Electric burns: a unique pattern of ocular injuries
DOI:
https://doi.org/10.18203/2349-2902.isj20250824Keywords:
Electrical burns, Ocular injuries, High-voltage trauma, Corneal perforation, Ophthalmological managementAbstract
Burn injuries are a global health issue affecting millions of people annually, more so in developing countries. Electric burns are severe and uncommon forms of burn injuries which account for approximately less than 5% of all burn injuries, and are associated with high morbidity and mortality. Ocular complications occur in approximately 5% of electric burn cases, and they often present in unique patterns depending on the path of the electrical current. This case report describes a 35-year-old man who sustained high-voltage electric burns following an alleged cable theft incident. He suffered burns to his face, neck, left upper limb, and bilateral lower limbs, with subsequent ocular injuries that included exposure keratopathy, corneal perforation, and eyelid necrosis. His management entailed multiple surgical interventions, moisture chambers, tarsorrhaphy, and an amnion corneal transplant. This case highlights the importance of early ophthalmologic assessment and intervention to prevent severe vision loss. Given the devastating effects of electric burns, public awareness and preventive measures remain crucial.
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References
Shih JG, Shahrokhi S, Jeschke MG. Review of Adult Electrical Burn Injury Outcomes Worldwide: An Analysis of Low-Voltage vs High-Voltage Electrical Injury. J Burn Care Res. 2017;38(1):293-8. DOI: https://doi.org/10.1097/BCR.0000000000000373
Gandhi G, Parashar A, Sharma RK. Epidemiology of electrical burns and its impact on quality of life - the developing world scenario. World J Crit Care Med. 2022;11(1):58-69. DOI: https://doi.org/10.5492/wjccm.v11.i1.58
Mzezwa SZ. Electrical burns. S Afr J Sci. 2008;26(9):436-8.
Bae EJ, Hong IH, Park SP, Kim HK, Lee KW, Han JR. Overview of ocular complications in patients with electrical burns: An analysis of 102 cases across a 7-year period. Burns. 2013;39(7):1380-5. DOI: https://doi.org/10.1016/j.burns.2013.03.023
Ding H, Huang M, Li D, Lin Y Qian W. Epidemiology of electrical burns: 10-year retrospective analysis of 376 cases at a burn centre in South China. J Int Med Res. 2020;48(3). DOI: https://doi.org/10.1177/0300060519891325
Bryan BC, Andrews CJ, Hurtley RA, Taber KH. Windows to the brain – Electrical injury, Part 1-Mechanisms. J Neuropsychiatry Clin Neurosci. 2009;21(3):240-4. DOI: https://doi.org/10.1176/appi.neuropsych.21.3.iv
Lee WK, Barnett SM, Stead T, Banerjee PR, Ganti L. Flash Burn of the Eyes Caused by High-Voltage Electrical Spark. Cureus. 2021;13(1):12662. DOI: https://doi.org/10.7759/cureus.12662
Schaefer NR, Yaxley JP, O’Donohue P, Lisec C, Jeyarajan E. Electrical Burn Causing a Unique Pattern of Neurological Injury. Plast Reconstr Surg Glob Open. 2015;3(4):378. DOI: https://doi.org/10.1097/GOX.0000000000000344
Keyes CA, Liphoko KL. A 5-year overview of fatal thermal and electrical burns in Johannesburg, South Africa. S Afr J Sci. 2021;117(5-6):1-9. DOI: https://doi.org/10.17159/sajs.2021/8288
North JP. Electric burns of the head and arm with residual damage to eyes and brain. Am J Surg. 1948;76(5):631-65. DOI: https://doi.org/10.1016/S0002-9610(48)90254-2
Kaplan AT, Yalcin SO, Günaydın NT, Kaymak NZ, Gün RD. Ocular-periocular burns in a tertiary hospital: Epidemiologic characteristics. J Plast Reconstr Aesthet Surg. 2023;76:208-15. DOI: https://doi.org/10.1016/j.bjps.2022.10.049