Light-Induced Maculopathy

Abstract

Operating room microscope-induced maculopathy is described in two patients following cataract surgery without intraocular lens implantation. Sequential fundus photographs of evolving retinal lesions are presented. Serial visual field testing disclosed marked recovery of paramacular scotomas over time. The effect of the pseudophakos in producing photochemical lesions is discussed. Proposed mechanisms for recovery of visual scotomas are reviewed.