Open AccessSpontaneous anatomical and functional recovery of bilateral electric shock maculopathy
Author(s) -
Ratnesh Ranjan,
George J Manayath,
Palmeera Dsouza,
Venkatapathy Narendran
Publication year - 2017
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_536_17
Subject(s) - medicine , maculopathy , ophthalmology , retinal pigment epithelium , fundus (uterus) , optical coherence tomography , visual acuity , shock (circulatory) , retinal , optometry , retinopathy , radiology , diabetes mellitus , endocrinology
A 12-year-old boy presented with best-corrected visual acuity (BCVA) of 6/9 in both eyes following an episode of electric shock. Optical coherence tomography (OCT) showed disruption of the ellipsoid zone as well as retinal pigment epithelium (RPE) layer. Fundus autofluorescence (FAF) showed increased central hypoautofluorescence in both eyes. At 3-month follow-up, BCVA improved to 6/6 with OCT showing spontaneous resolution of maculopathy in both eyes with reorganized RPE layer and ellipsoid zone. To the best of our knowledge, this is the first case of bilateral electric shock maculopathy (ESM) with spontaneous anatomical as well as functional recovery. Ophthalmologists must be aware of various forms of ESM. OCT and FAF must be done in patients presenting with defective vision and history of electric shock for the diagnostic as well as prognostic evaluation.