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Intraoperative retinal light damage reflected in electrophysiologic data
Authors:Manfred Lessel MD  Arnulf Thaler  Peter Heilig  Wolfgang Jantsch  Viktor Scheiber
Affiliation:(1) Department of Ophthalmology, University of Vienna, Vienna, Austria;(2) Institute for Experimental Physics, J. Kepler University, Linz, Austria;(3) Department of Medical Statistics and Documentation, University of Vienna, Vienna, Austria;(4) Department of Ophthalmology, University of Vienna, Alserstasse 4, A-1090 Vienna, Austria
Abstract:In a series of 30 unilaterally pseudophakic patients, electroretinograms and electrooculograms were recorded 6 months postoperatively. The unoperated on fellow eyes served as controls High intraoperative retinal light exposure (3.4–7.3 mW/cm2, Zeiss OPMI 6 operating microscope) caused a substantial reduction of electrophysiologic potentials. Light protection prevented deterioration of electroretinogram and electro-oculogram potentials; reducing the bulb voltage, tilting the axis of illumination, filtering short wavelengths and the use of light shields resulted in 4-log-unit lower intensities (0.8–3.7 mgrW/cm2).Abbreviations ACL anterior chamber lens - ECCE extracapsular cataract extraction - ICCE intracapsular cataract extraction - PCL posterior chamber lens
Keywords:Electro-oculogram  electroretinogram  light protection  operating microscope  retinal light damage
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