Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses
Identifieur interne : 002434 ( Istex/Corpus ); précédent : 002433; suivant : 002435Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses
Auteurs : David G. Kent ; Qun Peng ; Robert T. Isaacs ; Stephen B. Whiteside ; Derek L. Barker ; David J. AppleSource :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1998.
Abstract
Purpose: To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.Methods: Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.Results: The mini-haptic style IOLs required significantly more extraction force than the small-hole design (P = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.Conclusions: Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.
Url:
DOI: 10.1016/S0886-3350(98)80263-0
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ISTEX:5ABA5A942A8EEFA32774542FDF9C3360552E54C8Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</title><author><name sortKey="Kent, David G" sort="Kent, David G" uniqKey="Kent D" first="David G." last="Kent">David G. Kent</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Isaacs, Robert T" sort="Isaacs, Robert T" uniqKey="Isaacs R" first="Robert T." last="Isaacs">Robert T. Isaacs</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Whiteside, Stephen B" sort="Whiteside, Stephen B" uniqKey="Whiteside S" first="Stephen B." last="Whiteside">Stephen B. Whiteside</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Barker, Derek L" sort="Barker, Derek L" uniqKey="Barker D" first="Derek L." last="Barker">Derek L. Barker</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J." last="Apple">David J. Apple</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:5ABA5A942A8EEFA32774542FDF9C3360552E54C8</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1016/S0886-3350(98)80263-0</idno><idno type="url">https://api.istex.fr/document/5ABA5A942A8EEFA32774542FDF9C3360552E54C8/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002434</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</title><author><name sortKey="Kent, David G" sort="Kent, David G" uniqKey="Kent D" first="David G." last="Kent">David G. Kent</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Isaacs, Robert T" sort="Isaacs, Robert T" uniqKey="Isaacs R" first="Robert T." last="Isaacs">Robert T. Isaacs</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Whiteside, Stephen B" sort="Whiteside, Stephen B" uniqKey="Whiteside S" first="Stephen B." last="Whiteside">Stephen B. Whiteside</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Barker, Derek L" sort="Barker, Derek L" uniqKey="Barker D" first="Derek L." last="Barker">Derek L. Barker</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author><author><name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J." last="Apple">David J. Apple</name><affiliation><mods:affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Cataract & Refractive Surgery</title><title level="j" type="abbrev">JCRS</title><idno type="ISSN">0886-3350</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998">1998</date><biblScope unit="volume">24</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="666">666</biblScope><biblScope unit="page" to="671">671</biblScope></imprint><idno type="ISSN">0886-3350</idno></series><idno type="istex">5ABA5A942A8EEFA32774542FDF9C3360552E54C8</idno><idno type="DOI">10.1016/S0886-3350(98)80263-0</idno><idno type="PII">S0886-3350(98)80263-0</idno><idno type="ArticleID">80263</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0886-3350</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.Methods: Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.Results: The mini-haptic style IOLs required significantly more extraction force than the small-hole design (P = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.Conclusions: Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>David G. Kent FRACO</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item><json:item><name>Qun Peng MD</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item><json:item><name>Robert T. Isaacs MD</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item><json:item><name>Stephen B. Whiteside MD</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item><json:item><name>Derek L. Barker MS</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item><json:item><name>David J. Apple MD</name><affiliations><json:string>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</json:string></affiliations></json:item></author><articleId><json:string>80263</json:string></articleId><language><json:string>eng</json:string></language><abstract>Purpose: To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.Methods: Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.Results: The mini-haptic style IOLs required significantly more extraction force than the small-hole design (P = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.Conclusions: Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.