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.