PURPOSE/METHODS: To determine the incidence of photic retinal injury d
uring cataract surgery, we studied 37 consecutive patients with intrav
enous fluorescein angiography within ten days after cataract surgery.
The microscope irradiance was standardized for all cases. RESULTS/CONC
LUSIONS: Fluorescein evidence of photic retinal injury did not develop
in any of the 37 cataract patients. Incidence rates for photic retina
l injury induced by the surgical microscope vary considerably among op
hthalmologists and most likely reflect differences in microscope brigh
tness, surgical duration, and surgical technique.