Lightning-induced ocular injuries can involve any part of the eye. Reported macular pathology includes cystoid macular abnormalities, full-thickness macular hole, and pigmentary changes.1 Optical coherence tomography (OCT) is helpful to evaluate intraretinal cystoid abnormalities, which may resemble a macular hole on clinical appearance.2- 4 We report a case of acute vision loss from a lightning strike with delayed onset of cystoid macular abnormalities.
Liu TYA, See C, Singman E, Han IC. Delayed Onset of Intraretinal Cystoid Abnormalities in Lightning Retinopathy. JAMA Ophthalmol. 2016;134(7):840-842. doi:10.1001/jamaophthalmol.2016.1018