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  • Title: Photic maculopathy after pterygium excision.
    Author: Karp KO, Flood TP, Wilder AL, Epstein RJ.
    Journal: Am J Ophthalmol; 1999 Aug; 128(2):248-50. PubMed ID: 10458192.
    Abstract:
    PURPOSE: To report a patient who developed photic maculopathy after pterygium removal. METHODS: A 27-year-old woman underwent pterygium removal with a conjunctival autograft after administration of retrobulbar anesthesia. A coaxial operating microscope was used, with an estimated retinal exposure of approximately 40 minutes. RESULTS: On the first postoperative day, the patient noted a paracentral scotoma. A fluorescein angiogram on the fourth postoperative day documented a phototoxic lesion in the macula. CONCLUSIONS: Phototoxic injury to the macula may occur after pterygium removal. Ophthalmologists should take precautions to minimize prolonged intense coaxial illumination of the retina while performing any ocular microsurgery.
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