Choroidal neovascular membranes secondary to microscope-induced retinal phototoxicity

J. S. Heier, J. S. Pulido, S. Parks, R. Benedett, M. K. Ellis, W. J. Waterhouse

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Abstract

Purpose. To describe the clinical courses of three cases of choroidal neovascular membrane after phototoxic injury. Methods. A retrospective review of three cases. Results. Two patients had cataract surgery in which the UV filters were not in place. Each patient developed a phototoxic lesion and subsequently developed a choroidal neovascular membrane. Each was treated with laser photocoagulation, resulting in limitation of spread of the lesion and resolution of subretinal fluid. Post-laser visual acuity improved in each, and remained stable at six and twelve months of follow-up. A third patient underwent penetrating keratoplasty, pars plana vitrectomy and a membrane peel. He was noted to have a phototoxic lesion post-operatively, and subsequently developed a choroidal neovascular membrane. The lesion was not treated. Discussion. Choroidal neovascular membranes complicating phototoxic lesions are rare. The absence of the UV blocking filter in the microscope may be important in the development of choroidal neovascular membranes. Some of these lesions may be amenable to laser photocoagulation, resulting in improvement and/or stabilization of vision.

Original languageEnglish (US)
Pages (from-to)S404
JournalInvestigative Ophthalmology and Visual Science
Volume37
Issue number3
StatePublished - Feb 15 1996

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ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Cite this

Heier, J. S., Pulido, J. S., Parks, S., Benedett, R., Ellis, M. K., & Waterhouse, W. J. (1996). Choroidal neovascular membranes secondary to microscope-induced retinal phototoxicity. Investigative Ophthalmology and Visual Science, 37(3), S404.