</abstract><qualityIndicators><score>6.998</score><pdfVersion>1.7</pdfVersion><pdfPageSize>576 x 828 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1620</abstractCharCount><pdfWordCount>2334</pdfWordCount><pdfCharCount>15227</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>222</abstractWordCount></qualityIndicators><title>Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</title><pii><json:string>S0886-3350(98)80263-0</json:string></pii><genre><json:string>research-article</json:string></genre><serie><volume>22</volume><editor><json:item><name>S Masker</name></json:item></editor><pages><last>167</last><first>159</first></pages><genre></genre><language><json:string>unknown</json:string></language><title>J Cataract Refract 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type="first">David G.</forename><surname>Kent</surname></persName><roleName type="degree">FRACO</roleName><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author><author><persName><forename type="first">Qun</forename><surname>Peng</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author><author><persName><forename type="first">Robert T.</forename><surname>Isaacs</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author><author><persName><forename type="first">Stephen B.</forename><surname>Whiteside</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author><author><persName><forename type="first">Derek L.</forename><surname>Barker</surname></persName><roleName type="degree">MS</roleName><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author><author><persName><forename type="first">David J.</forename><surname>Apple</surname></persName><roleName type="degree">MD</roleName><note type="biography">Reprint requests to David J. Apple, MD, Professor of Ophthalmology and Director of Research, Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425-2236 USA.</note><affiliation>Reprint requests to David J. Apple, MD, Professor of Ophthalmology and Director of Research, Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425-2236 USA.</affiliation><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation></author></analytic><monogr><title level="j">Journal of Cataract & Refractive Surgery</title><title level="j" type="abbrev">JCRS</title><idno type="pISSN">0886-3350</idno><idno type="PII">S0886-3350(98)X8240-4</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998"></date><biblScope unit="volume">24</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="666">666</biblScope><biblScope unit="page" to="671">671</biblScope></imprint></monogr><idno type="istex">5ABA5A942A8EEFA32774542FDF9C3360552E54C8</idno><idno type="DOI">10.1016/S0886-3350(98)80263-0</idno><idno type="PII">S0886-3350(98)80263-0</idno><idno type="ArticleID">80263</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1998</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Purpose: To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.Methods: Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.Results: The mini-haptic style IOLs required significantly more extraction force than the small-hole design (P = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.Conclusions: Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.</p></abstract></profileDesc><revisionDesc><change when="1998">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" </istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.2.0//EN//XML" URI="art520.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.2" xml:lang="en" docsubtype="fla"><item-info><jid>JCRS</jid><aid>80263</aid><ce:pii>S0886-3350(98)80263-0</ce:pii><ce:doi>10.1016/S0886-3350(98)80263-0</ce:doi><ce:copyright type="society" year="1998">American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright><ce:copyright-line>Copyright 1998 American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</ce:copyright-line></item-info><head><ce:article-footnote><ce:note-para id="ntp005">Presented in part at the Symposium on Cataract, IOL and Refractive Surgery, Seattle, Washington, USA, June 1996</ce:note-para></ce:article-footnote><ce:article-footnote><ce:note-para id="ntp010">Supported by an unrestricted grant from Research to Prevent Blindness, New York, New York, USA.</ce:note-para></ce:article-footnote><ce:article-footnote><ce:note-para id="ntp015">None of the authors has a proprietary interest in any technique, material, or equipment used.</ce:note-para></ce:article-footnote><ce:title id="ttl005">Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</ce:title><ce:author-group id="AUG005"><ce:author id="AUT005"><ce:given-name>David G.