Optical coherence tomography features of lightning-induced macular injury

Abstract

A 15-year-old boy with history of lightning exposure presented with sudden onset diminution of vision in left eye. The best-corrected visual acuity (BCVA) was 6/6 in right eye and 6/18 in left eye. Anterior segment examination was normal. A yellow dot was seen at the fovea in the left eye. Optical coherence tomography (OCT) showed a vertical hyperreflective band at fovea in right eye and low-reflective dome-shaped elevation, horizontal hyperreflective band, and disruption of ellipsoid zone (EZ) in left eye. Patient developed an episode of acute anterior uveitis in the left eye during the follow-up. At 6-month follow-up visit, BCVA in the right eye was 6/6 and in left eye was 6/36. Left eye developed grade 2 posterior subcapsular cataract during the follow-up. Extensive EZ loss and hyporeflective spaces were noted on OCT in the left eye.