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| OPHTHALMIC IMAGE |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 619 |
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Bilateral simultaneous total electric injury cataract
Rouli Sud, Sumeet Khanduja, Pallavi Sharma
Department of Ophthalmology, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India
| Date of Web Publication | 28-Apr-2023 |
Correspondence Address:
Rouli Sud
Department of Ophthalmology, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2675_22
How to cite this article:
Sud R, Khanduja S, Sharma P. Bilateral simultaneous total electric injury cataract. Indian J Ophthalmol Case Rep 2023;3:619 |
A 53-year-old electrician presented with decreased vision in both eyes after having received an accidental high-voltage electric shock 6 weeks prior. Ocular examination showed bilateral total milky white cataract with best corrected visual acuity (BCVA) of perception of light in both eyes. There was a circumscribed hypertrophic scar over the root of the nose with central ulceration and well-defined erythematous margins, marking the entry point of the current. [Figure 1] Bilateral sequential phaco-emulsification was performed with a recovery of BCVA of 20/30 in both eyes at 3 months. The median scar was managed conservatively by a plastic surgeon. Electric cataracts are a rare cause of presenile cataract. The strength of voltage is not directly related to the severity of cataract.[1] The exact cause, although unknown, has been attributed to the coagulation of lens proteins and damage to the capsule, resulting in osmotic changes.[2] Scarring because of fibroblast proliferation on the basement membrane and resultant loss of integrity of anterior capsule may also be a likely cause.[3] The cataract is usually unilateral or bilaterally asymmetrical.[4],[5],[6],[7] However, only a single case report of bilateral intumescent cataract because of electric injury has been reported.[3] Hence, a history of electric shock must be elicited in all cases of presenile cataract, and the presence of entry and exit wounds should be looked for. Cataract surgery in the form of phaco-emulsification with intra-ocular lens implantation results in good visual recovery.[4],[7] | Figure 1: Bilateral total milky white cataract (red arrows) with circumscribed hypertrophic scar with central ulceration at the root of the nose (white arrow)
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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
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Elder SD, Macfaul PA. System of Ophthalmology, Vol XIV-2, Non-mechanical Injuries. St. Louis: The CV Mosby Company; 1972. pp. 815-35.  |
| 2. | Batiles M, Magno BV. Duane's Clinical Ophthalmology, Vol I, Chapter 73, Cataract-clinical Types. Philadelphia, NY: Lippincott-Raven Publishers; 1996. p. 22. |
| 3. | Hashemi H, Jabbarvand M, Mohammadpour M. Bilateral electric cataracts: Clinicopathologic report. J Cataract Refract Surg 2008;34:1409-12. |
| 4. | Chaudhuri Z, Pandey PK, Bhatia A. Electrical cataract: A case study. Ophthalmic Surg Lasers 2002;33:166-8. |
| 5. | Grewal DS, Jain R, Brar GS, Grewal SP. Unilateral electric cataract: Scheimpflug imaging and review of the literature. J Cataract Refract Surg 2007;33:1116-9. |
| 6. | Artamonov VP, Ratmanova EV. Sluchaĭ dvustoronneĭ élektricheskoĭ katarakty [Case of bilateral electric cataract]. Vestn Oftalmol 2000;116:41-2. Russian. |
| 7. | Rathi M, Bhatt N, Dhull CS, Sachdeva S, Phogat J. Electric cataract: A report of two cases and a review of the literature. Egypt J Cataract Refract Surg 2016;22:54-5. [Full text] |
[Figure 1]
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