Square-edge intraocular lenses and epithelial lens cell proliferation: implications on posterior capsule opacification in an in vitro model
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  • 作者:Rita Mencucci (1)
    Eleonora Favuzza (1)
    Carlotta Boccalini (1)
    Jean-Jacques Gicquel (2)
    Laura Raimondi (3)

    1. Department of Surgery and Translational Medicine -Eye Clinic
    ; University of Florence ; Florence ; Italy
    2. Department of Ophthalmology
    ; Poitiers University Hospital ; Poitiers ; Cedex ; France
    3. Department of NEUROFARBA
    ; section of Pharmacology ; University of Florence ; Florence ; Italy
  • 关键词:Posterior capsule opacification ; Intraocular lens ; Square edge ; Cataract
  • 刊名:BMC Ophthalmology
  • 出版年:2015
  • 出版时间:December 2015
  • 年:2015
  • 卷:15
  • 期:1
  • 参考文献:1. Vasavada AR, Raj SM, Shah A, Shah G, Vasavada V, Vasavada V: Comparison of posterior capsule opacification with hydrophobic acrylic and hydrophilic acrylic intraocular lenses. / J Cataract Refract Surg 2011, 37:1050-. 10.1016/j.jcrs.2010.12.060 CrossRef
    2. Nixon DR, Woodcock MG: Pattern of posterior capsule opacification models 2?years postoperatively with 2 single-piece acrylic intraocular lenses. / J Cataract Refract Surg 2010, 36:929-4. 10.1016/j.jcrs.2009.12.040 CrossRef
    3. Peng Q, Visessook N, Apple DJ, Pandey SK, Werner L, Escobar-Gomez M, / et al.: Surgical prevention of posterior capsule opacification. Part 3: intraocular lens optic barrier effect as a second line of defense. / J Cataract Refract Surg 2000, 26:198-13. 10.1016/S0886-3350(99)00352-1 CrossRef
    4. Chung HS, Lim SJ, Kim HB: Effect of mitomycin-C on posterior capsule opacification in rabbit eyes. / J Cataract Refract Surg 2000, 26:1537-2. 10.1016/S0886-3350(00)00309-6 CrossRef
    5. Meacock WR, Spalton DJ, Hollick EJ, Boyce JF, Barman S, Sanguinetti G: Double-masked prospective ocular safety study of a lens epithelial cell antibody to prevent posterior capsule opacification. / J Cataract Refract Surg 2000, 26:716-1. 10.1016/S0886-3350(00)00326-6 CrossRef
    6. Apple DJ, Peng Q, Visessook N, Werner L, Pandey SK, Escobar-Gomez M, / et al.: Surgical prevention of posterior capsule opacification. Part 1: progress in eliminating this complication of cataract surgery. / J Cataract Refract Surg 2000, 26:180-. 10.1016/S0886-3350(99)00353-3 CrossRef
    7. Hollick EJ, Spalton DJ, Ursell PG, Pande MV: Lens epithelial cell regression on the posterior capsule with different intraocular lens materials. / Br J Ophthalmol 1998, 82:1182-. 10.1136/bjo.82.10.1182 CrossRef
    8. Kohnen T, Fabian E, Gerl R, Hunold W, Hütz W, Strobel J, / et al.: Optic edge design as long-term factor for posterior capsular opacification rates. / Ophthalmology 2008, 115:1308-4. 1314.e1- 10.1016/j.ophtha.2008.01.002 CrossRef
    9. Findl O, Menapace R, Sacu S, Buehl W, Rainer G: Effect of optic material on posterior capsule opacification in intraocular lenses with sharp-edge optics: randomized clinical trial. / Ophthalmology 2005, 112:67-2. 10.1016/j.ophtha.2004.07.032 CrossRef
    10. Dawes LJ, Illingworth CD, Wormstone I: A fully human in vitro capsular bag model to permit intraocular lens evaluation. / Invest Ophthalmol Vis Sci 2012, 53:23-. 10.1167/iovs.11-8851 CrossRef
    11. Cleary G, Spalton DJ, Zhang JJ, Marshall J: In vitro lens capsule model for investigation of posterior capsule opacification. / J Cataract Refract Surg 2010, 36:1249-2. 10.1016/j.jcrs.2010.05.006 CrossRef
    12. Burger J, Kreutzer T, Alge CS, Strauss RW, Eibl K, Haritoglou C, / et al.: Capsular tension
  • 刊物主题:Ophthalmology;
  • 出版者:BioMed Central
  • ISSN:1471-2415
文摘
Background To evaluate lens epithelial cell (LEC) proliferation with two different designs (one-piece or three-piece) of hydrophobic acrylic IOLs with 360° square optic edge using an in vitro culture model of posterior capsule opacification (PCO). Methods This experimental study was conducted at the Department of NEUROFARBA, Section of Pharmacology, University of Florence, Italy. Human LECs were seeded and cultured in transwell cell culture inserts coated with a type-IV collagen membrane on which an IOL (one-piece Tecnis-1 or three-piece AR40E, Abbott Medical Optics Inc.) had been previously placed. As control, cells were plated on the insert membrane without an IOL. At day six (cells confluent in controls) IOLs were removed and cell counting, viability and cell density under and outside the IOLs were evaluated. Results No statistically significant difference in the number of cells (p--.05) between inserts with the one-piece and three-piece IOLs was found. Cell density in the area under each IOL was significantly lower than in the area outside of it (p--.05), or in the control insert. (p--.05). Cell density under the single-piece IOL was not significantly different from that under the three-piece IOL (p--.05). Conclusions A 360° sharp-edge played a crucial role in avoiding LEC migration under the IOL and preventing the formation of PCO after cataract surgery. Long term clinical evaluation is necessary to estimate functional results.

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