This report describes the case of a 27-year-old lady who presented with sudden decrease in vision in the right eye for one week. She was suffering from constipation and had a history of straining while passing stools. She was found to have two large sub-internal limiting membrane haemorrhages with the classical double ring sign, which were drained using laser membranotomy, following which her vision rapidly improved. This case of two sub-internal limiting membrane haemorrhages is reported for its rarity and also highlights the usefulness of laser hyaloidotomy or membranotomy in large haemorrhages of recent onset. The literature was also reviewed to discuss the other treatment options in brief.
We report the case of a 17 year old male with decreased vision in both eyes for one month. He had sustained a lightning related injury two months back while he was operating a charging mobile phone. On examination, he had bilateral cataract and secondary optic atrophy. He underwent cataract surgery in both eyes with good immediate visual outcome. He required laser posterior capsulotomy later for significant posterior capsular opacification in both eyes. Electric cataracts can progress quickly and may be prone to developing PCO post-operatively. The surgeon should keep in mind the possibility of posterior segment changes and their implications on the final visual outcome while managing such cataracts.
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