</ce:given-name><ce:surname>Kent</ce:surname><ce:degrees>FRACO</ce:degrees></ce:author><ce:author id="AUT010"><ce:given-name>Qun</ce:given-name><ce:surname>Peng</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author id="AUT015"><ce:given-name>Robert T.</ce:given-name><ce:surname>Isaacs</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author id="AUT020"><ce:given-name>Stephen B.</ce:given-name><ce:surname>Whiteside</ce:surname><ce:degrees>MD</ce:degrees></ce:author><ce:author id="AUT025"><ce:given-name>Derek L.</ce:given-name><ce:surname>Barker</ce:surname><ce:degrees>MS</ce:degrees></ce:author><ce:author id="AUT030"><ce:given-name>David J.</ce:given-name><ce:surname>Apple</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref id="crr005" refid="cor1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff1"><ce:textfn>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.</ce:textfn><sa:affiliation><sa:organization>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina</sa:organization><sa:city>Charleston</sa:city><sa:state>South Carolina</sa:state><sa:country>USA</sa:country></sa:affiliation></ce:affiliation><ce:correspondence id="cor1"><ce:label>a</ce:label><ce:text>Reprint requests to David J. Apple, MD, Professor of Ophthalmology and Director of Research, Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425-2236 USA.</ce:text></ce:correspondence></ce:author-group><ce:abstract id="ab1"><ce:section-title id="SET005">Abstract</ce:section-title><ce:abstract-sec id="abs005"><ce:simple-para id="SP0005"><ce:italic><ce:bold>Purpose:</ce:bold></ce:italic> To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.</ce:simple-para><ce:simple-para id="SP0010"><ce:italic><ce:bold>Setting:</ce:bold></ce:italic> Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.</ce:simple-para><ce:simple-para id="SP0015"><ce:italic><ce:bold>Methods:</ce:bold></ce:italic> Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.</ce:simple-para><ce:simple-para id="SP0020"><ce:italic><ce:bold>Results:</ce:bold></ce:italic> The mini-haptic style IOLs required significantly more extraction force than the small-hole design (<ce:italic>P</ce:italic> = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.</ce:simple-para><ce:simple-para id="SP0025"><ce:italic><ce:bold>Conclusions:</ce:bold></ce:italic> Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.</ce:simple-para></ce:abstract-sec></ce:abstract></head><tail><ce:bibliography id="R0005"><ce:section-title id="SET010">References</ce:section-title><ce:bibliography-sec id="RS0005"><ce:bib-reference id="bib1"><ce:label>1.</ce:label><sb:reference id="SB0005"><sb:contribution><sb:authors><sb:author><ce:given-name>CA</ce:given-name><ce:surname>Blotnick</ce:surname></sb:author><sb:author><ce:given-name>TP</ce:given-name><ce:surname>Powers</ce:surname></sb:author><sb:author><ce:given-name>T</ce:given-name><ce:surname>Newland</ce:surname></sb:author><sb:et-al></sb:et-al></sb:authors><sb:title><sb:maintitle>Pathology of silicone intraocular lenses in human eyes obtained postmortem</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Cataract Refract 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Kongreß der Deutschsprachigen Gesellschaft für Intraokularlinsen Implantation</sb:maintitle></sb:title><sb:date>1996</sb:date><sb:publisher><sb:name>Springer-Verlag</sb:name><sb:location>Budapest. Berlin</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>159</sb:first-page><sb:last-page>164</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib8"><ce:label>8.</ce:label><sb:reference id="SB0040"><sb:contribution><sb:authors><sb:author><ce:given-name>J</ce:given-name><ce:surname>Colin</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Clinical results of implanting a silicone haptic-anchor-plate intraocular lens</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Cataract Refract Surg</sb:maintitle></sb:title><sb:volume-nr>22</sb:volume-nr></sb:series><sb:date>1996</sb:date></sb:issue><sb:pages><sb:first-page>1286</sb:first-page><sb:last-page>1290</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib9"><ce:label>9.</ce:label><sb:reference id="SB0045"><sb:contribution><sb:authors><sb:author><ce:given-name>DJ</ce:given-name><ce:surname>Apple</ce:surname></sb:author><sb:author><ce:given-name>ES</ce:given-name><ce:surname>Lim</ce:surname></sb:author><sb:author><ce:given-name>RC</ce:given-name><ce:surname>Morgan</ce:surname></sb:author><sb:et-al></sb:et-al></sb:authors><sb:title><sb:maintitle>Preparation and study of human eyes obtained postmortem with the Miyake posterior photographic technique</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Ophthalmology</sb:maintitle></sb:title><sb:volume-nr>97</sb:volume-nr></sb:series><sb:date>1990</sb:date></sb:issue><sb:pages><sb:first-page>810</sb:first-page><sb:last-page>816</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Mini-haptics to improve capsular fixation of plate-haptic silicone intraocular lenses</title></titleInfo><name type="personal"><namePart type="given">David G.