Assessment of the blood-aqueous barrier by fluorophotometry following poly(methyl methacrylate), silicone, and hydrogel lens implantation in rabbit eyes

Keith H. Carlson, J. Douglas Cameron, Richard L. Lindstrom

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Intraocular lenses of silicone, hydrogel, or acrylic materials that can be implanted through small incisions are being proposed as an alternative to conventional poly(methyl methacrylate) lenses. The potential of each of these materials to stimulate intraocular inflammation is important in their selection as an implantable material. To investigate the potential of each material, we assessed by clinical slitlamp examination, fluorophotometry, and histopathology the inflammatory response induced in the rabbit eye following phacoemulsification and implantation of hydrogel, silicone, or poly(methyl methacrylate) intraocular lenses. All lenses seemed to be equally well tolerated. In general, the degree of inflammation seen clinically decreased over the four-month study; however, anterior segment fluorophotometry showed continued mild interruption of the blood-aqueous barrier in all lens groups. Fluorophotometry is a sensitive method to assess persistent subclinical anterior segment inflammation.

Original languageEnglish (US)
Pages (from-to)9-15
Number of pages7
JournalJournal of cataract and refractive surgery
Volume19
Issue number1
DOIs
StatePublished - 1993

Bibliographical note

Funding Information:
Supported in part by an unrestricted grant from the Friends of Phillips Foundation and Alcon Surgical. Inc .. Fort Worth.

Keywords

  • fluorophotometry
  • histopathology
  • hydrogel
  • intraocular inflammation
  • intraocular lens
  • poly(methyl methacrylate)
  • pseudophakia
  • silicone
  • small incision lens implantation
  • soft intraocular lens

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