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Electrical injury of the eye

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Abstract

A 17-year-old male suffered superficial and deep facial burns after coming into contact with a high tension electrical cable with his head and right side of the face. The right eye sustained severe thermal coagulative injuries and subsequently was enucleated. Histopathological examination showed that the retinal neuropile was relatively intact although the retinal and choroidal circulations were severely compromised. The left eye was less affected but a dense cataract developed and required lensectomy. Visual acuity remained poor in the left eye due to retinal atrophy, retinal vascular attenuation and optic nerve degeneration. Electroretinographic tests and pseudo-random binary stimulus visually evoked responses were useful in predicting the visual outcome.

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References

  1. Apfelberg DB, Masters FW, Robinson DW. Pathophysiology and treatment of lightning injuries. J Trauma 1974: 14: 453–460.

    PubMed  CAS  Google Scholar 

  2. Berger RO. Ocular complications of electro convulsive therapy. Ann Opthal (Chic) 1978: 10: 737–743.

    CAS  Google Scholar 

  3. Bienfang DC, Zakov ZN, Albert DM. Severe electrical burn of the eye. Albrecht von Graefes Arch Klin Ophthalmol 1980; 214: 147–153.

    Article  CAS  Google Scholar 

  4. Butler ED, Gant TD. Electrical injuries with special reference to the upper extremities. Am J Sur 1977; 134: 95–101.

    Article  CAS  Google Scholar 

  5. Castren JW, Kytila J. Eye symptoms-caused by lighting. Acta Ophthalmol (Kbh) 1964; 42: 139–143.

    Article  CAS  Google Scholar 

  6. Cooper M. Lightning injuries, prognostic signs for death. Ann Emerg Med 1980; 9:134–138.

    PubMed  CAS  Google Scholar 

  7. Dhar GL, Chaudry RK. Ophthalmic changes in electroconvulsive therapy. Indian J Ophthalmol 1980; 23: 121–125.

    Google Scholar 

  8. Duke-Elder. System of Ophthalmol. Injuries, Vol. 14 (Part 2). London: Kimpton, 1972: P. 815.

    Google Scholar 

  9. Esses SI, Peters WJ. Electrical burns: Pathophysiology and complications. Can J Sur 1981; 24: 11–14.

    CAS  Google Scholar 

  10. Gans M, Glaser JS. Homonymous hemianopia following electrical injury. J Clin Neuro-Ophthalmol 1986; 6: 218–223.

    CAS  Google Scholar 

  11. Garcia SS, Garcia MM. Macular alterations after electrocution. Ann Soc Ergoftalmol Esp 1979; 8: 297–304.

    Google Scholar 

  12. Gardner TW, Ai E, Chrobak M, Shoch DE. Photic maculopathy secondary to short-circuiting of a high tension electrical current. Ophthalmol (Rochester) 1982; 89: 865–868.

    CAS  Google Scholar 

  13. Hanselmayer H. Electrical injuries to the eye. Klin Mbl Augenheilk 1969; 155: 883–890.

    PubMed  CAS  Google Scholar 

  14. Hartford CE, Ziffren SE. Electrical injury. J Trauma 1971; 11: 331–336.

    PubMed  CAS  Google Scholar 

  15. Kobernick M. Electrical injuries: pathophysiology and emergency management. Ann Emerg Med 1982; 11: 633–638.

    Article  PubMed  CAS  Google Scholar 

  16. Krob MJ, Cram AE. Lightning injuries. A multisystem trauma. J Iowa Med Soc 1983; 73: 221–225.

    PubMed  CAS  Google Scholar 

  17. Long JC. A clinical and experimental study of electric cataract. Trans Am Ophthalmol Soc. 1962; 60: 471–516.

    PubMed  CAS  Google Scholar 

  18. Long JC. Cataract due to electrical shock or are. J Am Med Ass 1972; 221: 721.

    Article  CAS  Google Scholar 

  19. Lynch MJG, Shorthouse PH. Injuries and death from lightning. Lancet 1949; 1: 473–478.

    Article  PubMed  CAS  Google Scholar 

  20. Moore MC. Ocular injury from electric current and lightning flash. Trans Ophthalmol Soc Aust 1956; 16: 87.

    PubMed  CAS  Google Scholar 

  21. Noel LP, Clarke WN, Addison D. Ocular complications of lightning. J Paed Ophthalmol Strabismus 1980; 17: 245–246.

    CAS  Google Scholar 

  22. Okal W. Ocular injury caused by electrical discharge. Klin Oczna 1976; 46: 1113–1116.

    PubMed  CAS  Google Scholar 

  23. Oleszewski SC, Nyman JS. Electrical cataract: A rare clinical entity. Am J Optometry & Physiological Optics. 1984; 61: 279–283.

    CAS  Google Scholar 

  24. Peters WJ. Lightning injury. Can Med Assoc 1983; 128: 148–150.

    CAS  Google Scholar 

  25. Sances A, Larson SJ, Myklebust J, Cusick JF. Electrical injuries. Surg Cynaecol Obstet 1979; 149: 97–108.

    Google Scholar 

  26. Silversides J. The neurological sequellae of electrical injury. Can Med Assoc J 1964; 91: 195–204.

    PubMed  CAS  Google Scholar 

  27. Solem L, Fischer RP, Strate RG. The natural history of electrical injury. J Trauma 1977; 17: 487–492.

    Article  PubMed  CAS  Google Scholar 

  28. Srebro R, Wright WW. Visually evoked potentials to pseudorandom binary sequence stimulation. Arch Ophthalmol 1980; 98: 296–298.

    PubMed  CAS  Google Scholar 

  29. Sturim HS. The treatment of electrical injuries. J Trauma 1971; 2: 959–965.

    Article  Google Scholar 

  30. Suveges I, Darabos G. Cases of central retinal atrophy. Szemeszet 1966; 103: 100–103.

    Google Scholar 

  31. Taussig HB. ‘Death’ from lightning and the possibility of living again. Ann Intern Med 1968; 68: 1345–1353.

    PubMed  CAS  Google Scholar 

  32. Tesinsky P, Valova M. Uveitis and retinal detachment after injury from lightning. Cs Oftal 1973; 29: 375–378.

    CAS  Google Scholar 

  33. Thomas SD. Eye injury during transuretheral surgery. J Urol 1975; 114: 584–585.

    PubMed  CAS  Google Scholar 

  34. Von Bahr G. Electrical injuries. Ophthalmologica 1969; 158: 109–117.

    Article  Google Scholar 

  35. Wiesinger H. Electrical injuries to the eye. Albrecht Von. Graefes Arch. Klin Exp Ophthalmol 1975; 193: 67–79.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, The Queen's University of Belfast, Eye & Ear Clinic, Royal Victoria Hospital, BT12 6BA, Belfast, UK

    S. M. H. Al Rabiah,  D. B. Archer, A. D. Collins & W. F. I. Shepherd

  2. Plastic Surgery Unit, Royal Victoria Hospital, BT12 6BA, Belfast, UK

    R. Millar

Authors
  1. S. M. H. Al Rabiah
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  2. D. B. Archer
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  3. R. Millar
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  4. A. D. Collins
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  5. W. F. I. Shepherd
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Al Rabiah, S.M.H., Archer, D.B., Millar, R. et al. Electrical injury of the eye. Int Ophthalmol 11, 31–40 (1987). https://doi.org/10.1007/BF02027895

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