Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up

IF 1.1 Q3 OPHTHALMOLOGY
S. A. Bayar, Almila Sarıgül, G. Yılmaz, E. Pınarcı
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引用次数: 2

Abstract

Address for Correspondence/Yazışma Adresi: Sezin Akça Bayar MD, Başkent University Hospital Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey Phone: +90 312 212 68 68 E-mail: sezinakca@gmail.com Received/Geliş Tarihi: 12.08.2013 Accepted/Kabul Tarihi: 26.12.2013 A 35-year-old male patient had a decreased vision in his right eye, with a visual acuity of 20/400, after a high-voltage electrical injury. Corneal edema, Descemet’s membrane folds, cataract, macular hole, and optic neuropathy were detected in his right eye. Intravenous pulse steroids were administered. On the third day of treatment, the visual acuity in the right eye improved to 20/200 and the corneal edema resolved. Two months later, the patient’s visual acuity was still 20/200, while optic disc pallor, epiretinal gliosis, a non-fullthickness macular hole, and pseudo-cyst formation were detected in his right eye. Three years later, the macular pseudo-cyst formation transformed into an atrophic scar, while the patient’s visual acuity was the same. In conclusion, as a result of high-voltage electrical injury, serious ocular complications may develop. It is sufficient to refer those patients to an ophthalmologist for appropriate treatment and follow-up. (Turk J Ophthalmol 2014; 44: 410-2)
视神经病变和中央凹假性囊肿在一例高压电损伤中的发展:三年随访
通讯地址/Yazışma Adresi: Sezin aka Bayar医学博士,ba肯特大学医院医学院,眼科,安卡拉,土耳其电话:+90 312 212 68 68 E-mail: sezinakca@gmail.com收件/ gelikan Tarihi: 12.08.2013收件/Kabul Tarihi: 26.12.2013一名35岁男性患者在高压电伤后右眼视力下降,视力为20/400。右眼角膜水肿、Descemet膜褶皱、白内障、黄斑孔、视神经病变。静脉注射脉冲类固醇。治疗第3天,右眼视力改善至20/200,角膜水肿消失。2个月后,患者视力仍为20/200,右眼视盘苍白,视网膜前胶质瘤,非全层黄斑孔,假性囊肿形成。三年后,黄斑假性囊肿转变为萎缩性疤痕,而患者的视力不变。总之,高压电损伤可导致严重的眼部并发症。将这些患者转介给眼科医生进行适当的治疗和随访就足够了。(土耳其眼科杂志2014;44: 410 - 2)
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