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与吲哚菁绿辅助的视网膜前膜和内界膜联合剥除相关的眼内照明器光毒性黄斑病变。

Endoilluminator phototoxic maculopathy associated with combined ICG-assisted epiretinal membrane and internal limiting membrane peeling.

作者信息

Yonekawa Yoshihiro, Abbey Ashkan M, Shah Ankoor R, Thomas Benjamin J, Capone Antonio

机构信息

Associated Retinal Consultants, Department of Ophthalmology, William Beaumont Hospital, Royal Oak, MI, USA.

出版信息

Clin Ophthalmol. 2014 Dec 9;8:2501-6. doi: 10.2147/OPTH.S75592. eCollection 2014.

DOI:10.2147/OPTH.S75592
PMID:25525328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4266418/
Abstract

Phototoxic maculopathy caused by endoillumination during macular surgery is uncommon. Previously identified risk factors have included intensity of the light source, proximity to the retinal surface, and length of exposure. In the era of indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling, the use of ICG, and the technique of ILM peeling may both contribute to subsequent phototoxic maculopathy. We present cases of routine chromovitrectomy who developed phototoxic maculopathy in the precise discrete distribution of the ILM rhexes, and discuss potential mechanisms and implications.

摘要

黄斑手术中内照明引起的光毒性黄斑病变并不常见。先前确定的危险因素包括光源强度、与视网膜表面的距离以及暴露时间。在吲哚菁绿（ICG）辅助内界膜（ILM）剥除时代，ICG的使用以及ILM剥除技术都可能导致随后的光毒性黄斑病变。我们报告了在常规玻璃体视网膜手术中出现ILM裂孔精确离散分布区域光毒性黄斑病变的病例，并讨论了潜在机制及意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc16/4266418/594a2e4b6afa/opth-8-2501Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc16/4266418/4187711998fb/opth-8-2501Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc16/4266418/594a2e4b6afa/opth-8-2501Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc16/4266418/4187711998fb/opth-8-2501Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc16/4266418/594a2e4b6afa/opth-8-2501Fig2.jpg

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