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人工晶状体及缝合材料生物降解的扫描电子显微镜研究

Scanning electron microscope study on the biodegradation of IOL and suturing materials.

作者信息

Yamanaka A, Nakamae K, Takeuchi M, Momose A, Fukado Y, Oshima K, Goto H

出版信息

Trans Ophthalmol Soc U K (1962). 1985;104 ( Pt 5):517-21.

PMID:3863339
Abstract

The biodegradation of the IOLs (27 cases: mainly prepupillary lens with pupillary fixation, irido-capsular and angle supported lens and a J loop lens for posterior chamber lens) and suturing materials of four cases have been studied by Scanning Electron Microscope (SEM). The longest duration in the eye was 7.5 years and the shortest 0.3 year. The materials used for optics were PMMA with the exception of one case of glass. The materials for haptics were Nylon 6, Isot.PP, PMMA, PVDF, Polyimid and Pt-Ir. The suturing materials were Nylon 6 and Isot.PP. Nylon 6 degraded in the eye and Isot.PP degraded in the corneal tissue. But no biodegradation was observed in Isot.PP, PMMA, PVDF and Pt-Ir in the eye. In our investigations, biodegradation has some relationship to age (over 50 years old), duration (within 7.5 years) and inflammation of the eye, but ultimately biodegradation will depend on the individual situation. Degradation occurs most easily in the curved portion of Nylon 6.

摘要

已通过扫描电子显微镜(SEM)研究了27例人工晶状体(主要是瞳孔固定的瞳孔前晶状体、虹膜-囊袋和房角支撑晶状体以及1例用于后房的J袢晶状体)和4例缝合材料的生物降解情况。在眼内的最长存留时间为7.5年,最短为0.3年。除1例玻璃材质外,光学部分所用材料均为聚甲基丙烯酸甲酯(PMMA)。襻的材料有尼龙6、等规聚丙烯(Isot.PP)、PMMA、聚偏二氟乙烯(PVDF)、聚酰亚胺和铂铱合金。缝合材料为尼龙6和等规聚丙烯。尼龙6在眼内降解,等规聚丙烯在角膜组织中降解。但在眼内未观察到等规聚丙烯、PMMA、PVDF和铂铱合金发生生物降解。在我们的研究中,生物降解与年龄(50岁以上)、存留时间(7.5年以内)和眼部炎症有一定关系,但最终生物降解情况将取决于个体情况。尼龙6的弯曲部分最易发生降解。

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