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手术室中的光线危害。

Light hazards in the operating room.

作者信息

Cowan C L

机构信息

Division of Ophthalmology, Howard University College of Medicine, Washington, DC.

出版信息

J Natl Med Assoc. 1992 May;84(5):425-9.

PMID:1495115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2637703/
Abstract

The use of high-intensity illumination devices is routine for many ophthalmic diagnostic and therapeutic procedures. However, the exposure of patients to high-level photic energy may be damaging even in the absence of visible abnormalities. Devices such as the operating microscope, indirect ophthalmoscope, and endoilluminator are capable of irradiances sufficient to cause retinal damage and should be used with a degree of restraint that reflects a recognition of their potential for phototoxicity.

摘要

对于许多眼科诊断和治疗程序而言,使用高强度照明设备是常规操作。然而,即使在没有明显异常的情况下,患者暴露于高强度光能也可能造成损害。诸如手术显微镜、间接检眼镜和眼内照明器等设备所产生的辐照度足以导致视网膜损伤,使用时应有所节制,这体现了对其光毒性潜在风险的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/725fa888a1b7/jnma00863-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/8804241b82ac/jnma00863-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/24d09fbff15e/jnma00863-0035-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/47a9c890112a/jnma00863-0035-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/aea853e2b434/jnma00863-0035-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/c9e36aa01ee1/jnma00863-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/725fa888a1b7/jnma00863-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/8804241b82ac/jnma00863-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/24d09fbff15e/jnma00863-0035-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/47a9c890112a/jnma00863-0035-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/aea853e2b434/jnma00863-0035-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/c9e36aa01ee1/jnma00863-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f6/2637703/725fa888a1b7/jnma00863-0037-b.jpg

相似文献

1
Light hazards in the operating room.手术室中的光线危害。
J Natl Med Assoc. 1992 May;84(5):425-9.
2
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[Photic injury to the retina in eye surgery].
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引用本文的文献

1
Updating on intraoperative light-induced retinal injury.术中光诱导视网膜损伤的最新进展。
Int Ophthalmol. 1994;18(5):269-76. doi: 10.1007/BF00917829.

本文引用的文献

1
The role of ocular pigmentation in protecting against retinal light damage.
Vision Res. 1980;20(12):1127-31. doi: 10.1016/0042-6989(80)90050-4.
2
A possible cause of chronic cystic maculopathy: the operating microscope.慢性囊性黄斑病变的一个可能原因:手术显微镜。
Ann Ophthalmol. 1981 Feb;13(2):153-5.
3
Retinal irradiance from vitrectomy endoilluminators.玻璃体切割手术眼内照明器产生的视网膜辐照度。
Am J Ophthalmol. 1982 Jul;94(1):26-9. doi: 10.1016/0002-9394(82)90186-6.
4
Action spectrum for retinal injury from near-ultraviolet radiation in the aphakic monkey.无晶状体猴近紫外线辐射所致视网膜损伤的作用光谱。
Am J Ophthalmol. 1982 Mar;93(3):299-306. doi: 10.1016/0002-9394(82)90529-3.
5
Differential spectral photic damage to primate cones.灵长类视锥细胞的光谱差异光损伤
Vision Res. 1980;20(12):1117-25. doi: 10.1016/0042-6989(80)90049-8.
6
Three major pathologic processes caused by light in the primate retina: a search for mechanisms.灵长类视网膜中由光引起的三种主要病理过程:机制探寻
Trans Am Ophthalmol Soc. 1982;80:517-79.
7
Photochemical lesions in the primate retina under conditions of elevated blood oxygen.高血氧条件下灵长类动物视网膜的光化学损伤
Invest Ophthalmol Vis Sci. 1984 Aug;25(8):893-8.
8
Basic mechanisms underlying the production of photochemical lesions in the mammalian retina.哺乳动物视网膜中光化学损伤产生的基本机制。
Curr Eye Res. 1984 Jan;3(1):165-74. doi: 10.3109/02713688408997198.
9
Light-induced maculopathy from the operating microscope in extracapsular cataract extraction and intraocular lens implantation.
Ophthalmology. 1983 Aug;90(8):945-51. doi: 10.1016/s0161-6420(83)80022-0.
10
Light intensity and visual acuity following cataract surgery.白内障手术后的光强度与视力
Ophthalmology. 1983 Aug;90(8):933-6. doi: 10.1016/s0161-6420(83)80020-7.