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Uveitis and intraocular lenses.

M A Galin, E Chowchuvech, L Turkish

    Transactions of the Ophthalmological Societies of the United Kingdom
    |April 1, 1976
    PubMed
    Summary
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    Polymethylmethacrylate (PMMA) discs with varying unpolymerized monomer levels showed no toxicity in tissue culture or rabbit eyes. The study suggests mechanical factors, not monomer concentration, primarily cause inflammation after PMMA implantation.

    Area of Science:

    • Biomaterials Science
    • Ophthalmology
    • Toxicology

    Background:

    • Polymethylmethacrylate (PMMA) is widely used in medical implants.
    • Concerns exist regarding potential toxicity from unpolymerized monomers in PMMA devices.
    • Understanding the inflammatory response to PMMA is crucial for patient safety.

    Purpose of the Study:

    • To evaluate the toxicity of unpolymerized monomer in PMMA discs.
    • To assess the inflammatory response in ocular tissues following PMMA implantation.
    • To determine the primary cause of inflammation associated with PMMA discs.

    Main Methods:

    • PMMA discs with 0-5% unpolymerized monomer were heated to increase monomer concentration up to 3.7%.
    • In vitro studies using tissue culture were performed.

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  • In vivo studies involved implantation into the anterior chambers of rabbit eyes.
  • Main Results:

    • No significant toxicity was observed in tissue culture experiments.
    • No discernible difference in anterior segment response was noted across varying monomer concentrations in rabbit eyes.
    • The inflammatory response did not correlate with the concentration of unpolymerized monomer.

    Conclusions:

    • Unpolymerized monomer in PMMA discs does not appear to be toxic in ocular tissues.
    • The inflammatory response to implanted PMMA discs is likely driven by mechanical irritation rather than chemical toxicity.
    • Further investigation into the mechanical properties of PMMA implants may be warranted.