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Bilateral macular cyst after lightning visualized with optical coherence tomography
Author(s) -
RivasAguiño Pedro J,
Garcia Reinaldo A,
Arevalo J Fernando
Publication year - 2006
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2006.01377.x
Subject(s) - medicine , optical coherence tomography , maculopathy , ophthalmology , macular hole , fundus (uterus) , retinal pigment epithelium , foveal , fluorescein angiography , cyst , foveal avascular zone , retinal , optometry , visual acuity , optical coherence tomography angiography , surgery , retinopathy , vitrectomy , diabetes mellitus , endocrinology
A bstract The authors report a 14‐year‐old girl who was struck by lightning with bilateral macular cyst that was diagnosed with optical coherence tomography (OCT). Her fundus examination revealed bilateral macular lesions that simulated macular holes. The Watzke–Allen sign was negative in the right eye and positive in the left eye. Fluorescein angiography showed a foveal window defect in both eyes. OCT demonstrated a small foveal cyst evident as a hyporeflective lucency, visible just anterior to the retinal pigment epithelium/choriocapillaris complex in both eyes. OCT seems to be useful in the evaluation of lighting maculopathy to rule‐out full‐thickness macular hole in these cases, and avoid unnecessary surgery.