Department of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India.
Indian J Ophthalmol. 2023 Dec 1;71(12):3663-3668. doi: 10.4103/IJO.IJO_273_23. Epub 2023 Nov 20.
To record experimental data on the spectral transmittance characteristics of transparent hydrophobic acrylic foldable IOLs, which were in vivo for a prolonged period of time and explanted under clinical indications and also to compare the data with that of corresponding control and crystalline lens along with review of the relevant literature.
Material and make of each of the explanted intraocular lenses (IOLs) as well as pre-explantation clinical status of the eyes were confirmed from the medical record. The transmittance of wavelength from 185 to 900 nm of each of the selected IOLs was measured using Shimadzu UV 2600 UV visible (UV-Vis) spectrophotometer in double-beam configuration and probe version 2.16 software. The data obtained were statistically analyzed.
The mean transmittance of 12 clinically explanted IOLs at spectral range 300-700 nm was 49.5% ± SD 6.9%. This value was 10% and 38% less than the corresponding clear (59% ± SD 0.4%) and yellow (87.5% ± SD 0.4%) control, respectively. The mean transmittance of the analytes in the UV range was 43.3 ± SD 6.9%, and it was almost similar to the control. The data showed wide variations without good correlation, and it matches with the human crystalline lens at the age range of 50-60 years. All eyes were otherwise healthy, and none had age-related macular degeneration.
In comparison with fresh IOL with a yellow filter, light transmittance at the spectral range 300-700 nm was found decreased in all the IOLs, which were in vivo for an average period of 12.25 ± 4.4 years. All IOLs transmitted variable amounts of UV radiation. More data are required for further analysis on the subject.
记录在体内长时间植入并根据临床指征取出的透明疏水性丙烯酸折叠式人工晶状体的光谱透过率特性的实验数据,并与相应的对照晶状体和天然晶状体的数据进行比较,同时回顾相关文献。
从病历中确认每个取出的人工晶状体(IOL)的材料和制造以及眼球取出前的临床状况。使用 Shimadzu UV 2600 UV 可见(UV-Vis)分光光度计在双光束配置和探头版本 2.16 软件中测量每个所选 IOL 的波长 185 至 900nm 的透过率。对获得的数据进行统计学分析。
在 300-700nm 光谱范围内,12 个临床取出的 IOL 的平均透过率为 49.5% ± SD 6.9%。该值分别比相应的透明(59% ± SD 0.4%)和黄色(87.5% ± SD 0.4%)对照物低 10%和 38%。分析物在 UV 范围内的平均透过率为 43.3 ± SD 6.9%,与对照物几乎相似。数据显示变化范围很广,没有良好的相关性,与 50-60 岁年龄范围的人类天然晶状体相匹配。所有眼睛均无其他健康问题,且均无年龄相关性黄斑变性。
与具有黄色滤光片的新鲜 IOL 相比,在体内平均存在 12.25 ± 4.4 年的所有 IOL 的 300-700nm 光谱范围内的光透过率均降低。所有 IOL 均透过不同量的紫外线辐射。需要更多的数据来进一步分析该主题。