Capsular bag opacification after experimental implantation of a new accommodating intraocular lens in rabbit eyes.
OBJECTIVE
To evaluate the development of capsular bag opacification in rabbit eyes after implantation of an intraocular lens (IOL) designed to minimize contact between the anterior capsule and the IOL and ensure expansion of the capsular bag.


METHODS
David J. Apple, MD Laboratories for Ophthalmic Devices Research, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.


METHODS
Ten New Zealand white rabbits had a study IOL (new accommodating silicone IOL [Synchrony, Visiogen, Inc.]) implanted in 1 eye and a control IOL (1-piece plate silicone IOL with large fixation holes) implanted in the other eye. Intraocular lens position, anterior capsule opacification (ACO), and posterior capsule opacification (PCO) were qualitatively assessed using slitlamp retroillumination photographs of the dilated eyes. Anterior capsule opacification and PCO were graded on a 0 to 4 scale after the eyes were enucleated (Miyake-Apple posterior and anterior views after excision of the cornea and iris). The eyes were also evaluated histopathologically.


RESULTS
The rate of ACO and PCO was significantly higher in the control group. Fibrosis and ACO were almost absent in the study group; the control group exhibited extensive capsulorhexis contraction, including capsulorhexis occlusion. Postoperative IOL dislocation into the anterior chamber and pupillary block syndrome were observed in some eyes in the study group.


CONCLUSIONS
The special design features associated with the study IOL appeared to help prevent PCO. Complications in the study group were probably caused by the increased posterior vitreous pressure in rabbit eyes compared to human eyes and the relatively large size of the study IOL relative to the anterior segment of rabbit eyes.
Werner
Liliana
L
David J. Apple, MD Laboratories for Ophthalmic Devices Research, John A. Moran Eye Center, University of Utah, Salt Lake City, UT 84132, USA. liliana.werner@hsc.utah.edu
Pandey
Suresh K
SK
Izak
Andrea M
AM
Vargas
Luis G
LG
Trivedi
Rupal H
RH
Apple
David J
DJ
Mamalis
Nick
N
D000818:Animals; D001672:Biocompatible Materials; D019923:Capsulorhexis; D002386:Cataract / Q000175:diagnosis / Q000517:prevention & control*; D005355:Fibrosis; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D023421:Models, Animal; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control*; D011474:Prosthesis Design; D011817:Rabbits; D012826:Silicone Elastomers
D001672:Biocompatible Materials; D012826:Silicone Elastomers