Lightning maculopathy: A case report

James T. Handa, Glenn J. Jaffe

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


Background: Lightning can cause a number of ocular complications. A case involving a patient who developed a cataract and reversible maculopathy in both eyes after being struck by lightning is reported. Methods: The patient was evaluated for cataract and macular edema by ophthalmoscopic examination, fluorescein angiography, and potential acuity meter. Results: Maculopathy developed that was characterized initially by a retinal cyst with surrounding edema. Later, the lesions evolved to simulate a full-thickness hole. These lesions subsequently resolved, and the patient's visual acuity improved to 20/20 in each eye after cataract extraction. Conclusion: Because the visual prognosis for lightning-induced maculopathy is potentially different than that for full-thickness macular holes, careful retinal examination is essential in the preoperative workup.

Original languageEnglish (US)
Pages (from-to)169-172
Number of pages4
Issue number2
StatePublished - Jan 1 1994
Externally publishedYes


  • Cataract
  • Lightning
  • Lightning maculopathy
  • Macular edema
  • Macular hole

ASJC Scopus subject areas

  • Ophthalmology


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