Ross W H
Am J Ophthalmol. 1984 Oct 15;98(4):488-93. doi: 10.1016/0002-9394(84)90137-5.
Photochemical retinal damage can result from the light of the operating microscope during cataract extraction with implantation of intraocular lenses. Three patients (a 47-year-old woman, a 73-year-old woman, and a 69-year-old man) who underwent cataract extraction with the Zeiss OMNI-6 operating microscope with internal incandescent coaxial illumination developed phototoxic retinal damage in the macular region. A posterior chamber lens was used in the first case, an anterior chamber lens in the second, and an iris-supported lens in the third. The photochemical damage was most evident in fluorescein angiographic studies, and Goldmann visual field studies documented scotomas in the affected areas. Final visual acuities were 20/40 in Case 1, 20/30 in Case 2, and 20/30 in Case 3.
在白内障摘除联合人工晶状体植入手术过程中，手术显微镜的光线可导致光化学性视网膜损伤。三名患者（一名47岁女性、一名73岁女性和一名69岁男性）在使用配备内部白炽同轴照明的蔡司OMNI - 6手术显微镜进行白内障摘除术后，黄斑区出现了光毒性视网膜损伤。第一例使用了后房型人工晶状体，第二例使用了前房型人工晶状体，第三例使用了虹膜支撑型人工晶状体。荧光素血管造影研究中光化学损伤最为明显，Goldmann视野检查记录了受影响区域的暗点。病例1的最终视力为20/40，病例2为20/30，病例3为20/30。