</namePart><namePart type="family">Kent</namePart><namePart type="termsOfAddress">FRACO</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Qun</namePart><namePart type="family">Peng</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert T.</namePart><namePart type="family">Isaacs</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Stephen B.</namePart><namePart type="family">Whiteside</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Derek L.</namePart><namePart type="family">Barker</namePart><namePart type="termsOfAddress">MS</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David J.</namePart><namePart type="family">Apple</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.From the Center for Research on Ocular Therapeutics and Biodevices (formerly Center for Intraocular Lens Research), Storm Eye Institute, Medical University of South CarolinaCharlestonSouth CarolinaUSA</affiliation><description>Reprint requests to David J. Apple, MD, Professor of Ophthalmology and Director of Research, Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, 171 Ashley Avenue, Charleston, South Carolina 29425-2236 USA.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1998</dateIssued><copyrightDate encoding="w3cdtf">1998</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Purpose: To evaluate the effects of a new mini-haptic design on the strength and stability of capsular bag fixation of plate-haptic silicone intraocular lenses (IOLs) and determine whether this design encourages the growth of regenerating lens material or fibrous tissue around the haptic biomaterial and thus improves lens fixation in the capsular bag.Setting: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, USA.Methods: Six rabbits had bilateral continuous curvilinear capsulorhexis, phacoemulsification, and plate-haptic silicone IOL implantation. Each rabbit had a small-hole plate IOL (Chiron C10UB) implanted in the right eye and a mini-haptic plate IOL (Chiron C40UB) in the left eye. All rabbits were killed at 2 months. The force required to extract one haptic from the capsular bag was measured with a digital force gauge. Histopathologic analysis was performed on all specimens.Results: The mini-haptic style IOLs required significantly more extraction force than the small-hole design (P = .011). Histopathologically, proliferating lens epithelial cells were observed growing circumferentially around the mini-haptics, causing a 360 degree synechia formation. This formation did not occur with the conventional small-hole plate IOLs used as the control.Conclusions: Lens epithelial cell proliferation around the mini-haptics significantly improved capsular bag fixation of the plate-haptic silicone IOL. This should decrease the incidence of clinical decentration and dislocation.</abstract><note>Presented in part at the Symposium on Cataract, IOL and Refractive Surgery, Seattle, Washington, USA, June 1996</note><note>Supported by an unrestricted grant from Research to Prevent Blindness, New York, New York, USA.</note><note>None of the authors has a proprietary interest in any technique, material, or equipment used.</note><relatedItem type="host"><titleInfo><title>Journal of Cataract & Refractive Surgery</title></titleInfo><titleInfo type="abbreviated"><title>JCRS</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">199805</dateIssued></originInfo><identifier type="ISSN">0886-3350</identifier><identifier type="PII">S0886-3350(98)X8240-4</identifier><part><detail type="volume"><number>24</number><caption>vol.</caption></detail><detail type="issue"><number>5</number><caption>no.</caption></detail><extent unit="issue pages"><start>571</start><end>722</end></extent><extent unit="pages"><start>666</start><end>671</end></extent></part></relatedItem><identifier type="istex">5ABA5A942A8EEFA32774542FDF9C3360552E54C8</identifier><identifier type="DOI">10.1016/S0886-3350(98)80263-0</identifier><identifier type="PII">S0886-3350(98)80263-0</identifier><identifier type="ArticleID">80263</identifier><accessCondition type="use and reproduction" contentType="">© 1998American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved</accessCondition><recordInfo><recordContentSource>ELSEVIER</recordContentSource><recordOrigin>American Society of Cataract and Refractive Surgery and European Society of Cataract and Refractive Surgeons. All rights reserved, ©1998</recordOrigin></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/5ABA5A942A8EEFA32774542FDF9C3360552E54C8/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">OPHTHALMOLOGY</classCode><classCode scheme="WOS">SURGERY</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments></istex></record>Pour manipuler ce document sous Unix (Dilib)
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