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

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 adminis...

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Main Authors: Sezin Akça Bayar, Almila Sarıgül, Gürsel Yılmaz, Eylem Yaman Pınarcı
Format: Article
Language:English
Published: Galenos Yayinevi 2014-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_7387/Development-Of-Optic-Neuropathy-And-Foveal-Pseudocyst-In-A-Case-Of-High-voltage-Electrical-Injury-A-Three-year-Follow-up
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author Sezin Akça Bayar
Almila Sarıgül
Gürsel Yılmaz
Eylem Yaman Pınarcı
author_facet Sezin Akça Bayar
Almila Sarıgül
Gürsel Yılmaz
Eylem Yaman Pınarcı
author_sort Sezin Akça Bayar
collection DOAJ
description 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)
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spelling doaj.art-dc5244a43884432a9e22198f2fac21df2023-02-15T16:07:51ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612014-10-0144541041210.4274/tjo.73644Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-UpSezin Akça Bayar0Almila Sarıgül1Gürsel Yılmaz2Eylem Yaman Pınarcı3Başkent University Hospital Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyBaşkent University Hospital Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyBaşkent University Hospital Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyBaşkent University Hospital Faculty of Medicine, Department of Ophthalmology, İstanbul, TurkeyA 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)http://www.oftalmoloji.org/article_7387/Development-Of-Optic-Neuropathy-And-Foveal-Pseudocyst-In-A-Case-Of-High-voltage-Electrical-Injury-A-Three-year-Follow-upElectrical injuryoptic neuropathymacular holefoveal pseudo-cyst
spellingShingle Sezin Akça Bayar
Almila Sarıgül
Gürsel Yılmaz
Eylem Yaman Pınarcı
Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
Türk Oftalmoloji Dergisi
Electrical injury
optic neuropathy
macular hole
foveal pseudo-cyst
title Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
title_full Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
title_fullStr Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
title_full_unstemmed Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
title_short Development of Optic Neuropathy and Foveal Pseudocyst in a Case of High-Voltage Electrical Injury: A Three-Year Follow-Up
title_sort development of optic neuropathy and foveal pseudocyst in a case of high voltage electrical injury a three year follow up
topic Electrical injury
optic neuropathy
macular hole
foveal pseudo-cyst
url http://www.oftalmoloji.org/article_7387/Development-Of-Optic-Neuropathy-And-Foveal-Pseudocyst-In-A-Case-Of-High-voltage-Electrical-Injury-A-Three-year-Follow-up
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AT almilasarıgul developmentofopticneuropathyandfovealpseudocystinacaseofhighvoltageelectricalinjuryathreeyearfollowup
AT gurselyılmaz developmentofopticneuropathyandfovealpseudocystinacaseofhighvoltageelectricalinjuryathreeyearfollowup
AT eylemyamanpınarcı developmentofopticneuropathyandfovealpseudocystinacaseofhighvoltageelectricalinjuryathreeyearfollowup