, Tilganga, Kathmandu, Nepal; 2Department of Vitreo-Retina Services, Birat Eye Hospital, Biratnagar, Nepal; 3Department of Ophthalmology, Komfo Anokye Teaching Hospital, Kumasi, Ghana; 4Department of Paediatric Ophthalmology, Tilganga Institute of Ophthalmology, Kathmandu, Nepal; 5Department of Vitreo Retina Services, ASG Hospitals, Kathmandu, Nepal; 6Department of Ophthalmology, Tilganga Institute of Ophthalmology, Kathmandu, Nepal; 7Department of Pediatric Ophthalmology and Strabismus, Tilganga Institute of Ophthalmology, Kathmandu, Nepal
Correspondence: Anadi Khatri
Department of Vitreo-Retina Services, Birat Eye Hospital, Biratnagar, Nepal
Purpose: 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.
Patients and Methods: 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.
Results: 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.
Conclusion: 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.
Keywords: lightning injuries, ophthalmology, lightning, eye, cataract, uveitis, keratitis
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