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Anterior capsule opacification : A histopathological study comparing different IOL styles

Identifieur interne : 001487 ( PascalFrancis/Corpus ); précédent : 001486; suivant : 001488

Anterior capsule opacification : A histopathological study comparing different IOL styles

Auteurs : L. Werner ; S. K. Pandey ; M. Escobar-Gomez ; N. Visessook ; QUN PENG ; D. J. Apple

Source :

RBID : Pascal:00-0172600

Descripteurs français

English descriptors

Abstract

Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)r (2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0161-6420
A02 01      @0 OPHTDG
A03   1    @0 Ophthalmology : (Rochester MN)
A05       @2 107
A06       @2 3
A08 01  1  ENG  @1 Anterior capsule opacification : A histopathological study comparing different IOL styles
A11 01  1    @1 WERNER (L.)
A11 02  1    @1 PANDEY (S. K.)
A11 03  1    @1 ESCOBAR-GOMEZ (M.)
A11 04  1    @1 VISESSOOK (N.)
A11 05  1    @1 QUN PENG
A11 06  1    @1 APPLE (D. J.)
A14 01      @1 Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina @2 Charleston, South Carolina @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.
A20       @1 463-471
A21       @1 2000
A23 01      @0 ENG
A43 01      @1 INIST @2 18914 @5 354000081967510130
A44       @0 0000 @1 © 2000 INIST-CNRS. All rights reserved.
A45       @0 40 ref.
A47 01  1    @0 00-0172600
A60       @1 P
A61       @0 A
A64 01  1    @0 Ophthalmology : (Rochester, MN)
A66 01      @0 USA
C01 01    ENG  @0 Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)r (2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Lentille intraoculaire @5 01
C03 01  X  ENG  @0 Intraocular lens @5 01
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C03 06  X  FRE  @0 Etude comparative @5 06
C03 06  X  ENG  @0 Comparative study @5 06
C03 06  X  SPA  @0 Estudio comparativo @5 06
C03 07  X  FRE  @0 Opacification @5 07
C03 07  X  ENG  @0 Opacification @5 07
C03 07  X  SPA  @0 Opacificación @5 07
C03 08  X  FRE  @0 Capsule @5 08
C03 08  X  ENG  @0 Capsule @5 08
C03 08  X  SPA  @0 Cápsula @5 08
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C03 09  X  SPA  @0 Anterior @5 09
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C07 01  X  FRE  @0 Chirurgie @5 37
C07 01  X  ENG  @0 Surgery @5 37
C07 01  X  SPA  @0 Cirugía @5 37
C07 02  X  FRE  @0 Oeil pathologie @5 53
C07 02  X  ENG  @0 Eye disease @5 53
C07 02  X  SPA  @0 Ojo patología @5 53
N21       @1 129

Format Inist (serveur)

NO : PASCAL 00-0172600 INIST
ET : Anterior capsule opacification : A histopathological study comparing different IOL styles
AU : WERNER (L.); PANDEY (S. K.); ESCOBAR-GOMEZ (M.); VISESSOOK (N.); QUN PENG; APPLE (D. J.)
AF : Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina/Charleston, South Carolina/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)
DT : Publication en série; Niveau analytique
SO : Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2000; Vol. 107; No. 3; Pp. 463-471; Bibl. 40 ref.
LA : Anglais
EA : Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)r (2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.
CC : 002B25B
FD : Lentille intraoculaire; Oeil; Biomatériau; Siloxane polymère; Méthacrylate de méthyle polymère; Etude comparative; Opacification; Capsule; Antérieur; Histopathologie; Autopsie; Homme
FG : Chirurgie; Oeil pathologie
ED : Intraocular lens; Eye; Biomaterial; Siloxane polymer; Methyl methacrylate polymer; Comparative study; Opacification; Capsule; Anterior; Histopathology; Autopsy; Human
EG : Surgery; Eye disease
SD : Lente intraocular; Ojo; Biomaterial; Siloxano polímero; Metacrilato de metilo polímero; Estudio comparativo; Opacificación; Cápsula; Anterior; Histopatología; Autopsia; Hombre
LO : INIST-18914.354000081967510130
ID : 00-0172600

