Mori K, Yoneya S, Iida T, Hayashi N, Abe T
Department of Ophthalmology, Gunma University School of Medicine, Maebashi, Japan.
Nippon Ganka Gakkai Zasshi. 1992 Sep;96(9):1112-9.
The authors evaluated possible hazards to the retina caused by the longer wavelength component in the illumination system of the surgical microscope. Thirty six pigmented and eleven albino rabbit eyes were exposed to blue or near-infrared light for 60 minutes. Ophthalmoscopically visible light damage to the retina developed in 4 of 5 pigmented rabbit eyes after illumination at a power setting of 8 mW/cm2 for blue and 50 mW/cm2 for near-infrared light. These power settings were equivalent to those used in clinical tests. The light damage developed immediately after illumination with near-infrared light and a few days after illumination with blue light. No light damage developed in albino rabbits with near-infrared light at current power setting. The findings suggest the possibility that clinical retinal damage may develop in human eyes when exposed to near-infrared light from surgical microscopes.
作者评估了手术显微镜照明系统中较长波长成分对视网膜可能造成的危害。36只色素沉着兔眼和11只白化兔眼暴露于蓝光或近红外光下60分钟。在蓝光功率设置为8 mW/cm²、近红外光功率设置为50 mW/cm²的照明后,5只色素沉着兔眼中有4只出现了眼底镜可见的视网膜光损伤。这些功率设置与临床试验中使用的设置相当。近红外光照射后立即出现光损伤,蓝光照射几天后出现光损伤。在当前功率设置下,白化兔眼未出现近红外光造成的光损伤。这些发现表明,当人眼暴露于手术显微镜的近红外光时,可能会发生临床视网膜损伤。