Surface abnormalities on hydrophilic acrylic intraocular lenses implanted by an injector
Identifieur interne : 003537 ( Istex/Corpus ); précédent : 003536; suivant : 003538Surface abnormalities on hydrophilic acrylic intraocular lenses implanted by an injector
Auteurs : Christoph W. FaschingerSource :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 2000.
Abstract
Purpose To describe and evaluate abnormalities on the surface of hydrophilic acrylic intraocular lenses (IOLs) that were implanted using an injector.Setting Department of Ophthalmology, University of Graz, Graz, Austria.Methods This study comprised 70 eyes having phacoemulsification and implantation of an EasAcryl (n = 50) or Inject-A (n = 20) IOL. Both hydrophilic IOLs are biconvex and have a high water content (26%), plate-haptic design, and no angulation. The IOLs were folded in a cartridge under hydroxypropyl methylcellulose and implanted by an injector.Results Thirteen EasAcryl and 5 Inject-A IOLs had multiple white lines in the direction of the longitudinal axis on the posterior surface immediately after implantation. On 1 EasAcryl IOL, the white lines were separated by a clear central zone and were on the anterior surface. Another EasAcryl IOL had a 1.0 mm crack.Conclusions The abnormalities on the posterior surface of high-water-content hydrophilic acrylic IOLs disappeared or were almost gone within 1 month postoperatively and do not appear to be a concern for surgeons. These abnormalities are likely the result of the IOLs’ hydrophilicity and high water content and friction in the injector barrel.
Url:
DOI: 10.1016/S0886-3350(00)00804-X
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<front><div type="abstract" xml:lang="en">Purpose To describe and evaluate abnormalities on the surface of hydrophilic acrylic intraocular lenses (IOLs) that were implanted using an injector.Setting Department of Ophthalmology, University of Graz, Graz, Austria.Methods This study comprised 70 eyes having phacoemulsification and implantation of an EasAcryl (n = 50) or Inject-A (n = 20) IOL. Both hydrophilic IOLs are biconvex and have a high water content (26%), plate-haptic design, and no angulation. The IOLs were folded in a cartridge under hydroxypropyl methylcellulose and implanted by an injector.Results Thirteen EasAcryl and 5 Inject-A IOLs had multiple white lines in the direction of the longitudinal axis on the posterior surface immediately after implantation. On 1 EasAcryl IOL, the white lines were separated by a clear central zone and were on the anterior surface. Another EasAcryl IOL had a 1.0 mm crack.Conclusions The abnormalities on the posterior surface of high-water-content hydrophilic acrylic IOLs disappeared or were almost gone within 1 month postoperatively and do not appear to be a concern for surgeons. These abnormalities are likely the result of the IOLs’ hydrophilicity and high water content and friction in the injector barrel.</div>
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<note type="content">Figure 1: (Faschinger) Schematic drawing of the single-piece acrylic Inject-A (left) and EasAcryl (right) IOLs.</note>
<note type="content">Figure 2: (Faschinger) For folding, the IOL is placed on the central hinge and on both troughs, which are filled with a viscoelastic material. Then, the IOL is pressed slightly downward with a blunt double-spatula-like instrument and the cartridge wings are closed. To prevent surface changes, the spatula is lifted, not withdrawn, with both tips on the lens surface.</note>
<note type="content">Figure 3: (Faschinger) The injector system used to implant the acrylic IOLs comprises the cartridge (bottom), the blunt double-spatula-like instrument (middle), and the handpiece (top).</note>
<note type="content">Figure 4: (Faschinger) An EasAcryl IOL with multiple white lines on the posterior surface in the direction of the push after implantation by an injector system (first postoperative day).</note>
<note type="content">Figure 5: (Faschinger) An EasAcryl IOL with white lines on the anterior surface with an undamaged zone in the center (first postoperative day).</note>
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<ce:simple-para>This study comprised 70 eyes having phacoemulsification and implantation of an EasAcryl (n = 50) or Inject-A (n = 20) IOL. Both hydrophilic IOLs are biconvex and have a high water content (26%), plate-haptic design, and no angulation. The IOLs were folded in a cartridge under hydroxypropyl methylcellulose and implanted by an injector.</ce:simple-para>
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<ce:simple-para>Thirteen EasAcryl and 5 Inject-A IOLs had multiple white lines in the direction of the longitudinal axis on the posterior surface immediately after implantation. On 1 EasAcryl IOL, the white lines were separated by a clear central zone and were on the anterior surface. Another EasAcryl IOL had a 1.0 mm crack.</ce:simple-para>
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<abstract lang="en">Purpose To describe and evaluate abnormalities on the surface of hydrophilic acrylic intraocular lenses (IOLs) that were implanted using an injector.Setting Department of Ophthalmology, University of Graz, Graz, Austria.Methods This study comprised 70 eyes having phacoemulsification and implantation of an EasAcryl (n = 50) or Inject-A (n = 20) IOL. Both hydrophilic IOLs are biconvex and have a high water content (26%), plate-haptic design, and no angulation. The IOLs were folded in a cartridge under hydroxypropyl methylcellulose and implanted by an injector.Results Thirteen EasAcryl and 5 Inject-A IOLs had multiple white lines in the direction of the longitudinal axis on the posterior surface immediately after implantation. On 1 EasAcryl IOL, the white lines were separated by a clear central zone and were on the anterior surface. Another EasAcryl IOL had a 1.0 mm crack.Conclusions The abnormalities on the posterior surface of high-water-content hydrophilic acrylic IOLs disappeared or were almost gone within 1 month postoperatively and do not appear to be a concern for surgeons. These abnormalities are likely the result of the IOLs’ hydrophilicity and high water content and friction in the injector barrel.</abstract>
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<note type="content">Figure 1: (Faschinger) Schematic drawing of the single-piece acrylic Inject-A (left) and EasAcryl (right) IOLs.</note>
<note type="content">Figure 2: (Faschinger) For folding, the IOL is placed on the central hinge and on both troughs, which are filled with a viscoelastic material. Then, the IOL is pressed slightly downward with a blunt double-spatula-like instrument and the cartridge wings are closed. To prevent surface changes, the spatula is lifted, not withdrawn, with both tips on the lens surface.</note>
<note type="content">Figure 3: (Faschinger) The injector system used to implant the acrylic IOLs comprises the cartridge (bottom), the blunt double-spatula-like instrument (middle), and the handpiece (top).</note>
<note type="content">Figure 4: (Faschinger) An EasAcryl IOL with multiple white lines on the posterior surface in the direction of the push after implantation by an injector system (first postoperative day).</note>
<note type="content">Figure 5: (Faschinger) An EasAcryl IOL with white lines on the anterior surface with an undamaged zone in the center (first postoperative day).</note>
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