To the Editor.
—The potential for light-induced retinal damage from the operating microscope has been demonstrated. We describe the five-day-old ophthalmoscopic and fluorescein angiographic findings of a photic maculopathy lesion as well as the late development of choroidal folds, to our knowledge a previously unreported association.
Report of a Case.
—A 59-year-old man underwent an extracapsular cataract extraction and posterior chamber lens implantation in his right eye. The surgery was performed while the patient was under general anesthesia and lasted approximately 75 minutes. There was no ultraviolet light filter in the operating microscope, and the pseudophakos did not contain an ultraviolet light-absorbing pigment. Visual acuity on the first day after surgery was 20/50, and the intraocular pressure was 17 mm Hg. Four days later the visual acuity was 20/200, and the intraocular pressure was not recorded. Ophthalmoscopic examination showed a sensory retinal detachment just inferotemporal to the fovea. No
Johnson RN, Schatz H, McDonald HR. Photic Maculopathy: Early Angiographic and Ophthalmoscopic Findings and Late Development of Choroidal Folds. Arch Ophthalmol. 1987;105(12):1633–1634. doi:10.1001/archopht.1987.01060120031010