Influence of intraocular lens implantation on anterior capsule contraction and posterior capsule opacification

• Published in: Journal of cataract and refractive surgery Vol. 40; no. 12; pp. 2128 - 2133
• Main Authors: Aose, Masamoto, MD, Matsushima, Hiroyuki, MD, PhD, Mukai, Koichiro, PhD, Katsuki, Yoko, Gotoh, Norihito, MD, PhD, Senoo, Tadashi, MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2014
• Subjects: Animals; Anterior Capsule of the Lens - pathology; Capsule Opacification - etiology; Epithelial Cells - pathology; Lens Implantation, Intraocular - adverse effects; Lens, Crystalline - pathology; Lenses, Intraocular; Ophthalmology; Phacoemulsification; Posterior Capsule of the Lens - pathology; Rabbits
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2014.10.013

Purpose To evaluate whether and how intraocular lens (IOL) implantation influences the development of anterior capsule contraction and posterior capsule opacification (PCO). Setting Department of Ophthalmology, Dokkyo Medical University, Mibu, Tochigi, Japan. Design Experimental study. Methods Phacoemulsification was performed in 8-week-old white rabbits. A hydrophobic acrylate IOL (12.5 mm) (YA-60BBR) was implanted in 1 eye and no IOL was implanted in the fellow eye. Slitlamp microscopy and anterior segment analysis were performed to evaluate anterior capsule contraction after the surgery. Four weeks postoperatively, sections of the eyes were made, and the thickness of the proliferated lens epithelial cell (LEC) layer at the posterior capsule was measured to assess the PCO. In addition, LECs from white rabbits were cultured in medium containing 50% aqueous humor or in medium containing 50% saline to determine the influence of the aqueous humor on LECs and to compare the degree of LEC proliferation. Results Starting 2 weeks after surgery, anterior capsule contraction progressed more significantly in the IOL group than in the group without IOLs. Four weeks postoperatively, LEC thickness at the posterior capsule was significantly less in the group without IOLs than in the IOL group. In the culture study, LEC proliferation was more inhibited in the aqueous humor group than in the saline group. Conclusions Progression of anterior capsule contraction and PCO is less likely in aphakic eyes than in IOL-implanted eyes. The mechanism of prevention may involve aqueous humor–induced inhibition of LEC proliferation. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.