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—We concur that prolonged operating time certainly contributed to the cases of operating room lightinduced maculopathy. Phacoemulsification would have been a preferred procedure; however, such instrumentation was not available to us at that time. General anesthesia was required for one patient because of limited patient cooperation and was given at the request of the second patient. Undoubtedly, general anesthesia does afford little, if any, eye movement during the procedure and was implicated as a potential contributory cause in our article.We wished to emphasize the potential for light-induced maculopathy even when intraocular lens implantation was not performed. Cataract surgeons need to be aware of the need to cover the visual axis intraoperatively, especially when the procedures become prolonged.
Lindquist TD, Grutzmacher RD, Gofman JD. Light-Induced Maculopathy-Reply. Arch Ophthalmol. 1987;105(5):614. doi:10.1001/archopht.1987.01060050031019