Bilateral Electric Cataracts With Markedly Disparate Onset Times

Ocular injuries secondary to high-voltage electrocution are uncommon and may lead to delayed manifestations, particularly cataract formation. In this article, we describe the case of a 21-year-old male diagnosed with a unilateral electric cataract. The patient had previously undergone cataract surgery in the left eye following a high-voltage electric shock sustained at the age of seven and presented years later with decreased vision in the right eye. Clinical examination revealed an anterior subcapsular cataract in the right eye, with no other associated lesions, particularly involving the retina or the optic nerve head. Prompt therapeutic intervention with phacoemulsification surgery successfully restored normal visual acuity in the affected eye. This case underscores the critical importance of ongoing vigilance in detecting and managing ocular complications following electrocution, even years after the initial incident.