Retinal damage produced by intraocular fiber optic light. 1978

D Fuller, and R Machemer, and R W Knighton

We exposed the maculas of owl monkey eyes to light from an intraocular fiber optic light source similar to that used for human pars plana vitrectomy. Retinal irradiance was calculated at 0.22 W/cm2. Eyes were exposed for time intervals ranging from 30 minutes to five minutes and were observed after light treatment by fundus photography and fluorescein angiography. Tissue was obtained for light and electron microscopy by animal killing at one hour, 24 hours, one week, and four weeks. Fundus lesions were seen ophthalmoscopically as early as five hours following 30 minutes of light exposure. Significant damage to the photoreceptor layer and less damage to the pigment epithelium was present by light and electron microscopy as early as one hour after 30 minutes of light exposure. By one month complete loss of photoreceptors with Müller cell junctions between inner retina and flattened abnormal retinal pigment epithelium cells was observed. Fluorescein angiography revealed significant staining of the pigment epithelium and outer retina 24 hours after 30 minutes of light exposure. No leakage from retinal vessels occurred. At one month following light treatment, transmission of choroidal fluorescein through window defects in the pigment epithelium was present with no retinal staining. The threshold for ophthalmoscopically visible fundus lesions in this study was 15 minutes of light exposure. Ten minutes of light treatment was the threshold for microscopic changes. Short light exposures damaged the outer retina and spared the pigment epithelium. Removing a substantial amount of the infrared light from our light source did not protect the retina from damage. Removal of light between 400 and 500 nm is probably more helpful in protecting the retina. Intermittent light exposure of the retina seemed as harmful as uninterrupted illumination for the same cumulative period of time. We speculate that the retinal damage caused by intraocular fiber optic light has primarily a photic mechanism. Damage to the retinal pigment epithelium may be secondary to outer retinal damage. The present levels of intraocular light used for human pars plana vitrectomy are probably safe in most instances. Lengthy preretinal membrane stripping procedures during vitrectomy, however, may pose a threat of light damage to the retina. This damage must be appreciated as continued efforts are made to produce brighter sources of intraocular light for human pars plana vitrectomy.

UI MeSH Term Description Entries
D008027 Light That portion of the electromagnetic spectrum in the visible, ultraviolet, and infrared range. Light, Visible,Photoradiation,Radiation, Visible,Visible Radiation,Photoradiations,Radiations, Visible,Visible Light,Visible Radiations
D010786 Photoreceptor Cells Specialized cells that detect and transduce light. They are classified into two types based on their light reception structure, the ciliary photoreceptors and the rhabdomeric photoreceptors with MICROVILLI. Ciliary photoreceptor cells use OPSINS that activate a PHOSPHODIESTERASE phosphodiesterase cascade. Rhabdomeric photoreceptor cells use opsins that activate a PHOSPHOLIPASE C cascade. Ciliary Photoreceptor Cells,Ciliary Photoreceptors,Rhabdomeric Photoreceptor Cells,Rhabdomeric Photoreceptors,Cell, Ciliary Photoreceptor,Cell, Photoreceptor,Cell, Rhabdomeric Photoreceptor,Cells, Ciliary Photoreceptor,Cells, Photoreceptor,Cells, Rhabdomeric Photoreceptor,Ciliary Photoreceptor,Ciliary Photoreceptor Cell,Photoreceptor Cell,Photoreceptor Cell, Ciliary,Photoreceptor Cell, Rhabdomeric,Photoreceptor Cells, Ciliary,Photoreceptor Cells, Rhabdomeric,Photoreceptor, Ciliary,Photoreceptor, Rhabdomeric,Photoreceptors, Ciliary,Photoreceptors, Rhabdomeric,Rhabdomeric Photoreceptor,Rhabdomeric Photoreceptor Cell
D010857 Pigment Epithelium of Eye The layer of pigment-containing epithelial cells in the RETINA; the CILIARY BODY; and the IRIS in the eye. Eye Pigment Epithelium
D012160 Retina The ten-layered nervous tissue membrane of the eye. It is continuous with the OPTIC NERVE and receives images of external objects and transmits visual impulses to the brain. Its outer surface is in contact with the CHOROID and the inner surface with the VITREOUS BODY. The outer-most layer is pigmented, whereas the inner nine layers are transparent. Ora Serrata
D005336 Fiber Optic Technology The technology of transmitting light over long distances through strands of glass or other transparent material. Fiber Optic Technologies,Optic Technologies, Fiber,Optic Technology, Fiber,Technologies, Fiber Optic,Technology, Fiber Optic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000882 Haplorhini A suborder of PRIMATES consisting of six families: CEBIDAE (some New World monkeys), ATELIDAE (some New World monkeys), CERCOPITHECIDAE (Old World monkeys), HYLOBATIDAE (gibbons and siamangs), CALLITRICHINAE (marmosets and tamarins), and HOMINIDAE (humans and great apes). Anthropoidea,Monkeys,Anthropoids,Monkey
D014822 Vitreous Body The transparent, semigelatinous substance that fills the cavity behind the CRYSTALLINE LENS of the EYE and in front of the RETINA. It is contained in a thin hyaloid membrane and forms about four fifths of the optic globe. Vitreous Humor,Bodies, Vitreous,Body, Vitreous,Humor, Vitreous,Humors, Vitreous,Vitreous Bodies,Vitreous Humors
D055100 Optical Fibers Thin strands of transparent material, usually glass, that are used for transmitting light waves over long distances. Fiber Optic Cables,Cable, Fiber Optic,Cables, Fiber Optic,Fiber Optic Cable,Fiber, Optical,Fibers, Optical,Optic Cable, Fiber,Optic Cables, Fiber,Optical Fiber

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