Bilateral Cataract Caused by High-voltage Electrical Injury: A Case Report

高壓電擊傷後併發雙側白內障：病例報告

王錦滿(Chin-Man Wang) ； 楊瑞永(Jui-Yung Yang) ； 薛珮吟(Pei-Ying Hsueh) ； 裴育晟(Yu-Cheng Pei) ； 蔡承芳(Cheng-Fung Tsai) ； 吳佩璇(Katie P. Wu)

《台灣復健醫學雜誌》 39卷2期 (2011/06) Pp. 105-109

https://doi.org/10.6315/2011.39(2)05

摘要

頭部的高壓電擊傷後僅有少數的生還者，在這些生還者當中，約0.7%到8%會併發白內障。本文報告一位因高壓電擊傷後引起後囊下白內障所造成的急速視力惡化。這位36歲男性在工作時誤觸高壓電線，造成嚴重高壓電擊傷（11,000伏特）和燙傷。在受傷當時，他的視力並不影響日常生活功能。很不幸的在受傷一個月後，患者右眼先出現視力惡化，接著左眼也出現相同症狀。經眼科醫師診斷爲高壓電傷引起的雙側後囊下白內障。病患接受了雙側人工水晶體置換術後視力明顯改善。高壓電傷後的後遺症表現多元，藉由本病例報告，提醒臨床醫師不要忽略了可能在復健期出現的高壓電傷性白內障。

關鍵字

白內障 ； 電擊傷 ； 後囊下白內障

並列摘要

Few victims can survive high-voltage electric burns in which the electricity passes through the scalp. Notably, 0.7% to 8.0% of these survivors will progressively develop cataracts caused by the electric injury. This report presents a unique case manifested with rapid visual deterioration as a result of posterior subcapsular cataract. A 36-year-old male was incidentally injured by an electric burn of 11,000 volts during work. Immediately following the injury, his vision remained sufficient in daily activities. Unfortunately, progressive non-painful visual loss developed in his right eye within a month during rehabilitation training and then later in the left eye. Ophthalmologist confirmed bilateral posterior subcapsular cataract caused by high-voltage electrical injury. He regained his vision after phacoemulsification and intraocular lens implantation in bilateral eyes. Although the clinical picture of electrical injury can be influenced by diverse factors, one should not overlook the possibility of the development of cataract during the rehabilitation training courses.

並列關鍵字

cataract ； electric burn ； posterior subcapsular cataract