“…Proponents argue that it might provide, for example, extra protection against age-related retinal disease and improves chromatic aberration. 28 Opponents point out that positive effects are unproven that 'blue blockers' cause loss in scotopic vision and might have adverse effects on the circadian physiology by reducing the input to nonvisual photoreception. 29 A meta-analysis showed no advantages for visual performance.…”
A brief review of retinal light damage is presented. Thermal damage requires a local rise in temperature of at least 10°C, causing an instant denaturation of proteins. The primary absorber is melanin. Photochemical damage occurs at body temperature and involves cellular damage by reactive forms of oxygen. The photosensitizers are photoproducts of the visual pigments. First indications that non-thermal damage might exist, in particular in the case of eclipse blindness, was presented by Vos in 1962. Attribution thereof to photochemical action was presented in 1966 by Noell et al who also measured the first action spectrum, in rat. It turned out to be identical to the absorption spectrum of rhodopsin. However, in 1976 and 1982 Ham et al found a quite different spectrum in monkeys, peaking at short wavelengths. The latter spectrum, but not the former, was confirmed since in numerous publications with animal models including rat. In ophthalmological practice a 'sunburn' was at first the only complaint caused by light damage. To avoid this, patients with dilated pupils should always be advised to wear sunglasses. Since the invention of the laser accidents have been reported, the most recent development is youth playfully pointing a strong laser pen in their eyes with marked consequences. The operation microscope and endoilluminators should always be used as brief as possible to avoid photochemical damage. Arguments for implant lenses that block not only the UV but also part of the visible spectrum seem too weak to justify extra costs.
“…Proponents argue that it might provide, for example, extra protection against age-related retinal disease and improves chromatic aberration. 28 Opponents point out that positive effects are unproven that 'blue blockers' cause loss in scotopic vision and might have adverse effects on the circadian physiology by reducing the input to nonvisual photoreception. 29 A meta-analysis showed no advantages for visual performance.…”
A brief review of retinal light damage is presented. Thermal damage requires a local rise in temperature of at least 10°C, causing an instant denaturation of proteins. The primary absorber is melanin. Photochemical damage occurs at body temperature and involves cellular damage by reactive forms of oxygen. The photosensitizers are photoproducts of the visual pigments. First indications that non-thermal damage might exist, in particular in the case of eclipse blindness, was presented by Vos in 1962. Attribution thereof to photochemical action was presented in 1966 by Noell et al who also measured the first action spectrum, in rat. It turned out to be identical to the absorption spectrum of rhodopsin. However, in 1976 and 1982 Ham et al found a quite different spectrum in monkeys, peaking at short wavelengths. The latter spectrum, but not the former, was confirmed since in numerous publications with animal models including rat. In ophthalmological practice a 'sunburn' was at first the only complaint caused by light damage. To avoid this, patients with dilated pupils should always be advised to wear sunglasses. Since the invention of the laser accidents have been reported, the most recent development is youth playfully pointing a strong laser pen in their eyes with marked consequences. The operation microscope and endoilluminators should always be used as brief as possible to avoid photochemical damage. Arguments for implant lenses that block not only the UV but also part of the visible spectrum seem too weak to justify extra costs.
“…3). This Figure shows that the IOL incorporates a perfect cut-off filter [18], which totally filters out ultraviolet radiation, only a slight uniform decrease (approximately 3%) in the transmission in the visible spectrum when the IOL is drug-loaded can be observed. When the IOL releases the drug this small decrease is practically recovered.…”
Section: Discussionmentioning
confidence: 95%
“…The integrating sphere is used, which means that all radiation that passes through the IOL, both direct and scattered, is collected by the detector. The air was taken as a reference to measure transmittance [18].…”
Abstract:To study the optical changes on hydrogel-silicone intraocular lenses (IOLs) resulting from loading them with dexamethasone. We used prototype hydrogel(pHEMA)-silicone IOLs and loaded the matrices with an anti-inflammatory drug (dexamethasone). The optical properties we analyzed experimentally were a) modulation transfer function (MTF); b) spectral transmission; c) diopter power. These determinations were performed on drug-loaded IOLs, IOLs that had released the drug, and IOLs that had not been drug-loaded. Loading a hydrogel-silicone IOL with dexamethasone results in impairment of its optical qualities, in particular its MTF and spectral transmission, but not dioptric power. However, once the drug has been released, it almost recovers its initial optical properties. Br.
“…In fact, the integrating sphere mode [14][15][16] is always used for ascertaining not only the shape of the spectral transmission curve, but also the total amount of light that passes through the IOL. The integrating sphere mode is also used for human 17 and pig 18 crystalline lenses.…”
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