Document Detail


Decreased visual function due to high-level light scattering in a hydrophobic acrylic intraocular lens.
MedLine Citation:
PMID:  21331695     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To investigate the effects of light scattering from the surface of hydrophobic acrylic intraocular lenses (IOLs) on visual function. METHODS: A 67-year-old man was implanted with an IOL (MA60BM) in January 1998, but became aware of decreased visual function in May 2008. Observation with a slit lamp revealed light scattering throughout the entire optic of the IOL, which was extracted and replaced. Postoperative visual function improved at 1 month. The cause of light scattering was investigated with a focus on water permeating the IOL material. To confirm the effect of light scattering on visual function, light transmission of the extracted IOL was measured in physiological saline at 33°C, and the simulated retinal image was evaluated in a model eye. RESULTS: Observation of the extracted IOL showed light scattering from the optic surface layer, the main cause of which was phase-separated water within the IOL material. Light transmission in the extracted IOL was 16.3% lower than that in an unused IOL in the visible range. Moreover, the simulated retinal image was hazy compared to that of the unused IOL. CONCLUSION: Severe surface light scattering from an IOL optic may decrease visual function.
Authors:
Shinichiro Yoshida; Hiroyuki Matsushima; Mayumi Nagata; Tadashi Senoo; Ichiro Ota; Kensaku Miyake
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-18
Journal Detail:
Title:  Japanese journal of ophthalmology     Volume:  55     ISSN:  1613-2246     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-2-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0044652     Medline TA:  Jpn J Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  62-66     Citation Subset:  -    
Affiliation:
Yoshida Eye Hospital, Hakodate, Japan.
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