Boldrey E E, Ho B T, Griffith R D
Ophthalmology. 1984 Nov;91(11):1297-302. doi: 10.1016/s0161-6420(84)34150-1.
Paramacular changes presumably induced by operating microscope light have been described previously in six patients who had undergone extracapsular cataract extraction with posterior chamber lens implantation. Twelve additional patients are reported, including pseudophakes and nonpseudophakes, macular and paramacular burns, and no visual loss and severe visual loss. Burns occurred in spite of filters and light barriers used in some cases. Light sources were tungsten bulb or halogen/fiberoptic. Three cases had essentially normal preoperative angiography. Currently recommended safety measures have not eliminated this complication.
先前已描述过6例接受白内障囊外摘除及后房型人工晶状体植入术的患者可能因手术显微镜灯光引起的黄斑旁改变。本文报告另外12例患者，包括人工晶状体眼和非人工晶状体眼，有黄斑及黄斑旁灼伤，有未出现视力丧失的，也有严重视力丧失的。尽管部分病例使用了滤光片和光屏障，仍发生了灼伤。光源为钨丝灯泡或卤素/光纤。3例术前血管造影基本正常。目前推荐的安全措施未能消除这一并发症。
