Koopmans Steven A, Terwee Thom, Haitjema Henk J, Deuring Henk, Aarle Sonja, Kooijman Aart C
Applied Research Laboratory, Pfizer Groningen, van Swietenlaan, Groningen, The Netherlands.
Ophthalmic Physiol Opt. 2004 Nov;24(6):572-9. doi: 10.1111/j.1475-1313.2004.00238.x.
This study was performed to elucidate the correlation between added lens refill material and enhanced lens power as well as the correlation between lens refilling volume and accommodative amplitude as determined by equatorial stretching of ex vivo refilled pigs' lenses.
Nine porcine lenses were refilled with increasing amounts of silicone oil. After each refill step, the lens power, the lens power change, and the lens thickness were measured both in the relaxed state and with a 3-mm larger ciliary body diameter. In addition, the spherical aberration of the refilled lenses was also quantified.
Injection of 0.04 mL silicone material into the relaxed lens enhanced the lens power by 1 D. A 0.54-mm increase of the lens thickness in relaxed lenses added 1 D to the lens power. Increasing the lens refilling volume decreased the lens power changes measured at 3-mm ciliary body stretch. Spherical aberration was positive in the refilled lenses and increased with increasing lens refilling volume.
The correlation found between the refilling volume and the lens power (0.04 mL D(-1)), as well as the correlation between the lens thickness and the lens power (0.54 mm D(-1)), might be important factors to be controlled in conjunction with surgery, as these also determine the lens power in the presence of this refill material. An increasing lens filling volume is associated with decreasing accommodative amplitude. The positive spherical aberration of refilled porcine lenses presents a sharp contrast to the negative aberration of natural pigs' lenses. Different lens contours and the transition from a gradient to a homogeneous refractive index might be responsible for this change in spherical aberration.
本研究旨在通过对离体再填充猪晶状体进行赤道拉伸,阐明添加的晶状体再填充材料与增强的晶状体屈光力之间的相关性,以及晶状体再填充体积与调节幅度之间的相关性。
向九个猪晶状体中逐渐增加硅油的填充量。在每个再填充步骤之后,分别在松弛状态和睫状体直径增大3mm的状态下测量晶状体屈光力、晶状体屈光力变化和晶状体厚度。此外,还对再填充晶状体的球差进行了量化。
向松弛的晶状体中注入0.04mL硅酮材料可使晶状体屈光力增强1D。松弛晶状体的厚度增加0.54mm可使晶状体屈光力增加1D。增加晶状体再填充体积可降低在睫状体拉伸3mm时测量的晶状体屈光力变化。再填充晶状体的球差为正值,且随晶状体再填充体积的增加而增加。
再填充体积与晶状体屈光力之间的相关性(0.04mL D⁻¹)以及晶状体厚度与晶状体屈光力之间的相关性(0.54mm D⁻¹)可能是手术中需要综合控制的重要因素,因为在存在这种再填充材料的情况下,它们也决定了晶状体屈光力。晶状体填充体积增加与调节幅度降低相关。再填充猪晶状体的正球差与天然猪晶状体的负球差形成鲜明对比。不同的晶状体轮廓以及从渐变折射率到均匀折射率的转变可能是球差发生这种变化的原因。