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Long-term results and biocompatibility of heparin-surface-modified intraocular lenses.

Identifieur interne : 009327 ( Main/Exploration ); précédent : 009326; suivant : 009328

Long-term results and biocompatibility of heparin-surface-modified intraocular lenses.

Auteurs : M. Amon [Autriche] ; R. Menapace

Source :

RBID : pubmed:8487171

English descriptors

Abstract

A prospective in vivo study of 50 intraocular lenses was done to document the long-term results and biocompatibility of heparin-surface-modified poly(methyl methacrylate) posterior chamber lenses. Continuous curvilinear capsulorhexis and phacoemulsification were performed throughout and examinations were by slit-lamp and specular microscopy. Decentrations of more than 1 mm were seen in 4% of eyes. Stress folds from the haptic traction forces were detected in 16%. A posterior capsulotomy was performed in 10% because of fibrosis or Elschnig pearl formation. Fine fibers were found on the lens surface in 76%. During the first postoperative days only a moderate number of fibroblast-like cells was observed. Foreign-body giant cells were seen in 8%. All cases with foreign-body giant cells had posterior synechias. Visual performance and clinical results were comparable to those of other well-approved intraocular lenses. The low percentage of cellular reaction on the lens surface suggests good biocompatibility.

PubMed: 8487171


Affiliations:


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<term>Female</term>
<term>Fibroblasts (pathology)</term>
<term>Foreign-Body Reaction (pathology)</term>
<term>Giant Cells (pathology)</term>
<term>Heparin</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
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<term>Methylmethacrylate</term>
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<term>Lenses, Intraocular</term>
<term>Longitudinal Studies</term>
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<div type="abstract" xml:lang="en">A prospective in vivo study of 50 intraocular lenses was done to document the long-term results and biocompatibility of heparin-surface-modified poly(methyl methacrylate) posterior chamber lenses. Continuous curvilinear capsulorhexis and phacoemulsification were performed throughout and examinations were by slit-lamp and specular microscopy. Decentrations of more than 1 mm were seen in 4% of eyes. Stress folds from the haptic traction forces were detected in 16%. A posterior capsulotomy was performed in 10% because of fibrosis or Elschnig pearl formation. Fine fibers were found on the lens surface in 76%. During the first postoperative days only a moderate number of fibroblast-like cells was observed. Foreign-body giant cells were seen in 8%. All cases with foreign-body giant cells had posterior synechias. Visual performance and clinical results were comparable to those of other well-approved intraocular lenses. The low percentage of cellular reaction on the lens surface suggests good biocompatibility.</div>
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