Skip to main content
Top
Published in: BMC Ophthalmology 1/2020

Open Access 01-12-2020 | Research article

Glistening formation in a new hydrophobic acrylic intraocular lens

Authors: Timur M. Yildirim, Hui Fang, Sonja K. Schickhardt, Qiang Wang, Patrick R. Merz, Gerd U. Auffarth

Published in: BMC Ophthalmology | Issue 1/2020

Login to get access

Abstract

Background

The formation of fluid-filled microvacuoles, termed glistenings, is a common complication of intraocular lenses (IOLs) made from hydrophobic acrylate. Using our well-established in-vitro laboratory method, we evaluated a new IOL material’s resistance to glistening formation.

Methods

An in-vitro stress test for glistening induction was performed on 20 samples of hydrophobic acrylic IOLs: ten of the new Eyecryl ASHFY600 (Biotech Vision Care, Ahmedabad, India) compared with ten samples of AcrySof IQ SN60WF (Alcon, Fort Worth, USA). The number of microvacuoles per square millimetre (MV/mm2) was evaluated in five sections of each IOL. The results for each model were compared and rated on a modified Miyata Scale for grading glistening severity.

Results

In all cases, glistening number was higher in the central section of the IOL optic than in the periphery. Mean number of MV/mm2 was highest in the central part of the AcrySof IQ SN60WF, with 41.84 (±27.67) MVs/mm2. The lowest number of glistenings was found in the five sections of the Eyecryl ASHFY600 with 0.52 (±0.24) MVs/mm2. Mean value of the Eyecryl ASHFY600 IOL, using the Miyata Scale, was Zero.

