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手术室显微镜导致的光性视网膜病变。

Photic retinopathy from the operating room microscope.

作者信息

Robertson D M, Feldman R B

出版信息

Am J Ophthalmol. 1986 May 15;101(5):561-9. doi: 10.1016/0002-9394(86)90946-3.

DOI:10.1016/0002-9394(86)90946-3
PMID:3706460
Abstract

Photic retinopathy was produced in two patients after a 60-minute exposure to light from an operating room microscope (Zeiss OpMi 6). The first patient had a blind eye with clear (phakic) media and a normal-appearing retina. A 60-minute exposure produced an oval gray lesion in the posterior pole at the level of the pigment epithelium. With an ultraviolet-400 filter added for a second exposure, a second lesion was produced. The second patient received a 60-minute exposure (without an ultraviolet filter) 72 hours before enucleation for a malignant melanoma. This produced photic retinopathy that resulted in a slight decrease in central visual acuity and a dense paracentral scotoma. This conclusively establishes a cause-and-effect relationship between exposure to the light from an operating room microscope and a retinal lesion in the human eye.

摘要

两名患者在暴露于手术室显微镜(蔡司OpMi 6)发出的光线60分钟后出现了光性视网膜病变。第一名患者为单眼失明,屈光介质透明(有晶状体),视网膜外观正常。60分钟的暴露在色素上皮水平的后极产生了一个椭圆形灰色病变。在第二次暴露时添加了紫外线-400滤光片,又产生了一个病变。第二名患者在因恶性黑色素瘤眼球摘除术前72小时接受了60分钟的暴露(未使用紫外线滤光片)。这导致了光性视网膜病变,造成中心视力略有下降和致密的旁中心暗点。这确凿地确立了暴露于手术室显微镜发出的光线与人类眼睛视网膜病变之间的因果关系。

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Photic retinopathy from the operating room microscope.手术室显微镜导致的光性视网膜病变。
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Photic retinopathy from the operating room microscope. Study with filters.手术室显微镜导致的光性视网膜病变。滤光片研究。
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Müller cell alterations from long-term ambient fluorescent light exposure in monkeys: light and electron microscopic, fluorescein and lipofuscin study.长期环境荧光暴露对猴子 Müller 细胞的影响:光镜与电镜、荧光素与脂褐素研究
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