Bilateral impending macular holes after a high-voltage electrical shock injury and its surgical outcome: a case report

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• 作者：Pingbo Ouyang (24)
  Anushavan Karapetyan (24)
  Juanlian Cui (24)
  Xuanchu Duan (24)
  
  24. Department of Ophthalmology ; The Second Xiangya Hospital ; Central South University ; 139 Renmin Middle Road ; Changsha ; Hunan ; 410011 ; China
  
• 关键词：Electrical shock injury ; Macular hole ; Optical coherence tomography
• 刊名：Journal of Medical Case Reports
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：8
• 期：1
• 全文大小：1,419 KB
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• 刊物主题：Medicine/Public Health, general; General Practice / Family Medicine; Public Health; Primary Care Medicine;
• 出版者：BioMed Central
• ISSN：1752-1947

文摘

Introduction A macular hole is a rare complication after high-voltage electrical shock injury and only a few cases have been reported to date. To the best of our knowledge, this is the first report of bilateral impending macular holes after high-voltage electrical shock. Case presentation We report a case of bilateral impending macular holes in a 39-year-old male Chinese patient who sustained a high-voltage electrical shock three months prior to presentation. Our patient complained of gradually diminished eyesight in both eyes, with visual acuity of 20/100 and 20/40 in his right and left eyes respectively. Our patient underwent pars plana vitrectomy accompanied by octafluoropropane gas and triamcinolone acetonide injections, and was discharged from our hospital with slightly improved vision. Conclusion The visual outcome of impending macular holes caused by high-voltage electrical shock may be poor despite tissue residue at the fovea and surgical intervention aimed at aiding macular recovery. Surgery is, however, effective in the short term in restoring normal anatomical macular structure.