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Pascal:00-0172600

Le document en format XML

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<div type="abstract" xml:lang="en">Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)
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(2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.</div>
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<s1>APPLE (D. J.)</s1>
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<s0>Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)
<sub>r</sub>
(2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.</s0>
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<s0>002B25B</s0>
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<s0>Lentille intraoculaire</s0>
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<s5>02</s5>
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<s5>03</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s0>Metacrilato de metilo polímero</s0>
<s2>NK</s2>
<s5>05</s5>
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<s5>07</s5>
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<s5>07</s5>
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<s5>07</s5>
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<s0>Capsule</s0>
<s5>08</s5>
</fC03>
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<s0>Capsule</s0>
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<s0>Cápsula</s0>
<s5>08</s5>
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<fC03 i1="09" i2="X" l="FRE">
<s0>Antérieur</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Anterior</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Anterior</s0>
<s5>09</s5>
</fC03>
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<s0>Histopathologie</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Histopathology</s0>
<s5>10</s5>
</fC03>
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<s5>10</s5>
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<s0>Autopsie</s0>
<s5>11</s5>
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<fC03 i1="11" i2="X" l="ENG">
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<s5>11</s5>
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<s5>11</s5>
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<s5>13</s5>
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<s5>13</s5>
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<fC07 i1="01" i2="X" l="FRE">
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<s5>37</s5>
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<s5>37</s5>
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<NO>PASCAL 00-0172600 INIST</NO>
<ET>Anterior capsule opacification : A histopathological study comparing different IOL styles</ET>
<AU>WERNER (L.); PANDEY (S. K.); ESCOBAR-GOMEZ (M.); VISESSOOK (N.); QUN PENG; APPLE (D. J.)</AU>
<AF>Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina/Charleston, South Carolina/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Ophthalmology : (Rochester, MN); ISSN 0161-6420; Coden OPHTDG; Etats-Unis; Da. 2000; Vol. 107; No. 3; Pp. 463-471; Bibl. 40 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To compare the degree of anterior capsule opacification (ACO) in human eyes obtained post-mortem containing various rigid and foldable posterior chamber intraocular lens (PC-IOL) designs. Design: Comparative autopsy tissue study with clinicopathologic correlations. Materials: Four hundred sixty human globes containing the following PC-IOL styles were analyzed: (1) one-piece polymethylmethacrylate (PMMA) optic-PMMA haptic (n = 50)
<sub>r</sub>
(2) one-piece silicone-plate IOL, large hole (n = 40), (3) one-piece silicone-plate IOL, small hole (n = 67), (4) three-piece PMMA optic-PMMA/Prolene haptic (n = 51), (5) three-piece acrylic optic-PMMA haptic (n = 96), (6) three-piece silicone optic-PMMA haptic (n = 24), (7) three-piece silicone optic-polyimide haptic (n = 40), and (8) three-piece silicone optic-prolene haptic (n = 92). Testing: The globes were sectioned in the equatorial plane for gross examination and then processed through paraffin; sectioned, and stained with hematoxylin-eosin, periodic acid-Schiff, and Masson's trichrome stains; and examined by light microscopy. Main Outcome Measures: Anterior capsule opacification was scored in each eye by grading the histologic sections from 0 to III, according to the amount (thickness) of proliferative tissue and cells measured in sagittal sections on the inner surface of the anterior capsule at the capsulorhexis margin. Results: The difference among the eight groups was significant (P < 0.0001). Mean ACO scores were highest with the large and small hole one-piece silicone-plate lenses (1.77 ± 0.86 and 1.28 ± 0.77, respectively). The lowest mean score was observed in the group of three-piece acrylic optic-PMMA haptics lenses (0.51 ± 0.52). Conclusions: Our results confirm previous clinical observations that the rate of ACO is relatively high with plate-haptic silicone lOLs. The lowest rate was noted with the three-piece acrylic optic-PMMA haptic IOL. The IOL design and IOL material are significant factors in the development of ACO.</EA>
<CC>002B25B</CC>
<FD>Lentille intraoculaire; Oeil; Biomatériau; Siloxane polymère; Méthacrylate de méthyle polymère; Etude comparative; Opacification; Capsule; Antérieur; Histopathologie; Autopsie; Homme</FD>
<FG>Chirurgie; Oeil pathologie</FG>
<ED>Intraocular lens; Eye; Biomaterial; Siloxane polymer; Methyl methacrylate polymer; Comparative study; Opacification; Capsule; Anterior; Histopathology; Autopsy; Human</ED>
<EG>Surgery; Eye disease</EG>
<SD>Lente intraocular; Ojo; Biomaterial; Siloxano polímero; Metacrilato de metilo polímero; Estudio comparativo; Opacificación; Cápsula; Anterior; Histopatología; Autopsia; Hombre</SD>
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