Lightning damage. Patient referred for cataract clearance of | Figure 1

itssarcoidosis

Registered Nurse

Lightning damage. Patient referred for cataract clearance of the left eye about 2 months ago which revealed white cat and hazy/ no view. Bscan clear and patient cleared. Pt returns for eval and after I worked patient up reveled APD and not much improvement in vision. Count fingers at 6 inches to count fingers at two feet. Realized something was missing. Patient reveals being stuck by lighting 4 years ago and as pictures reveal total optic atrophy and chronic CME. Further questions reveal complete rupture of left knee from strike as well. Advice for the day: Always ask patients about recent trauma.

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