Optical coherence tomography and autofluorescence findings in photic maculopathy secondary to distant lightning strike
Ophthalmic injuries due to lightning occur mainly from direct or indirect transmission of electric charge, resistance-induced heat, or heat-induced shock wave.1 Most reports of lightning-induced maculopathy quote direct or indirect electric transmission as the cause and associate maculopathy with oculofacial injuries and sometimes loss of consciousness.1 - 3 However, a high-voltage electric current can also induce photic retinopathy without contribution from the electric charge.4 We report a case of photic retinopathy caused solely by viewing a lightning strike.
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