NextHome Back 84. SafetySafety considerationsIt is well established that exposure of the eye to intense lightsources for extended periods of time poses a risk of retinalphotic injury. Many ophthalmic instruments illuminate the eyewith intense light. The decision about the intensity of the lightlevel to use in any procedure must be made on a case to casebasis. In each case, the clinician must take a risk benefitjudgement about the intensity of light to be used. Use ofinsufficient intensity may result in inadequate visualization andin adverse effects more serious than retinal photic damage.Further, despite all efforts taken to minimise the risk of retinaldamage, damage may still occur. Retinal photic injury is apossible complication of the need to use bright light clearlyvisualize ocular structure during delicate ophthalmic surgicalprocedure.While no visible retinal lesions have been identified forophthalmic instruments, it is recommended that illuminationlevels be set to the minimum level necessary to perform thediagnostic function. Young children and persons with diseasedeyes may be at a higher risk. The risk may also be increased ifthe person being examined has had any exposure with the sameinstrument or any other ophthalmic instrument using an intensevisible light source during the previous 24 hours. This will applyparticularly if the eye has been exposed to retinal photography.The light emitted from this instrument is potentially hazardous.The longer the duration of exposure, the greater the risk ofocular damage. Exposure to light from this instrument whenoperated at maximum intensity will exceed the safety guidelineafter 17 minutes. The limit for the API II LED is 35 minutes.