OSA's Digital Library

Biomedical Optics Express

Biomedical Optics Express

  • Editor: Joseph A. Izatt
  • Vol. 1, Iss. 3 — Oct. 1, 2010
  • pp: 771–779

Optical characterization of cutaneous transilluminators for eye safety

Sharon Miller, Robert James, Robert Landry, and Joshua Pfefer  »View Author Affiliations


Biomedical Optics Express, Vol. 1, Issue 3, pp. 771-779 (2010)
http://dx.doi.org/10.1364/BOE.1.000771


View Full Text Article

Enhanced HTML    Acrobat PDF (1002 KB)





Browse Journals / Lookup Meetings

Browse by Journal and Year


   


Lookup Conference Papers

Close Browse Journals / Lookup Meetings

Article Tools

Share
Citations

Abstract

Cutaneous transilluminators are light-emitting devices used to localize blood vessels for various medical procedures. They are often used in populations that may be at increased risk for skin burns, such as neonates and the elderly. While there is a known potential for skin burns, little is known about the ophthalmic risk from the use of these devices. This paper will report on the laboratory evaluation of the potential ocular hazards from transilluminators (TIs). Our results indicate that transilluminators which incorporate white-light LEDs have emissions that have the potential for producing injury to the retina, especially in patients who may have a reduced aversion response.

© 2010 OSA

OCIS Codes
(120.0120) Instrumentation, measurement, and metrology : Instrumentation, measurement, and metrology
(120.5630) Instrumentation, measurement, and metrology : Radiometry
(330.3350) Vision, color, and visual optics : Vision - laser damage

ToC Category:
Optical Biohazards and Safety

History
Original Manuscript: June 2, 2010
Revised Manuscript: August 2, 2010
Manuscript Accepted: August 31, 2010
Published: September 2, 2010

Citation
Sharon Miller, Robert James, Robert Landry, and Joshua Pfefer, "Optical characterization of cutaneous transilluminators for eye safety," Biomed. Opt. Express 1, 771-779 (2010)
http://www.opticsinfobase.org/boe/abstract.cfm?URI=boe-1-3-771


