|Year : 2023 | Volume
| Issue : 2 | Page : 555
Accidental electrocution-induced unilateral cataract
Mohit Garg, Harsha Bhattacharjee
Department of Comprehensive Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
|Date of Submission||06-Nov-2022|
|Date of Acceptance||22-Nov-2022|
|Date of Web Publication||28-Apr-2023|
Sri Sankaradeva Netralaya, Beltola, Guwahati, Assam
Source of Support: None, Conflict of Interest: None
Keywords: Cataract, electrocution, trauma
|How to cite this article:|
Garg M, Bhattacharjee H. Accidental electrocution-induced unilateral cataract. Indian J Ophthalmol Case Rep 2023;3:555
A 26-year-old man was accidentally exposed to electrical shock 4 months ago, when a high-tension electricity line fell over an unfolded umbrella he was carrying while crossing an open field.
He was transferred to the nearest medical center, where he was diagnosed with 25% dermal electrical burn over the face, left upper limb, and both lower limbs, which was successfully managed by excision and split-skin grafting.
At that time, the eye examination was not done as he had no complaints in the eyes. The patient noted a dimness of the vision in the left eye 2 weeks ago. On slit-lamp examination, an anterior capsular opacity looking like a flower with spread-out petals was noted [Figure 1]. There was no other abnormality. The refraction was compound myopic astigmatism in both eyes with the best corrected visual acuity of 6/6 in both eyes (−1.75DS/1.00 DC at 90 degrees and − 2.00DS/0.75 DC at 90-degree axis in OD and OS, respectively). Color vision and visual field analysis were normal.
|Figure 1: Diffuse slit-lamp illumination showing flower-shaped anterior lenticular opacification|
Click here to view
Coagulation of lens proteins and osmotic changes in the lens are believed to be the cause of cataracts after electrocution. The anterior capsule and anterior subcapsular cortex are mostly affected, usually after 1 to 12 months of the incidence.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Saffle JR, Crandall A. Cataracts a long term complication of electrical injury. J Trauma 1985;25:17-21.
Baranwal VK, Satyabala K, Gaur S, Dutta AK. A case of electric cataract. Med J Armed Forces India 2014;70:284-5.