Evolution of Lightning Maculopathy: Presentation of Two Clinical Cases and Brief Review of the Literature

Figure 11

(a)–(l) Serial OCT scans showing the evolution of maculopathy obtained at the time of presentation to the last follow-up visit at the end of five months postinjury. (a, b) OCT at presentation showing normal appearance. (c, d) OCT at three weeks of injury with development of intraretinal cystoid abnormalities. (e, f) Five weeks following injury showing increment in cystoid changes. (g, h) Interval increment in macular thickness as well as cystoid pockets more marked in the right at the end of two months. (i, j) Four months interval with decreased cystoid changes in both eyes. (k, l) OCT at the end of last follow-up visit at five months showing resolution of cystoid spaces and restoration of fovea in the right; however, presence of foveal cyst in the left was evident.

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