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Trans Am Ophthalmol Soc. 1985; 83: 476–500. | PMCID: PMC1298710 |
Aphakic cystoid macular edema and the operating microscope: is there a connection? W J Iliff Abstract The literature documenting the phototoxic effect of relatively low intensity light on the retina and the suggestions by several authors that this might influence the development of cystoid macular edema in the aphakic and pseudophakic patient is reviewed. In particular, the possibility that the operating microscope may be a factor has been emphasized. A study is presented, designed to investigate the possibility that the operating microscope is a factor important in the development of cystoid macular edema. No correlation was found. The need for further investigation into other phototoxic effects from the light of the operating microscope is stressed. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. These references are in PubMed. This may not be the complete list of references from this article. - NICHOLLS JV. Macular edema in association with cataract extraction. Am J Ophthalmol. 1954 May;37(5):665–672. [PubMed]
- IRVINE SR. A newly defined vitreous syndrome following cataract surgery. Am J Ophthalmol. 1953 May;36(5):499–619. [PubMed]
- Gass JD, Norton EW. Cystoid macular edema and papilledema following cataract extraction. A fluorescein fundoscopic and angiographic study. Arch Ophthalmol. 1966 Nov;76(5):646–661. [PubMed]
- Henry MM, Henry LM, Henry LM. A possible cause of chronic cystic maculopathy. Ann Ophthalmol. 1977 Apr;9(4):455–457. [PubMed]
- Hochheimer BF, D'Anna SA, Calkins JL. Retinal damage from light. Am J Ophthalmol. 1979 Dec;88(6):1039–1044. [PubMed]
- Calkins JL, Hochheimer BF. Retinal light exposure from operation microscopes. Arch Ophthalmol. 1979 Dec;97(12):2363–2367. [PubMed]
- Hochheimer BF. A possible cause of chronic cystic maculopathy: the operating microscope. Ann Ophthalmol. 1981 Feb;13(2):153–155. [PubMed]
- Jampol LM, Sanders DR, Kraff MC. Prophylaxis and therapy of aphakic cystoid macular edema. Surv Ophthalmol. 1984 May;28 Suppl:535–539. [PubMed]
- Yannuzzi LA. A perspective on the treatment of aphakic cystoid macular edema. Surv Ophthalmol. 1984 May;28 Suppl:540–553. [PubMed]
- Kraff MC, Sanders DR, Jampol LM, Lieberman HL. Effect of an ultraviolet-filtering intraocular lens on cystoid macular edema. Ophthalmology. 1985 Mar;92(3):366–369. [PubMed]
- Mannis MJ, Becker B. Retinal light exposure and cystoid macular edema. Arch Ophthalmol. 1980 Jun;98(6):1133. [PubMed]
- Noell WK, Walker VS, Kang BS, Berman S. Retinal damage by light in rats. Invest Ophthalmol. 1966 Oct;5(5):450–473. [PubMed]
- GEERAETS WJ, RIDGEWAY D. RETINAL DAMAGE FROM HIGH INTENSITY LIGHT. Acta Ophthalmol Suppl. 1963:SUPPL76–SUPPL76:112. [PubMed]
- Friedman E, Kuwabara T. The retinal pigment epithelium. IV. The damaging effects of radiant energy. Arch Ophthalmol. 1968 Aug;80(2):265–279. [PubMed]
- Kuwabara T. Retinal recovery from exposure to light. Am J Ophthalmol. 1970 Aug;70(2):187–198. [PubMed]
- Ts'o MO, Fine BS, Zimmerman LE. Photic maculopathy produced by the indirect ophthalmoscope. 1. Clinical and histopathologic study. Am J Ophthalmol. 1972 May;73(5):686–699. [PubMed]
- Ts'o MO, Wallow IH, Powell JO, Zimmerman LE. Recovery of the rod and cone cells after photic injury. Trans Am Acad Ophthalmol Otolaryngol. 1972 SepâOct;76(5):1247–1262. [PubMed]
- Tso MO. Photic maculopathy in rhesus monkey. A light and electron microscopic study. Invest Ophthalmol. 1973 Jan;12(1):17–34. [PubMed]
- Mainster MA. Solar retinitis, photic maculopathy and the pseudophakic eye. J Am Intraocul Implant Soc. 1978 Jul;4(3):84–86. [PubMed]
- Naidoff MA, Slinkey DH. Retinal injury from a welding arc. Am J Ophthalmol. 1974 May;77(5):663–668. [PubMed]
- Ham WT, Jr, Mueller HA, Sliney DH. Retinal sensitivity to damage from short wavelength light. Nature. 1976 Mar 11;260(5547):153–155. [PubMed]
- Ham WT, Jr, Mueller HA, Ruffolo JJ, Jr, Guerry D, 3rd, Guerry RK. Action spectrum for retinal injury from near-ultraviolet radiation in the aphakic monkey. Am J Ophthalmol. 1982 Mar;93(3):299–306. [PubMed]
- Ham WT, Jr, Mueller HA, Ruffolo JJ, Jr, Millen JE, Cleary SF, Guerry RK, Guerry D., 3rd Basic mechanisms underlying the production of photochemical lesions in the mammalian retina. Curr Eye Res. 1984 Jan;3(1):165–174. [PubMed]
