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光对视网膜的损伤作用。实证研究结果、理论及实际意义。

The damaging effects of light on the retina. Empirical findings, theoretical and practical implications.

作者信息

Lanum J

出版信息

Surv Ophthalmol. 1978 Jan-Feb;22(4):221-49. doi: 10.1016/0039-6257(78)90070-x.

Abstract

Light well below the intensity which causes thermal burns physiologically damages the retina. This damage is primarily localized in the receptors. The outer segments are most sensitive and slow recovery is possible if damage does not proceed to destruction of the inner segment. Many variables affect the extent and severity of light damage. Damage is correlated with continuity of source, light intensity, elevated body temperature, nocturnality, and albinism. Light damage has been considered only minimally in visual research with light preferences, reinforcement and discrimination, or in clinical settings. Based on the available evidence, it is suggested that retinal damage may be produced by such common light sources as room lighting, phototherapy techniques, ophthalmoscopes and fundus cameras. Further studies are recommended.

摘要

强度远低于造成生理热灼伤的光线会对视网膜造成生理性损伤。这种损伤主要局限于感受器。外段最敏感,如果损伤没有发展到内段破坏,恢复可能较慢。许多变量会影响光损伤的程度和严重性。损伤与光源的持续时间、光强度、体温升高、夜行性和白化病有关。在视觉研究中,对于光偏好、强化和辨别,或者在临床环境中,光损伤一直很少被考虑。根据现有证据,建议室内照明、光疗技术、检眼镜和眼底照相机等常见光源可能会造成视网膜损伤。建议进一步开展研究。

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