Evidence map›Paper›PMID 36513575›Full record

ArticleZeitschrift fur medizinische Physik2024

Determination of the intraocular irradiance and potential retinal hazards at various positions in the eye during transscleral equatorial illumination for different applied pressures.

Nicole Fehler, Christian Lingenfelder, Sebastian Kupferschmid, Martin Hessling

Abstract read
In one paragraph

Article in Zeitschrift fur medizinische Physik, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nicole FehlerInstitute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Ulm, Germany. Electronic address: Nicole.Fehler@thu.de.
Christian LingenfelderPharmpur GmbH, Koenigsbrunn, Germany. Electronic address: c.lingenfelder@gmx.de.
Sebastian KupferschmidClinic of Ophthalmology, Bundeswehrkrankenhaus Ulm, Ulm, Germany. Electronic address: LASIK-Ulm@gmx.de.
Martin HesslingInstitute of Medical Engineering and Mechatronics, Ulm University of Applied Sciences, Ulm, Germany. Electronic address: Martin.Hessling@thu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith diaphanoscopic illumination of the eye, the intensity of light entering its interior depends on the transmission properties of the eyewall. Light that passes through the eyewall can cause damage to the retina. Therefore, in this study, the intraocular irradiances are determined at different positions on the retina, directly behind the illuminated eyewall, the opposite eyewall and near the macula of ex-vivo porcine eyes. These irradiances are examined for their dependence on the pressure applied on the eyewall with the illuminating fiber and for the influence of the pigmentation of the eye.

methodsIn total 221 ex-vivo porcine eyes were investigated. For transscleral illumination an illumination fiber with a diffusing adapter cap is pressed against the equatorial eyewall. The illumination fiber is pressed onto the eye and the pressure is measured in the anterior chamber. Three different pressures are applied, 23, 78 and 132 mmHg. A detection fiber with diffusing fiber tip is inserted into the eye at the desired position. The eyes were divided in groups with high and less pigmentation to investigate the influence of the pigmentation on the intraocular irradiance.

resultsThe intraocular irradiances E

conclusionThe hazard to the retina during diaphanoscopic illumination of the eye depends on how strong the surgeon presses the illumination fiber on the eyewall. Depending on the applied pressure and the measuring position in the eye, the specified limit for the photochemical hazard to the retina is partly exceeded. The pigmentation of the eye also plays a role. The irradiance in less pigmented eyes appears to be higher than in strongly pigmented eyes. Because of this, the surgeon should be able to adjust the intensity of the light source to the color of the patient's eye.

Indexed as

RetinaAnimalsIntraocular PressureLightLightingRadiation DosageScleraSwineIntraocular irradiancePhotochemical hazardPigmentationRetinal hazardThermal hazardTransscleral illumination

Identifiers

PMID36513575
PMCPMC11624351

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.