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Posterior capsule opacification in rabbit eyes implanted with hydrophilic acrylic intraocular lenses with enhanced square edge

Identifieur interne : 000586 ( PascalFrancis/Curation ); précédent : 000585; suivant : 000587

Posterior capsule opacification in rabbit eyes implanted with hydrophilic acrylic intraocular lenses with enhanced square edge

Auteurs : Liliana Werner [États-Unis] ; Nick Mamalis [États-Unis] ; Suresh K. Pandey [États-Unis] ; Andrea M. Izak [États-Unis] ; Christian D. Nilson [États-Unis] ; Brandon L. Davis [États-Unis] ; Christopher Weight [États-Unis] ; David J. Apple [États-Unis]

Source :

RBID : Pascal:05-0001728

Descripteurs français

English descriptors

Abstract

Purpose: To evaluate the development of posterior capsule opacification (PCO) after implantation of single-piece hydrophilic acrylic intraocular lenses (lOLs) with an enhanced square edge. Setting: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Methods: The standard 570H Centerflex (Rayner Ltd.) design was compared to 2 new designs with enhanced square edges: the 570E and the 570C. Ten lOLs of each type were implanted in a randomized manner by the same surgeon in 15 pigmented rabbits. After a follow-up of 3 weeks, the rabbits were killed and the eyes were analyzed from the posterior view. The intensity of central PCO, peripheral PCO, and Soemmering's ring formation was graded from 0 to 4. The area of Soemmering's ring was graded from 0 to 4 based on the number of quadrants involved. Other parameters analyzed were capsulorhexis coverage of the IOL edge and IOL centration and fixation. Results from the posterior view were complemented by histopathological evaluation. Results: Posterior capsule opacification was lowest in the 570C group, highest in the 570H group, and intermediate in the 570E group. There was a statistically significant difference between the 3 groups in peripheral PCO (P = .039). No significant difference was found between the groups in the other parameters analyzed. When cell ingrowth occurred with the 570H, it started at the optic-haptic junctions, as observed during the clinical follow-up and confirmed by gross and histopathological analyses. Conclusions: The square optic edge is the most important IOL design feature for PCO prevention. However, it should be present for 360 degrees around the IOL optic to provide an effective barrier effect.
pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 30
A06       @2 11
A08 01  1  ENG  @1 Posterior capsule opacification in rabbit eyes implanted with hydrophilic acrylic intraocular lenses with enhanced square edge
A11 01  1    @1 WERNER (Liliana)
A11 02  1    @1 MAMALIS (Nick)
A11 03  1    @1 PANDEY (Suresh K.)
A11 04  1    @1 IZAK (Andrea M.)
A11 05  1    @1 NILSON (Christian D.)
A11 06  1    @1 DAVIS (Brandon L.)
A11 07  1    @1 WEIGHT (Christopher)
A11 08  1    @1 APPLE (David J.)
A14 01      @1 David J. Apple, MD Laboratories for Ophthalmic Devices Research, John A. Moran Eye Center, University of Utah @2 Salt Lake City, Utah @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.
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A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000122632170250
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 05-0001728
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 Purpose: To evaluate the development of posterior capsule opacification (PCO) after implantation of single-piece hydrophilic acrylic intraocular lenses (lOLs) with an enhanced square edge. Setting: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Methods: The standard 570H Centerflex (Rayner Ltd.) design was compared to 2 new designs with enhanced square edges: the 570E and the 570C. Ten lOLs of each type were implanted in a randomized manner by the same surgeon in 15 pigmented rabbits. After a follow-up of 3 weeks, the rabbits were killed and the eyes were analyzed from the posterior view. The intensity of central PCO, peripheral PCO, and Soemmering's ring formation was graded from 0 to 4. The area of Soemmering's ring was graded from 0 to 4 based on the number of quadrants involved. Other parameters analyzed were capsulorhexis coverage of the IOL edge and IOL centration and fixation. Results from the posterior view were complemented by histopathological evaluation. Results: Posterior capsule opacification was lowest in the 570C group, highest in the 570H group, and intermediate in the 570E group. There was a statistically significant difference between the 3 groups in peripheral PCO (P = .039). No significant difference was found between the groups in the other parameters analyzed. When cell ingrowth occurred with the 570H, it started at the optic-haptic junctions, as observed during the clinical follow-up and confirmed by gross and histopathological analyses. Conclusions: The square optic edge is the most important IOL design feature for PCO prevention. However, it should be present for 360 degrees around the IOL optic to provide an effective barrier effect.
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C03 01  X  ENG  @0 Posterior @5 02
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C03 02  X  ENG  @0 Capsule @5 03
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C03 03  X  FRE  @0 Gélule @5 05
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C03 08  X  ENG  @0 Ophthalmology @5 12
C03 08  X  SPA  @0 Oftalmología @5 12
C03 09  X  FRE  @0 Implant @5 14
C03 09  X  ENG  @0 Implant @5 14
C03 09  X  SPA  @0 Implante @5 14
C03 10  X  FRE  @0 Hydrophilie @5 15
C03 10  X  ENG  @0 Hydrophily @5 15
C03 10  X  SPA  @0 Hidrofilia @5 15
C03 11  X  FRE  @0 Lentille intraoculaire @5 17
C03 11  X  ENG  @0 Intraocular lens @5 17
C03 11  X  SPA  @0 Lente intraocular @5 17
C03 12  X  FRE  @0 Bord @5 18
C03 12  X  ENG  @0 Edge @5 18
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C03 13  X  FRE  @0 Chirurgie @5 19
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C03 13  X  SPA  @0 Cirugía @5 19
C03 14  X  FRE  @0 Traitement @5 25
C03 14  X  ENG  @0 Treatment @5 25
C03 14  X  SPA  @0 Tratamiento @5 25
C07 01  X  FRE  @0 Lagomorpha @2 NS
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N21       @1 004
N44 01      @1 OTO
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Pascal:05-0001728

