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Electric Cataract


Presentation

  • In this report, we present a rare complication of such an injury presenting as a unilateral cataract in a 33-year-old woman with a painless but gradual worsening of vision in her left eye 3 weeks after sustaining a high-voltage electrical injury.[ncbi.nlm.nih.gov]
  • In this letter, we present a rare complication of electrical injury demonstrated as unilateral uveitis, cataract and retinal detachment in a 39-year-old woman.[burnstrauma.biomedcentral.com]
  • In the latest issue of the New England Journal of Medicine , researchers recount the fascinating case of an electrician who, after sustaining a 14,000-volt shock to his left shoulder , presented with "bilateral stellate anterior subcapsular opacities[io9.gizmodo.com]
  • JP Medical Ltd, ٣١‏/٠٣‏/٢٠١٢ - 548 من الصفحات The ninth edition of Ocular Differential Diagnosis is a practical manual to help practitioners make a quick diagnosis based on presentation and symptoms.[books.google.com]
Hunting
  • Boozalis GT, Purdue GF, Hunt JL, McCulley JP. Ocular changes from electrical burn injuries. A literature review and report of cases. J Burn Care Rehabil 1991;12:458–462. 6. Mutlu FM, Duman H, Cil Y.[synapse.koreamed.org]
  • ., Hunt, J.L., McCulley, J.P.. Ocular changes from electrical burn injuries: A literature review and report of cases. J Burn Care Rehabil 1991 ; 12: 458 – 62. Google Scholar Medline 16. Biro, Z., Pamer, E.. Electric cataract and optic neuropathy.[journals.sagepub.com]
  • PubMed Google Scholar Boozalis GT, Purdue GF, Hunt JL, McCulley JP. Ocular changes from electrical burn injuries. A literature review and report of cases. J Burn Care Rehabil. 1991;12:458–62. View Article PubMed Google Scholar Beken Z, Eltutar K.[burnstrauma.biomedcentral.com]
  • Reference: Boozalis GT, Purdue GF, Hunt JL, McCulley JP. Ocular changes from electrical burn injuries. J Burn Care Rehabil. 1991;12:458-462. Perron-Buscail A, Lesueur L, Chollet P, Arne JL. Les brulures electriques corneennes.[healio.com]
  • Boozalis G, Purdue G, Hunt J, McCulley J. Ocular changes from electrical burn injuries: a literature review and report of cases. J Burn Care Rehabil 1991;12:458-62. 2. Chun-Ju L, Chang-Hao Y, Chung-May Y, Kuo-Pin C.[djo.harvard.edu]
Physician
  • Quickly reference information with help from a convenient outline format, ideal for today’s busy physician.[books.google.com]
  • According to Korn, animal studies (neither conducted nor condoned by Solomon Eye Physicians and Surgeons) have shown that electrical damage manifests in the eye as small bubbles on the outside of the lens, which then combine to form the star-shaped pattern[solomoneyeassociates.com]
  • Physicians require knowledge of how it develops and how it can be treated. Those concerned with the adjudication of claims arising from such injuries need information about the prognosis.[jamanetwork.com]
  • In the cases of electrical injuries, physicians should be alert to these rare complications.[burnstrauma.biomedcentral.com]
Fishing
  • What it led to was a long hike through poisonous wild parsnip patches and through places where the trail was impassible without fishing footwear.[hikingthegta.com]
Asymptomatic
  • The patient was visually asymptomatic till about 1 year after the mishap, when he began to notice the gradual fall in vision that had progressed to its present state. Corrected visual acuity was 20/200 right eye and 20/60 left eye.[bjo.bmj.com]
Pallor
  • Dilated funduscopic examination showed scattered cotton-wool spots and bilateral optic-nerve pallor, which was greatest in the left eye (bottom panels, right and left).[io9.gizmodo.com]
Drooling
  • It’s what you’d expect when your favorite cartoon character gets electrocuted, but not a real man: jumping in the air, body convulsions, drooling, and stars in their eyes.[medicaldaily.com]
Chemosis
  • Electrically-induced ocular injury has been associated with many pathologic changes such as cataract, macular edema, eyelid edema, corneaepitelial keratitis, chemosis and pupillary abnormalities [ 2 – 5 ].[burnstrauma.biomedcentral.com]
  • Discussion The ocular complications resulting from electrical injuries are quite varied; chemosis, corneal perforation, iritis, cataract, retinal pigment epithelium damage, macular edema, retinal detachment, macular hole, optic neuritis, and choroidal[djo.harvard.edu]
Corneal Opacity
  • Upon examination with the slit lamp, the right eye showed diffuse, but not very dense, corneal opacity at the level of the epithelium, stroma and endothelium. The leukoma was slightly vascularized.[healio.com]
Cotton Wool Spots
  • Dilated funduscopic examination showed scattered cotton-wool spots and bilateral optic-nerve pallor, which was greatest in the left eye (bottom panels, right and left).[io9.gizmodo.com]
Pupillary Abnormality
  • Electrically-induced ocular injury has been associated with many pathologic changes such as cataract, macular edema, eyelid edema, corneaepitelial keratitis, chemosis and pupillary abnormalities [ 2 – 5 ].[burnstrauma.biomedcentral.com]
Ciliary Injection
  • Fig. 1 Photograph showed non-granulomatous anterior uveitis with nuclear cataract and ciliary injection in the right eye Fig. 2 An ultrasound examination showed total retinal detachment The pathophysiologic features of electrically-induced ocular injury[burnstrauma.biomedcentral.com]
Fear
  • The company exploited fears associated with the rise of labor unions for this 1920 advertisement that promised subservience from their “servants.”[afflictor.com]
  • This dam was dynamited in 1953 by the Canadian Pacific Railway because they feared that a flood might damage the tracks that run along the western side of the river gorge.[hikingthegta.com]
  • I would gladly save someone the fear, pain, and blindness I have endured. I want to share my experience about a sight-robbing cataract surgery outcome that could have been prevented. My first cataract surgery left me blind in one eye.[lifeextension.com]
Convulsions
  • It’s what you’d expect when your favorite cartoon character gets electrocuted, but not a real man: jumping in the air, body convulsions, drooling, and stars in their eyes.[medicaldaily.com]
  • A few previous case reports demonstrate that the arrhythmia may result from accidental shock 1 or as a complication of electric convulsive-shock therapy, 2 Patients so afflicted are naturally concerned about what the anticipated course of the illness[jamanetwork.com]

