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Arch Ophthalmol. 1998 Jun;116(6):753-7.

Long-term follow-up of iatrogenic phototoxicity.

Author information

1
Duke University Medical Center, USA.

Abstract

OBJECTIVE:

To evaluate the outcomes of a group of patients who suffered iatrogenic phototoxic injury.

METHODS:

The medical records of 24 patients (24 eyes) with iatrogenic phototoxicity from 3 medical centers were reviewed. We report the findings from long-term follow-up of these patients with particular attention to visual outcome, type and duration of procedure, and location of the phototoxic lesion.

RESULTS:

Phototoxic injury occurred after anterior segment surgery in 20 eyes and after vitrectomy in 4 eyes. The mean duration of surgery was 109 minutes; there was no statistically significant difference in duration between the anterior segment procedures and the vitrectomies. Mean final visual acuity was 20/40 for all cases (range, 20/15 to counting fingers) and 20/25 for all anterior segment cases. In vitrectomized eyes, the mean final visual acuity was 20/900. Phototoxic lesions tended to spare the fovea after anterior segment surgery and involve the foveal center after vitrectomy.

CONCLUSIONS:

In general, patients who suffer phototoxicity do well, and the prognosis is good for extrafoveal lesions. Foveal injury, which often occurs with vitrectomy, usually leads to a worse visual outcome. The development of choroidal neovascularization may have an effect on the ultimate visual outcome as well.

PMID:
9639443
DOI:
10.1001/archopht.116.6.753
[Indexed for MEDLINE]

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