To the Editor.
—The bright coaxial light on the operating microscope can damage the macula. Such injuries have been reported following cataract surgery, both with and without lens implantation, and epikeratophakia.1-3 The present report is the first case, to our knowledge, of light-induced maculopathy following cataract extraction and implantation of a posterior chamber intraocular lens in conjunction with a penetrating keratoplasty (triple procedure).
Report of a Case.
—A 65-year-old man with a postherpetic corneal scar and cataract of the left eye underwent an uncomplicated triple procedure. The early postoperative course was marked by persistent epithelial defects and an episode of graft rejection that was successfully treated. Six weeks postoperatively, the best corrected visual acuity was 20/200 despite a clear graft. The left fundus had two similar oval, pale lesions, approximately 3 disc diameters in size, near the macula (Fig 1). Scattered pigment was present within each of the lesions.
Cech JM, Choromokos EA, Sanitato JA. Light-Induced Maculopathy Following Penetrating Keratoplasty and Lens Implantation. Arch Ophthalmol. 1987;105(6):751. doi:10.1001/archopht.1987.01060060037020