Successful Recovery of Bilateral Electric Cornea Burn

Purpose: To present a rare case of successful recovery from bilateral direct electric corneal injury and good long-term outcome in a 57-year-old healthy male. Case summary: The patient’s bilateral eyes encountered accidental exposure to electric spark while he was repairing high voltage live wire. He was not wearing a protective equipment at that moment. When he arrived at the emergency room, the best corrected visual acuity was finger count 50 cm in his right eye and 20/200 in his left eye. He complained of severe ocular pain and tearing. Although his both eyes showed severe corneal edema with central abrasion in his right eye on the day after the accident, these were healed rapidly and completely after medical treatment. After 10 days, his corneal edema and visual acuity were fully recovered and endothelial cells were intact. At 22 months after the injury, the patient had no complication. To the best of our knowledge, this is the first report of rapid and successful healing of bilateral corneal burn including endothelial cell state with a long term follow-up after direct electric ocular injury. Conclusion: Bilateral corneal electric burn patient can expect full recovery by timely management with good long-term outcome.