Le document en format XML

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<term>Implant</term>
<term>Intraocular lens</term>
<term>Opacification</term>
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<term>Lapin</term>
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<term>Ophtalmologie</term>
<term>Implant</term>
<term>Hydrophilie</term>
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<div type="abstract" xml:lang="en">Purpose: To evaluate the development of posterior capsule opacification (PCO) after implantation of single-piece hydrophilic acrylic intraocular lenses (lOLs) with an enhanced square edge. Setting: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Methods: The standard 570H Centerflex (Rayner Ltd.) design was compared to 2 new designs with enhanced square edges: the 570E and the 570C. Ten lOLs of each type were implanted in a randomized manner by the same surgeon in 15 pigmented rabbits. After a follow-up of 3 weeks, the rabbits were killed and the eyes were analyzed from the posterior view. The intensity of central PCO, peripheral PCO, and Soemmering's ring formation was graded from 0 to 4. The area of Soemmering's ring was graded from 0 to 4 based on the number of quadrants involved. Other parameters analyzed were capsulorhexis coverage of the IOL edge and IOL centration and fixation. Results from the posterior view were complemented by histopathological evaluation. Results: Posterior capsule opacification was lowest in the 570C group, highest in the 570H group, and intermediate in the 570E group. There was a statistically significant difference between the 3 groups in peripheral PCO (P = .039). No significant difference was found between the groups in the other parameters analyzed. When cell ingrowth occurred with the 570H, it started at the optic-haptic junctions, as observed during the clinical follow-up and confirmed by gross and histopathological analyses. Conclusions: The square optic edge is the most important IOL design feature for PCO prevention. However, it should be present for 360 degrees around the IOL optic to provide an effective barrier effect.</div>
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<s0>Purpose: To evaluate the development of posterior capsule opacification (PCO) after implantation of single-piece hydrophilic acrylic intraocular lenses (lOLs) with an enhanced square edge. Setting: John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Methods: The standard 570H Centerflex (Rayner Ltd.) design was compared to 2 new designs with enhanced square edges: the 570E and the 570C. Ten lOLs of each type were implanted in a randomized manner by the same surgeon in 15 pigmented rabbits. After a follow-up of 3 weeks, the rabbits were killed and the eyes were analyzed from the posterior view. The intensity of central PCO, peripheral PCO, and Soemmering's ring formation was graded from 0 to 4. The area of Soemmering's ring was graded from 0 to 4 based on the number of quadrants involved. Other parameters analyzed were capsulorhexis coverage of the IOL edge and IOL centration and fixation. Results from the posterior view were complemented by histopathological evaluation. Results: Posterior capsule opacification was lowest in the 570C group, highest in the 570H group, and intermediate in the 570E group. There was a statistically significant difference between the 3 groups in peripheral PCO (P = .039). No significant difference was found between the groups in the other parameters analyzed. When cell ingrowth occurred with the 570H, it started at the optic-haptic junctions, as observed during the clinical follow-up and confirmed by gross and histopathological analyses. Conclusions: The square optic edge is the most important IOL design feature for PCO prevention. However, it should be present for 360 degrees around the IOL optic to provide an effective barrier effect.</s0>
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