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Indian J Ophthalmol. 2019 Sep;67(9):1497-1500. doi: 10.4103/ijo.IJO_1737_18.

Electric shock induced Purtscher-like retinopathy.

Author information

1
Department of Retina Vitreous, Aravind Eye Hospital, S.N. High Road, Tirunelveli, Tamil Nadu, India.

Abstract

The most common ocular manifestation following electric shock injury is the development of cataract. Retinal manifestations can vary from development of macular holes to retinal detachments. Purtscher-like retinopathy following electrical injury has not been reported till date. We hereby present a case of a 19-year-old electrician who presented with grossly reduced vision in the right eye of 2 months following an electric shock. The fundus of the right eye showed macular ischemic degeneration, occluded vessels, cotton-wool spots, and hemorrhages. Optical coherence tomography angiography revealed presence of capillary drop-out in the para-foveal region, which was more pronounced in the deep capillary plexus. Electric shock injury can lead to a clinical picture simulating Purtscher's retinopathy. The electrical injury leads to a more extensive damage to the deep capillary plexus as compared with the superficial plexus.

KEYWORDS:

Electric shock; Purtscher-like retinopathy; electrical injury; optical coherence tomography angiography Purtscher retinopathy

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