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Article
April 1988

Retinal Phototoxicity From the Operating Microscope: A Protective Effect by the Fovea

Author Affiliations

Milwaukee
San Francisco

Arch Ophthalmol. 1988;106(4):445-446. doi:10.1001/archopht.1988.01060130487004

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Abstract

To the Editor.  —We read with interest the recent article by Hupp.1 In addition to the reported partial recovery of macular function, we believe that his case also illustrates a protective effect by the fovea against phototoxic injury. Both the fundus photograph and fluorescein angiogram show attenuation of the lesion at the margin adjacent to the fovea. We reviewed the literature describing reports of photic retinal lesions caused by the operating microscope. We were able to find numerous instances of photic lesion

References
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Hupp SL:  Delayed incomplete recovery of macular function after photic retinal damage associated with extracapsular cataract extraction and posterior lens insertion . Arch Ophthalmol 1987;105:1022-1023.Article
2.
Lindquist TD, Grutzmacher RD, Gofman JD:  Light-induced maculopathy: Potential for recovery . Arch Ophthalmol 1986;104:1641-1647.Article
3.
Robertson DM, Feldman RB:  Photic retinopathy from the operating room microscope . Am J Ophthalmol 1986;101:561-564.
4.
Ham WT, Ruffolo JJ, Mueller HA, et al:  Histologic analysis of photochemical lesions produced in rhesus retina by short wavelength light . Invest Ophthalmol Vis Sci 1978;17:1029-1035.
5.
Krinsky NI:  Carotenoid protection against oxidation . Pure Appl Chem 1979;51:649-660.Article
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