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Life on implants.

T J Leonard, I Grierson, P N Fison

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1983
    PubMed
    Summary
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    Anterior chamber lenses removed after 15 years showed fibrin membranes and pigment cells, not chronic inflammation. Implant movement, not inflammation, likely caused corneal decompensation and pain.

    Area of Science:

    • Ophthalmology
    • Biomaterials Science

    Background:

    • Anterior chamber intraocular lenses (IOLs) are used to correct vision.
    • Long-term complications of IOLs require investigation.

    Observation:

    • Seven Ridley Mark I anterior chamber lenses were explanted after an average of 15 years.
    • Indications for removal included corneal endothelial decompensation and painful bullous keratopathy.

    Findings:

    • Scanning electron microscopy revealed a consistent morphology: a fibrin membrane with adherent iris pigment epithelial cells.
    • Red blood cells, fibroblasts, and pigment granules were present.
    • Chronic inflammatory cells like giant cells, macrophages, and lymphocytes were notably rare.

    Implications:

    Related Experiment Videos

  • The absence of significant chronic inflammation suggests it's not the primary cause of corneal decompensation.
  • The findings suggest that mechanical factors, such as implant movement, may be responsible for the observed complications.
  • Further research into IOL design and fixation is warranted to minimize long-term complications.