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Acrylic intraocular lens damage after folding using a forceps insertion technique.

Jay C Erie1, Brant Newman, Michael A Mahr

  • 1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905, USA. erie.jay@mayo.edu

Journal of Cataract and Refractive Surgery
|March 6, 2010
PubMed
Summary

Forceps folding of acrylic intraocular lenses (IOLs) can cause surface depressions. Coating the IOL with ophthalmic viscosurgical device (OVD) before insertion prevents these defects, preserving optic surface integrity.

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Area of Science:

  • Ophthalmology
  • Materials Science

Background:

  • Intraocular lens (IOL) insertion techniques are critical for visual outcomes.
  • Forceps manipulation during IOL insertion can potentially induce optic surface abnormalities.

Purpose of the Study:

  • To investigate surface abnormalities on acrylic intraocular lenses (IOLs) after folding with a forceps insertion technique.
  • To identify factors influencing the development of these IOL surface defects.

Main Methods:

  • Acrylic AcrySof MA60AC IOLs were microscopically examined before and after folding.
  • Differential interference contrast and reflected light imaging were employed.
  • The influence of temperature, time, and ophthalmic viscosurgical device (OVD) was assessed.

Main Results:

  • All IOLs exhibited smooth surfaces pre-folding.
  • Post-folding, all IOLs showed anterior optic surface depressions corresponding to forceps contact.
  • Depressions were exacerbated by IOL warming and forceps wear, and persisted for up to 72 hours.
  • OVD coating prior to forceps grasping prevented depression formation.

Conclusions:

  • The anterior optic surface of acrylic IOLs is susceptible to forceps-induced depressions.
  • Applying OVD to the IOL surface before grasping with metal forceps effectively prevents these abnormalities.