- Ruffolo JJ, Jr, Ham WT, Jr, Mueller HA, Millen JE. Photochemical lesions in the primate retina under conditions of elevated blood oxygen. Invest Ophthalmol Vis Sci. 1984 Aug;25(8):893–898. [PubMed]
- Lawwill T, Crockett S, Currier G. Retinal damage secondary to chronic light exposure, thresholds and mechanisms. Doc Ophthalmol. 1977 Dec 30;44(2):379–402. [PubMed]
- Lawwill T. Three major pathologic processes caused by light in the primate retina: a search for mechanisms. Trans Am Ophthalmol Soc. 1982;80:517–579. [PubMed]
- Sperling HG, Johnson C, Harwerth RS. Differential spectral photic damage to primate cones. Vision Res. 1980;20(12):1117–1125. [PubMed]
- Feeney L, Berman ER. Oxygen toxicity: membrane damage by free radicals. Invest Ophthalmol. 1976 Oct;15(10):789–792. [PubMed]
- Gladstone GJ, Tasman W. Solar retinitis after minimal exposure. Arch Ophthalmol. 1978 Aug;96(8):1368–1369. [PubMed]
- Sliney DH, Wolborsht ML. Safety standards and measurement techniques for high intensity light sources. Vision Res. 1980;20(12):1133–1141. [PubMed]
- Tso MO, Fine BS. Repair and late degeneration of the primate foveola after injury by argon laser. Invest Ophthalmol Vis Sci. 1979 May;18(5):447–461. [PubMed]
- Tso MO. Pathology of cystoid macular edema. Ophthalmology. 1982 Aug;89(8):902–915. [PubMed]
- Yanoff M, Fine BS, Brucker AJ, Eagle RC., Jr Pathology of human cystoid macular edema. Surv Ophthalmol. 1984 May;28 Suppl:505–511. [PubMed]
- Tso MO. Animal modeling of cystoid macular edema. Surv Ophthalmol. 1984 May;28 Suppl:512–519. [PubMed]
- Tso MO, Woodford BJ. Effect of photic injury on the retinal tissues. Ophthalmology. 1983 Aug;90(8):952–963. [PubMed]
- Calkins JL, Hochheimer BF, D'Anna SA. Potential hazards from specific ophthalmic devices. Vision Res. 1980;20(12):1039–1053. [PubMed]
- Calkins JL, Hochheimer BF. Retinal light exposure from ophthalmoscopes, slit lamps, and overhead surgical lamps. An analysis of potential hazards. Invest Ophthalmol Vis Sci. 1980 Sep;19(9):1009–1015. [PubMed]
- Mainster MA. Spectral transmittance of intraocular lenses and retinal damage from intense light sources. Am J Ophthalmol. 1978 Feb;85(2):167–170. [PubMed]
- Keates RH, Genstler DE. UV radiation. Ophthalmic Surg. 1982 Apr;13(4):327. [PubMed]
- Keates RH, Genstler DE, Tarabichi S. Ultraviolet light transmission of the lens capsule. Ophthalmic Surg. 1982 May;13(5):374–376. [PubMed]
- Berler DK, Peyser R. Light intensity and visual acuity following cataract surgery. Ophthalmology. 1983 Aug;90(8):933–936. [PubMed]
- McDonald HR, Irvine AR. Light-induced maculopathy from the operating microscope in extracapsular cataract extraction and intraocular lens implantation. Ophthalmology. 1983 Aug;90(8):945–951. [PubMed]
- Boldrey EE, Ho BT, Griffith RD. Retinal burns occurring at cataract extraction. Ophthalmology. 1984 Nov;91(11):1297–1302. [PubMed]
- Ham WT, Jr, Ruffolo JJ, Jr, Mueller HA, Guerry D., 3rd The nature of retinal radiation damage: dependence on wavelength, power level and exposure time. Vision Res. 1980;20(12):1105–1111. [PubMed]
- Irvine AR, Wood I, Morris BW. Retinal damage from the illumination of the operating microscope: an experimental study in pseudophakic monkeys. Trans Am Ophthalmol Soc. 1984;82:239–263. [PubMed]
- Fuller D, Machemer R, Knighton RW. Retinal damage produced by intraocular fiber optic light. Am J Ophthalmol. 1978 Apr;85(4):519–537. [PubMed]
- Jampol LM, Kraff MC, Sanders DR, Alexander K, Lieberman H. Near-UV radiation from the operating microscope and pseudophakic cystoid macular edema. Arch Ophthalmol. 1985 Jan;103(1):28–30. [PubMed]
- Hitchings RA, Chisholm IH, Bird AC. Aphakic macular edema: incidence and pathogenesis. Invest Ophthalmol. 1975 Jan;14(1):68–72. [PubMed]
- Meredith TA, Kenyon KR, Singerman LJ, Fine SL. Perifoveal vascular leakage and macular oedema after intracapsular cataract extraction. Br J Ophthalmol. 1976 Nov;60(11):765–769. [PubMed]
- Jaffe NS, Clayman HM, Jaffe MS. Cystoid macular edema after intracapsular and extracapsular cataract extraction with and without an intraocular lens. Ophthalmology. 1982 Jan;89(1):25–29. [PubMed]
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