Lightning Injury to Eye: Brief Review of the Literature and Case Series

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; 3...

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Autores principales:	Pradhan E, Khatri A, Ahmed AA, Lama AJ, Khanal R, Bajracharya L, Adhikari S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	lightning injuries ophthalmology lightning eye cataract uveitis keratitis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6cbbd4e6ef144014b4135a312f35a1a1
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spelling	oai:doaj.org-article:6cbbd4e6ef144014b4135a312f35a1a12021-12-02T09:25:23ZLightning Injury to Eye: Brief Review of the Literature and Case Series1177-5483https://doaj.org/article/6cbbd4e6ef144014b4135a312f35a1a12020-02-01T00:00:00Zhttps://www.dovepress.com/lightning-injury-to-eye-brief-review-of-the-literature-and-case-series-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Eli 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, NepalCorrespondence: Anadi KhatriDepartment of Vitreo-Retina Services, Birat Eye Hospital, Biratnagar, NepalTel +9779841767205Email anadikc@gmail.comPurpose: 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, keratitisPradhan EKhatri AAhmed AALama AJKhanal RBajracharya LAdhikari SDove Medical Pressarticlelightning injuriesophthalmologylightningeyecataractuveitiskeratitisOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 597-607 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	lightning injuries ophthalmology lightning eye cataract uveitis keratitis Ophthalmology RE1-994
spellingShingle	lightning injuries ophthalmology lightning eye cataract uveitis keratitis Ophthalmology RE1-994 Pradhan E Khatri A Ahmed AA Lama AJ Khanal R Bajracharya L Adhikari S Lightning Injury to Eye: Brief Review of the Literature and Case Series
description	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, NepalCorrespondence: Anadi KhatriDepartment of Vitreo-Retina Services, Birat Eye Hospital, Biratnagar, NepalTel +9779841767205Email anadikc@gmail.comPurpose: 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
format	article
author	Pradhan E Khatri A Ahmed AA Lama AJ Khanal R Bajracharya L Adhikari S
author_facet	Pradhan E Khatri A Ahmed AA Lama AJ Khanal R Bajracharya L Adhikari S
author_sort	Pradhan E
title	Lightning Injury to Eye: Brief Review of the Literature and Case Series
title_short	Lightning Injury to Eye: Brief Review of the Literature and Case Series
title_full	Lightning Injury to Eye: Brief Review of the Literature and Case Series
title_fullStr	Lightning Injury to Eye: Brief Review of the Literature and Case Series
title_full_unstemmed	Lightning Injury to Eye: Brief Review of the Literature and Case Series
title_sort	lightning injury to eye: brief review of the literature and case series
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/6cbbd4e6ef144014b4135a312f35a1a1
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Lightning Injury to Eye: Brief Review of the Literature and Case Series

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