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纳米氟尿嘧啶涂层人工晶状体抑制后囊膜混浊的实验研究

[Empirical study on nano-fluorouracil-coated intraocular lens inhibiting posterior capsule opacification].

作者信息

Liu Yuan-Yuan, Huang Xiao, Wei Rui-Li, Li You, Cheng Jin-Wei

机构信息

Department of Ophthalmoloty, Changzheng Hospital, Shanghai 200003, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2009 Nov;45(11):1039-42.

Abstract

OBJECTIVE

To prepare nano-fluorouracil-coated intraocular lens (IOL) and to investigate its effect and feasibility of inhibiting posterior capsule opacification (PCO) of rabbit.

METHODS

Nano-fluorouracil is cross linked with IOL with the technology of energy-loaded particle beam. Forty New Zealand white rabbits were medially divided into 2 groups named group A and B randomly. All the crystalline lens of the left eyes were emulsified and evacuated of by the same operator, and then different treatment in different groups. In group A, the control group, the Polymethylmethacrylate (PMMA) IOLs were implanted. In group B, the nano-fluorouracil-coated IOLs were implanted. Slit-lamp-micrographscopy, histopathologyscopy and electron-microscopy were performed when 4 weeks after the operations.

RESULTS

The incidence rate and severity degree of PCO in control group is higher than the other group. The inflammatory reaction of anterior segment of the left eyes were remarkably occurred in group A. While almost no inflammatory reaction of anterior segment of the left eyes occurred in group B.

CONCLUSIONS

With implanting nano-fluorouracil-coated IOLs after phacoemulsification and evacuation of the crystalline lens can inhibit PCO actively and have slight toxic reaction and damage in the eyes.

摘要

目的

制备纳米氟尿嘧啶包被的人工晶状体(IOL),并研究其抑制兔后囊膜混浊(PCO)的效果及可行性。

方法

采用能量加载粒子束技术将纳米氟尿嘧啶与人工晶状体交联。40只新西兰白兔随机分为A、B两组。所有左眼晶状体均由同一操作者进行乳化并吸出,然后不同组进行不同处理。A组为对照组,植入聚甲基丙烯酸甲酯(PMMA)人工晶状体。B组植入纳米氟尿嘧啶包被的人工晶状体。术后4周进行裂隙灯显微镜检查、组织病理学检查和电子显微镜检查。

结果

对照组PCO的发生率和严重程度高于另一组。A组左眼前段有明显的炎症反应。而B组左眼前段几乎没有炎症反应。

结论

白内障超声乳化吸除术后植入纳米氟尿嘧啶包被的人工晶状体可有效抑制PCO,且对眼内的毒性反应和损伤较小。

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