{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:42:50Z","timestamp":1776231770349,"version":"3.50.1"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Electric cataract is a recognized complication of high-voltage electrical injury, resulting from direct electrical and thermal damage to ocular tissues. Although cataract formation is the most commonly reported manifestation, electrical injury should be regarded as a pan-ocular insult capable of affecting both anterior and posterior segment structures. Delayed posterior segment complications, particularly rhegmatogenous retinal detachment (RRD), remain poorly characterized and may be overlooked during early management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of a patient who developed unilateral electric cataract following a high-voltage electrical injury. During primary surgery, posterior capsule rupture with complete posterior dislocation of the lens nucleus was observed, and pars plana vitrectomy (PPV) with lensectomy was performed. Despite initially favorable postoperative recovery, the patient presented 86\u202fdays later with macula-involving RRD characterized by multiple retinal breaks and star-shaped retinal folds. A secondary PPV combined with epiretinal membrane peeling, endolaser photocoagulation, and silicone oil tamponade was undertaken, resulting in successful retinal reattachment. After silicone oil removal, best-corrected visual acuity improved and stabilized at 0.5, with the retina remaining flat during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights that electrical ocular injury represents a dynamic and progressive process rather than a static event confined to the time of trauma. Successful management of anterior segment pathology does not preclude the development of delayed, sight-threatening posterior segment complications. Long-term, vigilant vitreoretinal surveillance is essential in patients with electrical eye injuries to enable early detection and timely intervention, thereby preventing irreversible vision loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1831902","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T04:43:15Z","timestamp":1776228195000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed rhegmatogenous retinal detachment following high-voltage electrical injury: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Chaoxiong","family":"Cui","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences","place":["Qingdao, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danyang","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences","place":["Qingdao, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences","place":["Qingdao, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Teng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences","place":["Qingdao, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuzhen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Qingdao Central Hospital, University of Health and Rehabilitation Sciences","place":["Qingdao, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e88","DOI":"10.1111\/aos.15220","article-title":"Electrical injury and the long-term risk of cataract: a prospective matched cohort study","volume":"101","author":"Anette","year":"2022","journal-title":"Acta Ophthalmol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1016\/j.burns.2013.03.023","article-title":"Overview of ocular complications in patients with electrical burns: an analysis of 102 cases across a 7-year period","volume":"39","author":"Eun Jin","year":"2013","journal-title":"Burns"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1177\/112067219900900211","article-title":"Electric cataract: a case report and review of the literature","volume":"9","author":"Reddy","year":"1999","journal-title":"Eur J Ophthalmol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1739","DOI":"10.1016\/j.burns.2023.03.015","article-title":"Electrical injuries and outcomes: a retrospective review","volume":"49","author":"Desmond","year":"2023","journal-title":"Burns"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"S424","DOI":"10.1097\/00003246-200211001-00007","article-title":"Electrical injuries","volume":"30","author":"Anastassios","year":"2003","journal-title":"Crit Care Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1159\/000305803","article-title":"Electrical injuries","volume":"158","author":"Von Bahr","year":"1969","journal-title":"Ophthalmologica"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2955","DOI":"10.1007\/s00417-025-06844-3","article-title":"Ophthalmological manifestations, visual outcomes, and treatment of electrical and lightning trauma: a systematic review","volume":"263","author":"Mar\u00eda A","year":"2025","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/j.oret.2018.10.005","article-title":"Thomas A. Swift's electric rifle injuries to the eye and ocular adnexa: the management of complex trauma","volume":"3","author":"Stavros N","year":"2019","journal-title":"Ophthalmol Retina"},{"key":"ref9","first-page":"174","article-title":"Electrical shock injury","volume":"17","author":"Rose","year":"1994","journal-title":"J Manip Physiol Ther"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1177\/2474126420903277","article-title":"Electric shock retinopathy: case report of a late retinal manifestation","volume":"4","author":"Diego Alejandro","year":"2020","journal-title":"J Vitreoretin Dis"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"470","DOI":"10.4103\/0301-4738.57156","article-title":"Bilateral macular hole secondary to remote lightning strike","volume":"57","author":"Krishna","year":"2009","journal-title":"Indian J Ophthalmol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"34","DOI":"10.4103\/ojo.OJO_129_2016","article-title":"A case of isolated bilateral cataract following high-voltage electrical injury","volume":"13","author":"Ankur","year":"2020","journal-title":"Oman J Ophthalmol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcaf238","article-title":"Electric cataract after high-voltage injury","author":"Ruchika","year":"2025","journal-title":"QJM"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1097\/01.ICL.0000032345.79593.24","article-title":"Ocular manifestations of electrical injury: a case report and review of the literature","volume":"28","author":"Barbara","year":"2002","journal-title":"CLAO J"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1093\/jbcr\/irad200","article-title":"Severe high-voltage electrical injury: A rare case report","volume":"45","author":"Yanjun","year":"2023","journal-title":"J Burn Care Res"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.1007\/s10792-017-0567-6","article-title":"Spontaneous dislocation of the posterior chamber intraocular lens","volume":"38","author":"Azusa","year":"2017","journal-title":"Int Ophthalmol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s41038-015-0020-x","article-title":"Unilateral uveitis, cataract and retinal detachment following low-voltage electrical injury","volume":"3","author":"Rahmi","year":"2015","journal-title":"Burns Trauma"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000004492","article-title":"High-voltage Electrical Vitroretinopathy","author":"Liu","year":"2025","journal-title":"Retina"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1831902\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T04:43:31Z","timestamp":1776228211000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1831902\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":18,"alternative-id":["10.3389\/fmed.2026.1831902"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1831902","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]},"article-number":"1831902"}}