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July 2016

Delayed Onset of Intraretinal Cystoid Abnormalities in Lightning Retinopathy

Author Affiliations
  • 1Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Ophthalmol. 2016;134(7):840-842. doi:10.1001/jamaophthalmol.2016.1018

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.