1. Measurement of Force Required for Anterior Displacement of Intraocular Lenses and Its Defining Parameters
- Author
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Masaki Tanito, Yoshihisa Ishiba, Sachiko Kaidzu, Yuji Matsuda, and Mihoko Mochiji
- Subjects
medicine.medical_specialty ,Materials science ,intraocular lens (IOL) ,0206 medical engineering ,Glaucoma ,After cataract ,02 engineering and technology ,lcsh:Technology ,Junction area ,Article ,Vitreous cavity ,03 medical and health sciences ,one-piece IOL ,0302 clinical medicine ,soft-acrylic IOL ,Ophthalmology ,medicine ,IOL hardness ,General Materials Science ,Displacement (orthopedic surgery) ,Anterior displacement ,lcsh:Microscopy ,Vitreous surgery ,lcsh:QC120-168.85 ,haptics junction area ,lcsh:QH201-278.5 ,lcsh:T ,medicine.disease ,020601 biomedical engineering ,posterior IOL bulge ,Intraocular lenses ,lcsh:TA1-2040 ,030221 ophthalmology & optometry ,lcsh:Descriptive and experimental mechanics ,lcsh:Electrical engineering. Electronics. Nuclear engineering ,lcsh:Engineering (General). Civil engineering (General) ,lcsh:TK1-9971 ,IOL displacement force - Abstract
Intraocular stability during or after cataract and glaucoma filtration surgeries and vitreous surgery with a gas/silicone oil tamponade might differ among intraocular lenses (IOLs). We used six different one-piece IOL models and measured the force that displaced the IOLs from the vitreous cavity to anterior chamber as a measure of stability against the pressure gradient between the anterior and posterior IOL surfaces. We measured IOL hardness, haptics junction area, and posterior IOL bulge to identify what determines the IOL displacement force. The KOWA YP2.2 IOL (1.231 mN) required significantly greater force than the HOYA XY1 (0.416 mN, p = 0.0004), HOYA 255 (0.409 mN, p = 0.0003), Alcon SN60WF (0.507 mN, p = 0.0010), and Nidek NS60YG (0.778 mN, p = 0.0186) IOLs, J&, J ZCB00V IOL (1.029 mN) required greater force than the HOYA XY1 (p = 0.0032) and HOYA 255 (p = 0.0029) IOLs, the Nidek NS60YG IOL required greater force than the HOYA 255 (p = 0.0468) IOL. The haptics junction area was correlated positively with the IOL displacement force (r = 0.8536, p = 0.0306), the correlations of the other parameters were non-significant. After adjusting for any confounding effects, the haptics junction area was correlated significantly with the IOL displacement force (p = 0.0394), the IOL hardness (p = 0.0573) and posterior IOL bulge (p = 0.0938) were not. The forces that displace IOLs anteriorly differed among one-piece soft-acrylic IOLs, and the optics/haptics junction area was the major force determinant.
- Published
- 2020
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