Delayed, incomplete recovery of macular function after photic retinal damage associated with extracapsular cataract extraction and posterior lens insertion. Case report.
Delayed, incomplete recovery of macular function after photic retinal damage associated with extracapsular cataract extraction and posterior lens insertion. Case report.
复制标题
与囊外白内障摘除术和后晶状体植入相关的光性视网膜损伤后黄斑功能的延迟、不完全恢复。
DOI：
10.1001/archopht.1987.01060080024014
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发表时间：
1987
影响因子：
--
通讯作者：
S. Hupp
中科院分区：
文献类型：
--
作者：
S. Hupp
致编辑。在无晶状体、无晶状体或假晶状体的眼睛中，即使在有紫外线滤光片的情况下，光性视网膜损伤也与暴露在操作显微镜下的光有关。我想描述一个患者，他在白内障摘除术中遭受了光性视网膜损伤，术后第一天出现严重的视力下降（20/400），并持续了四周。患者的视力最终恢复到20/20，但她留下了一个中央旁暗斑和黄斑功能障碍，这样暴露在强光下会导致明显的视力下降，并持续数分钟。方法。-使用同轴光纤照明的Week型号1206天花板显微镜，配有紫外线滤光片（Edward Weck and Co Inc, Research Triangle Park， NC）。手术环境的照度为13000
To the Editor. —Photic retinal damage has been shown to be associated with exposure to the light from the operating microscope in aphakic, phakic, or pseudophakic eyes, even in the presence of an ultraviolet filter. 1,2 I wish to describe a patient who suffered photic retinal damage during an extracapuslar cataract extraction with posterior lens insertion that resulted in profound visual acuity loss (20/400), noted the first day postoperatively and persisting for four weeks. The patient's visual acuity eventually returned to 20/20, but she was left with a paracentral scotoma and macular dysfunction such that exposure to a bright light would cause a marked loss of acuity that would persist for many minutes. Method. —The operation was performed using a Week model 1206 ceiling-mounted microscope with coaxial fiberoptic illumination, fitted with an ultraviolet filter (Edward Weck and Co Inc, Research Triangle Park, NC). Illumination at the operative setting was 13000