Kimura W, Kimura T, Sawada T, Kikuchi T, Nagai H, Yamada Y
Kimura Eye and Internal Medicine Hospital, Hiroshima-ken, Japan.
J Cataract Refract Surg. 1993 Sep;19(5):635-9. doi: 10.1016/s0886-3350(13)80015-6.
We studied shape recovery ratios of several single- and three-piece intraocular lens (IOL) haptics after conducting compression tests for various lengths of time. Results of the comparison of poly(methyl methacrylate) (PMMA) IOL haptics configured of a single piece and of three pieces showed a superior shape recovery ratio for single-piece haptics. Comparisons of the shape recovery ratios among single-piece PMMA haptics and conventional three-piece haptics made of polyvinylidene fluoride (PVDF), PMMA, and polypropylene (PP) revealed that the shape recovery ratio of single-piece PMMA haptics was higher than the ratios of the conventional three-piece PMMA and PP haptics. The ratios of two of three of the single-piece PMMA haptics, however, were lower than the ratios of three-piece PVDF haptics. The form and manufacturing procedures of haptics likely have a significant impact on the shape recovery ratio of haptics, even those made of the same material. Since decentration after IOL surgery could be caused by the condition of the patient's lenticular capsule and Zinn's zonule, it is difficult to conclude that the shape recovery ratio is the only factor in IOL stability. Nevertheless, this study indicates that IOL haptics that cause less decentration and have better mechanical properties should be developed.
我们在对几种单件式和三件式人工晶状体(IOL)袢进行不同时长的压缩测试后,研究了它们的形状恢复率。对由单件式和三件式构成的聚甲基丙烯酸甲酯(PMMA)IOL袢的比较结果显示,单件式袢的形状恢复率更高。对单件式PMMA袢与由聚偏二氟乙烯(PVDF)、PMMA和聚丙烯(PP)制成的传统三件式袢的形状恢复率进行比较发现,单件式PMMA袢的形状恢复率高于传统三件式PMMA和PP袢的形状恢复率。然而,三件单件式PMMA袢中有两件的形状恢复率低于三件式PVDF袢的形状恢复率。袢的形状和制造工艺可能对袢的形状恢复率有显著影响,即使是由相同材料制成的袢。由于人工晶状体手术后的偏心可能由患者晶状体囊和睫状小带的状况引起,因此很难得出形状恢复率是人工晶状体稳定性的唯一因素这一结论。尽管如此,本研究表明应开发出引起偏心较小且具有更好机械性能的人工晶状体袢。