Electrical Injury and Ocular Complications: A Case Report

Abstract

High voltage electrical injury may result in various ocular complications. These
are particularly more common if the injury occurs over scalp. Electrical injury
induced cataract is usually bilateral though cases of unilateral cataract have also
been reported. We report a case of high voltage electrical injury in a 60 years old
male resulting in anisocoria, iritis, bilateral cataract and optic atrophy. Patient
underwent manual small incision cataract surgery (MSICS) with posterior
chamber intraocular lens implantation in both eyes with poor visual recovery.
Fundoscopy revealed bilateral optic atrophy. This case highlights that in spite of
a good extracapsular cataract extraction with intraocular lens implantation, the
final visual outcome will depend on other ocular damage due to electric current.
Key words: Electrical injury, iritis, cataract, optic atrophy.