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瑞典眼科医生使用氩激光时的视网膜功能,通过颜色对比敏感度反映。绝大多数病例的阈值正常。

Retinal function in Swedish ophthalmologists using argon lasers as reflected in colour contrast sensitivity. Normal thresholds in the great majority of the cases.

作者信息

Frennesson C, Bergen J

机构信息

Department of Ophthalmology, Linköping University, Sweden.

出版信息

Acta Ophthalmol Scand. 1998 Oct;76(5):610-2. doi: 10.1034/j.1600-0420.1998.760520.x.

Abstract

PURPOSE

To map the colour contrast sensitivity (CCS) and possible elevations of colour contrast thresholds in Swedish ophthalmologists operating argon lasers.

MATERIAL AND METHODS

CCS was measured by a computer and colour monitor system developed by Arden and co-workers. CCS of 58 Swedish ophthalmologists, all users of argon laser, was compared to 26 age-matched controls. The ophthalmologists provided information on their professional use of lasers, whether the laser was equipped with a blue-absorbing filter, and the length of time spent in retinal surgery.

RESULTS

There was no significant difference in colour vision comparing laser-users to controls (p>0.2). However, eight subjects showed elevated tritan thresholds (>1 SD above mean), in three of the cases an elevation >2 SD above mean. All these colleagues had an extensive exposure to blue-green laser and/ or a long time spent operating. Compared to others, they had performed more laser sessions prior to the lasers being equipped with protecting filters (p<0.01).

CONCLUSION

Normal thresholds were found in a majority of the cases and no permanent impairment of retinal function was observed among these ophthalmologists. However, the laser-users with the greatest number of sessions seemed to show a certain decrease in retinal function as reflected in tritan thresholds.

摘要

目的

绘制瑞典使用氩激光的眼科医生的颜色对比敏感度(CCS)以及颜色对比阈值可能的升高情况。

材料与方法

CCS通过 Arden 及其同事开发的计算机和彩色显示器系统进行测量。将 58 名瑞典眼科医生(均为氩激光使用者)的 CCS 与 26 名年龄匹配的对照组进行比较。眼科医生提供了他们在专业上使用激光的信息,包括激光是否配备了蓝光吸收滤光片以及在视网膜手术中花费的时间长度。

结果

激光使用者与对照组在色觉方面无显著差异(p>0.2)。然而,8 名受试者的蓝色黄色阈值升高(高于平均值 1 个标准差以上),其中 3 例升高超过平均值 2 个标准差。所有这些同事都长时间暴露于蓝绿色激光和/或长时间进行手术操作。与其他人相比,他们在激光配备保护滤光片之前进行了更多的激光手术(p<0.01)。

结论

大多数情况下发现阈值正常,在这些眼科医生中未观察到视网膜功能的永久性损害。然而,手术次数最多的激光使用者似乎在蓝色黄色阈值方面表现出视网膜功能的一定下降。

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