Sort:  Author  |  Year  |  Journal  |  Reset  

References

  1. L. R. Kuhns, A. J. Martin, S. Gildersleeve, and A. K. Poznanski, “Intense transillumination for infant venipuncture,” Radiology 116(3), 734–735 (1975). [PubMed]
  2. J. H. Van Der Walt and K. Gassmanis, “Skin burns from a cold light source,” Anaesth. Intensive Care 18(1), 113–115 (1990). [PubMed]
  3. S. Church and D. H. Adamkin, “Transillumination in neonatal intensive care: a possible iatrogenic complication,” South. Med. J. 74(1), 76–77 (1981). [PubMed]
  4. S. Withey, G. Williams, and A. Moss, “Cold light, heat burn,” Burns 26(4), 414–415 (2000). [CrossRef] [PubMed]
  5. R. Sümpelmann, W. A. Osthaus, H. Irmler, and C. Hernandez, “Prevention of burns caused by transillumination for peripheral venous access in neonates,” Paediatr. Anaesth. 16(10), 1097–1098 (2006). [CrossRef] [PubMed]
  6. J. M. John, “Transillumination for vascular access: old concept, new technology,” Paediatr. Anaesth. 17(2), 197–198 (2007). [CrossRef] [PubMed]
  7. T. J. Pfefer, A. Mehrabi, R. H. James, R. J. Landry, S. Weininger, I. Chang, D. Kaufman, and S. A. Miller, “Optical-thermal characterization of cutaneous transilluminators,” Phys. Med. Biol. 54(22), 6867–6880 (2009). [CrossRef] [PubMed]
  8. W. T. Ham, H. A. Mueller, J. J. Ruffolo, J. E. Millen, S. F. Cleary, R. K. Guerry, and D. Guerry, “Basic mechanisms underlying the production of photochemical lesions in the mammalian retina,” Curr. Eye Res. 3(1), 165–174 (1984). [CrossRef] [PubMed]
  9. International Commission on Non-Ionizing Radiation Protection, “Guidelines on limits of exposure to broad-band incoherent optical radiation (0.38 to 3 microM),” Health Phys. 73(3), 539–554 (1997). [PubMed]
  10. American National Standards Institute (ANSI)/ Illuminating Engineering Society of North America, (IESNA), Recommended Practice for Photobiological Safety for Lamps and Lamp Systems – General Requirements, RP 27.1–05, IESNA, New York, New York, 2005.
  11. Threshold Limit Values for Chemical Substances and Physical Agents & Biological Exposure Indices, American Conference of Governmental Industrial Hygienists (ACGIH), Cincinnati, Ohio, (2008).
  12. International Organization for Standards (ISO) 15004–2:2006(E). Ophthalmic instruments – Fundamental requirements and test methods – Part 2: Light hazard protection (2006).
  13. American Academy of Pediatrics. Section on Ophthalmology, “Screening examination of premature infants for retinopathy of prematurity,” Pediatrics 108(3), 809–811 (2001). [CrossRef] [PubMed]
  14. International Commission on Non-Ionizing Radiation Protection, “ICNIRP statement on light-emitting diodes (LEDS) and laser diodes: implications for hazard assessment,” Health Phys. 78(6), 744–752 (2000). [CrossRef] [PubMed]
  15. International Electrotechnical Commission (IEC) Technical Report, IEC TR 60825–13 Safety of laser products – Part 13: Measurements for classification of laser products, ed. 1.0 (2006).
  16. W. T. Ham, Jr., “The photopathology and nature of the blue-light and near-UV retinal lesion produced by lasers and other optical sources”, Laser Appl Med Biol, ed. M.L.Wolbarsht, Plenum, New York, (1989).
  17. R. A. Weale, “Age and the transmittance of the human crystalline lens,” J. Physiol. 395, 577–587 (1988). [PubMed]
  18. D. J. Sliney, and M. L. Wolbarsht, Safety with lasers and other optical sources (Plenum, 1980) p 79.
  19. J. D. Wilson, A. J. Adams, P. Murphy, H. Eswaran, and H. Prisisl, “Design of a light simulator for fetal and neonatal encephalography,” Physiol. Meas. 30(1–N), 10 (2009).
  20. H. Mactier, S. Maroo, M. Bradnam, and R. Hamilton, “Ocular biometry in preterm infants: implications for estimation of retinal illuminance,” Invest. Ophthalmol. Vis. Sci. 49(1), 453–457 (2008). [CrossRef] [PubMed]
  21. J. E. Roberts, “Ocular phototoxicity,” J. Photochem. Photobiol. B 64(2-3), 136–143 (2001). [CrossRef] [PubMed]
  22. J. I. W. Morgan, J. J. Hunter, B. Masella, R. Wolfe, D. C. Gray, W. H. Merigan, F. C. Delori, and D. R. Williams, “Light-induced retinal changes observed with high-resolution autofluorescence imaging of the retinal pigment epithelium,” Invest. Ophthalmol. Vis. Sci. 49(8), 3715–3729 (2008). [CrossRef] [PubMed]
  23. Y. L. Katsogridakis, R. Seshadri, C. Sullivan, and M. L. Waltzman, “Veinlite transillumination in the pediatric emergency department,” Pediatr. Emerg. Care 24(2), 83–88 (2008). [CrossRef] [PubMed]
  24. W. Halbritter, W. Horak, and W. Jordan, “Measurement requirements for the characterization of photobiological hazards posed by the optical radiation of lamps or LEDs”, Proc. CIE “Expert Symposium 2008 on Advances in Photometry and Colorimetry” (2008).

Cited By

Alert me when this paper is cited

OSA is able to provide readers links to articles that cite this paper by participating in CrossRef's Cited-By Linking service. CrossRef includes content from more than 3000 publishers and societies. In addition to listing OSA journal articles that cite this paper, citing articles from other participating publishers will also be listed.


« Previous Article  |  Next Article »

OSA is a member of CrossRef.

CrossCheck Deposited