Updating on intraoperative light-induced retinal injury.
We are presenting the state of knowledge concerning intraoperative light-induced retinal injury, considered to be a combination of photic retinopathy and retinal photocoagulation. It may arise from retinal light exposure to the operating microscope or to the fiberoptic endoilluminator. Ultraviolet and short-wavelength visible light are more dangerous than longer wavelength light. Many risk factors may facilitate the onset of this iatrogenic disease following surgery. Many aspects of the retinal damage are still poorly understood. Many mid light-induced retinal injuries probably remain undiagnosed in routine postoperative examination. Current appropriate light filters are not the definitive solution. Appropriate precautions should be taken during both anterior segment and vitreoretinal surgery.
Azzolini
C
C
Department of Ophthalmology and Visual Sciences, Scientific Institute H.S. Raffaele, University of Milano, Italy.
Brancato
R
R
Venturi
G
G
Bandello
F
F
Pece
A
A
Santoro
P
P
D000368:Aged; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007431:Intraoperative Complications; D008027:Light / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D012160:Retina / Q000473:pathology / Q000528:radiation effects*; D012164:Retinal Diseases / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D012307:Risk Factors; D013523:Surgical Equipment / Q000009:adverse effects