Photic Maculopathy after Extracapsular Cataract Surgery: A Prospective Study

Gordon A. Byrnes, Andrew N. Antoszyk*, David O. Mazur, Tzu Cheg Kao, Sharon A. Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

Photic retinal injuries have been described after surgical exposure to the intense illumination systems of operating microscopes. The overall incidence of such injuries has been postulated at less than 10%. The authors prospectively studied 43 consecutive patients to determine the incidence of photic macular injuries during cataract surgery. Patients underwent complete ophthalmic examinations, fundus photography, and oral fluorography before and after surgery. Photic macular injuries developed in 12 of 43 eyes (28%) as a result of intraocular surgery. This incidence is much higher than previous estimates. The association with possible risk factors, cystoid macular edema, and the effect of these injuries on final visual acuity are discussed.

Original languageEnglish
Pages (from-to)731-738
Number of pages8
JournalOphthalmology
Volume99
Issue number5
DOIs
StatePublished - 1992
Externally publishedYes

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