Tamer Ahmed Macky

Citation:

Izak, A. M., L. Werner, D. J. Apple, T. A. Macky, R. H. Trivedi, and S. K. Pandey, "Loop memory of haptic materials in posterior chamber intraocular lenses.", Journal of cataract and refractive surgery, vol. 28, issue 7, pp. 1229-35, 2002 Jul. copy at www.tinyurl.com/y69fao4l

Abstract:

PURPOSE: To compare the shape recovery ratios after compression of haptic materials used in the manufacture of intraocular lenses (IOLs).

SETTING: Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina, USA.

METHODS: The loop memory of 40 silicone-optic posterior chamber IOLs was studied. All the IOLs had modified-C haptics made of poly(methyl methacrylate) (PMMA; n = 10), polyimide (n = 10), polyvinylidene fluoride (PVDF; n = 10), and polypropylene (PP; n = 10). After the overall diameter of each lens was measured (day 0), the lenses were inserted into plastic wells (9.5 mm in diameter) and immersed in water (37 degrees C) for 1 month. They were then placed on an open plate and allowed to reexpand for 2 months. Overall diameter measurements were performed within 5 minutes of the IOLs' removal from the wells and at subsequent time points (days 14, 28, 30, 60, 74, 88, and 95).

RESULTS: The loop memory of each lens was expressed as the difference between the initial overall diameter measurement (pretest) and the measurement at each time point; the lower the value, the higher the memory. The overall difference among the 4 groups was statistically significant at each time point (P < or = .001). From days 30 to 95, silicone-PMMA, silicone-elastimide, and silicone-PVDF IOLs had similar loop memory mean values, which were significantly lower than the mean value of silicone-PP IOLs (P <.05). The latter design tended to be deformed after removal from the wells, with increased optic-haptic angulation.

CONCLUSION: Studying the loop memory of haptic materials (PMMA, polyimide, PVDF, and PP) used in the manufacture of posterior chamber IOLs can help surgeons choose an appropriate IOL for each patient.