Phototoxic maculopathy following uneventful cataract surgery in a predisposed patient

The time and power of coaxial illumination from the microscope was minimised by turning the microscope off when instruments were not in the eye, and the patient's eye was kept in downgaze so that the operating microscope's axis was aligned off the patient's visual axis so that any pho...

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Bibliographic Details
Published in:British journal of ophthalmology 2002-06, Vol.86 (6), p.705-706
Main Authors: Manzouri, B, Egan, C A, Hykin, P G
Format: Article
Language:English
Subjects:
Adult
Antirheumatic Agents - adverse effects
Body temperature
Cataracts
Eye surgery
Female
Humans
hydroxychloroquine
Hydroxychloroquine - adverse effects
Letter
Light
Lupus Erythematosus, Systemic - complications
Macula Lutea - injuries
Molecular weight
Phacoemulsification - adverse effects
phototoxic maculopathy
Radiation Injuries - etiology
Surgery
systemic lupus erythematosus
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Description
Summary:The time and power of coaxial illumination from the microscope was minimised by turning the microscope off when instruments were not in the eye, and the patient's eye was kept in downgaze so that the operating microscope's axis was aligned off the patient's visual axis so that any phototoxic lesion would be extrafoveal and not cause a homonymous scotoma. Since animal studies have demonstrated a benefit of altering core ocular temperature, 1, 3 the patient's body temperature was kept low to reduce the temperature within the eye.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.86.6.705