Treatment

  • The only effective treatment for cataracts is surgery, which the man with the star-shaped cataracts did undergo.[medicaldaily.com]
  • […] been struck by lightning Lichtenberg figures (sometimes called lightning trees) sometimes occur when an electrical charge is … Read more Read Researchers Bobby Korn and Don Kikkawa of describe the patient's initial condition and long-term course of treatment[io9.gizmodo.com]
  • Forty-five of the 82 patients received a 10-day treatment regimen that included daily electrical impulses aimed into the eye. The other patients received a placebo treatment (Source: Web MD ).[yoursightmatters.com]
  • Placebo Comparator: Sham Treatment with inactivate Tesmac device Device: Sham Tesmac device Treatment with inactivated Tesmac device on the same schedule as the group treated with the active Tesmac device.[clinicaltrials.gov]
  • Whether you’re experiencing symptoms or seeking surgical treatment, both of our state-of-the-art treatment center can meet all your eye care needs.[annearundeleyecenter.com]

Prognosis

  • He subsequently had an uneventful cataract surgery with expected poor prognosis, secondary to the retinal detachment. Conclusion: This case highlights two ocular complications (one common and one uncommon) following an electrical injury.[ajol.info]
  • Those concerned with the adjudication of claims arising from such injuries need information about the prognosis.[jamanetwork.com]
  • Prognosis The prognosis is dependent on the extent of the injury. Patient Education Protective eyewear is important in high-risk activities to avoid injury. For patient education resources, see the Eye & Vision Center as well as Cataracts.[emedicine.medscape.com]

Etiology

  • Yet the sparing of the central retinal vessels from significant involvement is somewhat contradictory to the proposed mechanism and a more formal investigation of how electrical current behaves in the eye would be needed to confirm the suggested etiology[djo.harvard.edu]
  • […] exposure to UV radiation, smoking, genetic predisposition, diet, body mass index, systemic diseases, medications, ocular trauma and secondary ophthalmic disease. 4-13 While age-related cataracts are an asymmetric phenomenon, cataracts of non-age-related etiologies[reviewofoptometry.com]

Epidemiology

  • Epidemiology and molecular genetics of congenital cataracts. Int J Ophthalmol. 2011;4(4):422-32. 22. Papania MJ, Wallace GS, Rota PA, et al.[reviewofoptometry.com]
  • Epidemiology Frequency United States Approximately 2.5 million eye injuries occur annually in the United States. It is estimated that approximately 4-5% of a comprehensive ophthalmologist's patients are seen secondary to ocular injury.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Injury by electrical forces: pathophysiology, manifestations, and therapy. Curr Probl Surg. 1997;34:677–764. View Article Google Scholar Mutlu FM, Duman H, Cil Y. Early-onset unilateral electric cataract: a rare clinical entity.[burnstrauma.biomedcentral.com]
  • Careful examination and a management plan can simplify these difficult cases and provide the best possible outcome. [5, 6] Pathophysiology Blunt trauma is responsible for coup and contrecoup ocular injury. Coup is the mechanism of direct impact.[emedicine.medscape.com]

Prevention

  • "Our study identifies lanosterol as a key molecule in the prevention of lens protein aggregation and points to a novel strategy for cataract prevention and treatment," the authors report.[newatlas.com]
  • How to prevent a Cataract from developing? Cataract is a progressive eye condition which can eventually cause blindness if not detected or treated. There are many ways you can help prevent cataract development or slow its progression.[swvi.com.au]
  • The hospital will give you eye drops to put in your child's eye every two to four hours which will help to prevent inflammation or infection.[rnib.org.uk]
  • Subjects who are in poor general health, have unstable diseases, are terminally ill, have a life expectancy of less than 12 months, are non-ambulatory or bedridden, live in a geographical location which would likely prevent regular attendance at study[clinicaltrials.gov]

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