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高压电流短路继发的光毒性黄斑病变

Photic maculopathy secondary to short-circuiting of a high-tension electric current.

作者信息

Gardner T W, Ai E, Chrobak M, Shoch D E

出版信息

Ophthalmology. 1982 Jul;89(7):865-8. doi: 10.1016/s0161-6420(82)34712-0.

DOI:10.1016/s0161-6420(82)34712-0
PMID:7122058
Abstract

A 21-year-old man was exposed accidentally to the flash of a high-tension short circuit. He subsequently developed a yellow-gray foveolar lesion with mild central visual loss. Fluorescein angiography demonstrated the area of retinal pigment epithelial disruption and was used to follow its evolution over eight months. The energy level at the retina was estimated at 0.87 Joules/cm2, insufficient to create a thermal burn. Therefore, although the patient suffered thermal facial burns, the foveolar lesion represents a photochemical injury to the retinal pigment epithelium and, hence, is similar to solar retinopathy, eclipse blindness, and arc-welder's retinopathy.

摘要

一名21岁男性意外暴露于高压短路的闪光下。随后,他出现了一个黄灰色的小凹病变,伴有轻度的中心视力丧失。荧光素血管造影显示了视网膜色素上皮破坏的区域,并用于观察其在八个月内的演变。视网膜处的能量水平估计为0.87焦耳/平方厘米,不足以造成热烧伤。因此,尽管患者面部遭受了热烧伤,但小凹病变代表了视网膜色素上皮的光化学损伤,因此,类似于日光性视网膜病变、日食性盲和电弧焊工视网膜病变。

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引用本文的文献

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Non-Therapeutic Laser Retinal Injury.非治疗性激光视网膜损伤
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2
Early and late visual prognosis in solar retinopathy.日光性视网膜病变的早期和晚期视觉预后
Graefes Arch Clin Exp Ophthalmol. 1995 Dec;233(12):801-4. doi: 10.1007/BF00184094.
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Electrical injury of the eye.眼部电损伤
Int Ophthalmol. 1987 Oct;11(1):31-40. doi: 10.1007/BF02027895.
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Effects of ultraviolet light on the eye: role of protective glasses.紫外线对眼睛的影响:防护眼镜的作用。
Environ Health Perspect. 1991 Dec;96:177-84. doi: 10.1289/ehp.9196177.