Ocular Injury

Half of all lightning victims will have ocular injuries, including optic nerve atrophy, papilledema, retinal hemorrhage, retinal detachment, corneal abrasion, hyphema, uveitis, vitreous hemorrhage, and cataracts. Cataracts are the most common single injury and may develop immediately or as late as 2 years after a strike. Pupillary findings may include iridocyclitis, mydriasis, anisocoria, and Horner's syndrome. Dilated unresponsive pupils may be due to transient autonomic dysfunction and should not be used as a sign of brain death.

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