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Case Reports
. 2017 Nov;65(11):1256-1261.
doi: 10.4103/ijo.IJO_536_17.

Spontaneous anatomical and functional recovery of bilateral electric shock maculopathy

Ratnesh Ranjan  1 , George Joseph Manayath  1 , Palmeera Dsouza  1 , Venkatapathy Narendran  1
Affiliations
Case Reports

Spontaneous anatomical and functional recovery of bilateral electric shock maculopathy

Ratnesh Ranjan et al. Indian J Ophthalmol. 2017 Nov.

Abstract

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.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Color fundus photograph of right and left eye (a and b, respectively) at the time of first presentation showing dark red spot at fovea appearing as cherry red spot
Figure 2
Figure 2
Optical coherence tomography image of right and left eye at the first visit showing disruption of ellipsoid zone and retinal pigment epithelium layer with intact external limiting membrane (a and b respectively). At 3-month follow-up, optical coherence tomography image showing intact external limiting membrane, spontaneously reorganized ellipsoid zone, and near normal retinal pigment epithelium layer (c and d, respectively)
Figure 3
Figure 3
Fundus autofluorescence image of right and left eye at the first visit showing increased central hypoautofluorescence (a and b, respectively) and relatively decreased central hypoautofluorescence at 3-month follow-up (c and d, respectively)
See this image and copyright information in PMC

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