Conclusion

In this in-vitro laboratory study, the new hydrophobic acrylic IOL showed a high resistance to microvacuole formation. Results from this in-vitro study suggest that glistening numbers will be low in clinical use in the Eyecryl ASHFY600.
Literature
1.
go back to reference Thomes BE, Callaghan TA. Evaluation of in vitro glistening formation in hydrophobic acrylic intraocular lenses. Clin Ophthalmol. 2013;7:1529–34.CrossRef Thomes BE, Callaghan TA. Evaluation of in vitro glistening formation in hydrophobic acrylic intraocular lenses. Clin Ophthalmol. 2013;7:1529–34.CrossRef
2.
go back to reference Ronbeck M, Behndig A, Taube M, Koivula A, Kugelberg M. Comparison of glistenings in intraocular lenses with three different materials: 12-year follow-up. Acta Ophthalmol. 2013;91(1):66–70.CrossRef Ronbeck M, Behndig A, Taube M, Koivula A, Kugelberg M. Comparison of glistenings in intraocular lenses with three different materials: 12-year follow-up. Acta Ophthalmol. 2013;91(1):66–70.CrossRef
3.
go back to reference Ballin N. Glistenings in injection-molded lens. J Am Intra-Ocular Implant Soc. 1984;10(4):473.CrossRef Ballin N. Glistenings in injection-molded lens. J Am Intra-Ocular Implant Soc. 1984;10(4):473.CrossRef
4.
go back to reference Tetz M, Jorgensen MR. New hydrophobic IOL materials and understanding the science of Glistenings. Curr Eye Res. 2015;40(10):969–81.CrossRef Tetz M, Jorgensen MR. New hydrophobic IOL materials and understanding the science of Glistenings. Curr Eye Res. 2015;40(10):969–81.CrossRef
5.
go back to reference Ong MD, Callaghan TA, Pei R, Karakelle M. Etiology of surface light scattering on hydrophobic acrylic intraocular lenses. J Cataract Refract Surg. 2012;38(10):1833–44.CrossRef Ong MD, Callaghan TA, Pei R, Karakelle M. Etiology of surface light scattering on hydrophobic acrylic intraocular lenses. J Cataract Refract Surg. 2012;38(10):1833–44.CrossRef
6.
go back to reference Nishihara H, Yaguchi S, Onishi T, Chida M, Ayaki M. Surface scattering in implanted hydrophobic intraocular lenses. J Cataract Refract Surg. 2003;29(7):1385–8.CrossRef Nishihara H, Yaguchi S, Onishi T, Chida M, Ayaki M. Surface scattering in implanted hydrophobic intraocular lenses. J Cataract Refract Surg. 2003;29(7):1385–8.CrossRef
7.
go back to reference Miyata A, Uchida N, Nakajima K, Yaguchi S. Clinical and experimental observation of glistening in acrylic intraocular lenses. Jpn J Ophthalmol. 2001;45(6):564–9.CrossRef Miyata A, Uchida N, Nakajima K, Yaguchi S. Clinical and experimental observation of glistening in acrylic intraocular lenses. Jpn J Ophthalmol. 2001;45(6):564–9.CrossRef
8.
go back to reference Weindler JN, Labuz G, Yildirim TM, Tandogan T, Khoramnia R, Auffarth GU. The impact of glistenings on the optical quality of a hydrophobic acrylic intraocular lens. J Cataract Refract Surg. 2019;45(7):1020–5.CrossRef Weindler JN, Labuz G, Yildirim TM, Tandogan T, Khoramnia R, Auffarth GU. The impact of glistenings on the optical quality of a hydrophobic acrylic intraocular lens. J Cataract Refract Surg. 2019;45(7):1020–5.CrossRef
9.
go back to reference Labuz G, Knebel D, Auffarth GU, Fang H, van den Berg TJ, Yildirim TM, Son HS, Khoramnia R. Glistening formation and light scattering in six hydrophobic-acrylic intraocular lenses. Am J Ophthalmol. 2018;196:112–20.CrossRef Labuz G, Knebel D, Auffarth GU, Fang H, van den Berg TJ, Yildirim TM, Son HS, Khoramnia R. Glistening formation and light scattering in six hydrophobic-acrylic intraocular lenses. Am J Ophthalmol. 2018;196:112–20.CrossRef
10.
go back to reference Miyata A, Uchida N, Nakajima K, Yaguchi S. Clinical and experimental observation of glistening in acrylic intraocular lenses. Jpn J Ophthalmol. 2000;44(6):693.CrossRef Miyata A, Uchida N, Nakajima K, Yaguchi S. Clinical and experimental observation of glistening in acrylic intraocular lenses. Jpn J Ophthalmol. 2000;44(6):693.CrossRef
11.
12.
go back to reference Nanu RV, Ungureanu E, Instrate SL, Vrapciu A, Cozubas R, Carstocea L, Voinea LM, Ciuluvica R. An overview of the influence and design of biomaterial of the intraocular implant of the posterior capsule opacification. Rom J Ophthalmol. 2018;62(3):188–93.CrossRef Nanu RV, Ungureanu E, Instrate SL, Vrapciu A, Cozubas R, Carstocea L, Voinea LM, Ciuluvica R. An overview of the influence and design of biomaterial of the intraocular implant of the posterior capsule opacification. Rom J Ophthalmol. 2018;62(3):188–93.CrossRef
13.
go back to reference Yildirim TM, Auffarth GU, Labuz G, Bopp S, Son HS, Khoramnia R. Material analysis and optical quality assessment of Opacified hydrophilic acrylic intraocular lenses after pars Plana Vitrectomy. Am J Ophthalmol. 2018;193:10–9.CrossRef Yildirim TM, Auffarth GU, Labuz G, Bopp S, Son HS, Khoramnia R. Material analysis and optical quality assessment of Opacified hydrophilic acrylic intraocular lenses after pars Plana Vitrectomy. Am J Ophthalmol. 2018;193:10–9.CrossRef
14.
go back to reference Michael R, Van Rijn LJ, Van Den Berg TJTP, Barraquer RI, Grabner G, Wilhelm H, Coeckelbergh T, Emesz M, Marvan P, Nischler C. Association of lens opacities, intraocular straylight, contrast sensitivity and visual acuity in European drivers. Acta Ophthalmol. 2009;87(6):666–71.CrossRef Michael R, Van Rijn LJ, Van Den Berg TJTP, Barraquer RI, Grabner G, Wilhelm H, Coeckelbergh T, Emesz M, Marvan P, Nischler C. Association of lens opacities, intraocular straylight, contrast sensitivity and visual acuity in European drivers. Acta Ophthalmol. 2009;87(6):666–71.CrossRef
15.
go back to reference Nishihara H, Ayaki M, Watanabe T, Ohnishi T, Kageyama T, Yaguchi S. Comparison of surface light scattering of acrylic intraocular lenses made by lathe-cutting and cast-molding methods--long-term observation and experimental study. Nippon Ganka Gakkai Zasshi. 2004;108(3):157–61.PubMed Nishihara H, Ayaki M, Watanabe T, Ohnishi T, Kageyama T, Yaguchi S. Comparison of surface light scattering of acrylic intraocular lenses made by lathe-cutting and cast-molding methods--long-term observation and experimental study. Nippon Ganka Gakkai Zasshi. 2004;108(3):157–61.PubMed
16.
go back to reference Werner L, Hunter B, Stevens S, Chew JJ, Mamalis N. Role of silicon contamination on calcification of hydrophilic acrylic intraocular lenses. Am J Ophthalmol. 2006;141(1):35–43.CrossRef Werner L, Hunter B, Stevens S, Chew JJ, Mamalis N. Role of silicon contamination on calcification of hydrophilic acrylic intraocular lenses. Am J Ophthalmol. 2006;141(1):35–43.CrossRef
17.
go back to reference Miyata A, Yaguchi S. Equilibrium water content and glistenings in acrylic intraocular lenses. J Cataract Refract Surg. 2004;30(8):1768–72.CrossRef Miyata A, Yaguchi S. Equilibrium water content and glistenings in acrylic intraocular lenses. J Cataract Refract Surg. 2004;30(8):1768–72.CrossRef
18.
go back to reference Pagnoulle C, Bozukova D, Gobin L, Bertrand V, Gillet-De Pauw MC. Assessment of new-generation glistening-free hydrophobic acrylic intraocular lens material. J Cataract Refract Surg. 2012;38(7):1271–7.CrossRef Pagnoulle C, Bozukova D, Gobin L, Bertrand V, Gillet-De Pauw MC. Assessment of new-generation glistening-free hydrophobic acrylic intraocular lens material. J Cataract Refract Surg. 2012;38(7):1271–7.CrossRef
Metadata
Title
Glistening formation in a new hydrophobic acrylic intraocular lens
Authors
Timur M. Yildirim
Hui Fang
Sonja K. Schickhardt
Qiang Wang
Patrick R. Merz
Gerd U. Auffarth
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2020
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-020-01430-z

Other articles of this Issue 1/2020

BMC Ophthalmology 1/2020 Go to the issue