Schoolmeesters B, Rosselle I, Leys A, Missotten L
Department of Ophthalmology, K.U. Leuven, Belgium.
Bull Soc Belge Ophtalmol. 1995;259:115-22.
In this retrospective study of fluorescein angiograms performed between 1991 and 1995, we retrieved 17 eyes (15 patients) with light-induced maculopathy after a cataract extraction and lens implantation. Sixteen eyes underwent non-complicated procedures; 12 extracapsular cataract extractions and 4 phaco-emulsifications. One phaco-emulsification was complicated by a posterior capsular rupture and required an anterior vitrectomy. In 11 eyes the maculopathy was an incidential finding and the lesions were paracentral. In 6 eyes the phototoxic scar was central and the cause of a central scotoma with metamorphopsia.
在这项对1991年至1995年间进行的荧光素血管造影的回顾性研究中，我们检索到17只眼（15例患者）在白内障摘除和晶状体植入术后发生了光诱导性黄斑病变。16只眼接受了无并发症的手术；12例囊外白内障摘除术和4例超声乳化白内障吸除术。1例超声乳化白内障吸除术并发后囊破裂，需要进行前部玻璃体切除术。11只眼中黄斑病变为偶然发现，病变位于旁中心。6只眼中光毒性瘢痕位于中心，是导致中心暗点伴视物变形的原因。
