Skip to main content

PCO Rates in a Large Series of Human Eyes Obtained Postmortem

  • Chapter
  • First Online:
Lens Epithelium and Posterior Capsular Opacification

Abstract

A significant amount of information can be obtained from pathological analyses of pseudophakic human eyes obtained postmortem in terms of interactions between an intraocular lens material/design and surrounding ocular tissues. The ability to perform direct analyses of an entire organ containing an artificial implant, obtained at different intervals after implantation and in large numbers, is unique to Ophthalmology. In our laboratory located at the Moran Eye Center, University of Utah, we have analyzed more than 600 donor eyes implanted with different lenses. In this chapter we describe some of our major studies using these important specimens, which focused on capsular bag opacification. Relatively large series of eyes were used to compare 1- and 3-piece hydrophobic acrylic lenses in terms of posterior capsule opacification. The outcome of this complication was also compared between 3-piece silicone lenses with round or square posterior optic edges. Furthermore, we had the opportunity to evaluate a small number of eyes implanted with the bag-in-the-lens, which is not available in the United States. We expect to gain better knowledge on preventative measures for posterior capsule opacification and other complications as our series increases and new intraocular lens designs become available in the market.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Apple DJ, Solomon KD, Tetz MR et al (1992) Posterior capsular opacification. Major review. Surv Ophthalmol 37(2):73–116

    CAS  PubMed  Google Scholar 

  2. Schaumberg DA, Dana MR, Christen WG, Glynn RJ (1998) A systematic overview of the incidence of posterior capsular opacification. Ophthalmology 105:1213–1221

    CAS  PubMed  Google Scholar 

  3. Maddula S, Werner L, Ness P et al (2011) Pathology of 157 human cadaver eyes with round-edged or modern square-edged silicone intraocular lenses: analyses of capsule bag opacification. J Cataract Refract Surg 37:740–748

    PubMed  Google Scholar 

  4. Ness P, Werner L, Maddula S et al (2011) Pathology of 219 human cadaver eyes with 1-piece or 3-piece hydrophobic acrylic intraocular lenses: capsular bag opacification and sites of square-edged barrier breach. J Cataract Refract Surg 37:923–930

    PubMed  Google Scholar 

  5. Werner L, Lovisolo C, Chew J, Tetz M, Müller M (2008) Meridional differences in internal dimensions of the anterior segment in human eyes evaluated with 2 imaging systems. J Cataract Refract Surg 34:1125–1132

    PubMed  Google Scholar 

  6. Apple D, Peng Q, Visessook N et al (2001) Eradication of posterior capsule opacification; documentation of a marked decrease in Nd:Yag laser posterior capsulotomy rates noted in an analysis of 5416 pseudophakic human eyes obtained postmortem. Ophthalmology 108:505–518

    CAS  PubMed  Google Scholar 

  7. Werner L, Mamalis N, Izak A et al (2005) Posterior capsule opacification in rabbit eyes implanted with 1 piece and 3-piece hydrophobic acrylic intraocular lenses. J Cataract Refract Surg 31:805–811

    PubMed  Google Scholar 

  8. Vargas L, Izak A, Apple D et al (2003) Implantation of a single-piece, hydrophilic acrylic, minus-power foldable posterior chamber intraocular lens in a rabbit model; clinicopathologic study of posterior capsule opacification. J Cataract Refract Surg 29:1613–1620

    PubMed  Google Scholar 

  9. Werner L, Mamalis N, Pandey S et al (2004) Posterior capsule opacification in rabbit eyes implanted with hydrophilic acrylic intraocular lenses with enhanced square edge. J Cataract Refract Surg 30:2403–2409

    PubMed  Google Scholar 

  10. Boyce J, Bhermi G, Spalton D et al (2002) Mathematic modeling of the forces between an intraocular lens and the capsule. J Cataract Refract Surg 28:1853–1859

    PubMed  Google Scholar 

  11. Nishi O, Yamamoto N, Nishi K et al (2007) Contact inhibition of migrating lens epithelial cells at the capsular bend created by a sharp-edged intraocular lens after cataract surgery. J Cataract Refract Surg 33:1065–1070

    PubMed  Google Scholar 

  12. Buel W, Findl O, Menapace R et al (2002) Effect of an acrylic intraocular lens with a sharp posterior optic edge on posterior capsule opacification. J Cataract Refract Surg 28:1105–1111

    Google Scholar 

  13. Abela-Formanek C, Amon M, Schild G et al (2002) Uveal and capsular biocompatibility of hydrophobic acrylic, hydrophilic acrylic, and silicone intraocular lenses. J Cataract Refract Surg 28:50–61

    PubMed  Google Scholar 

  14. Hayashi K, Hayashi H (2005) Posterior capsule opacification in the presence of an intraocular lens with a sharp versus rounded optic edge. Ophthalmology 112:1550–1556

    PubMed  Google Scholar 

  15. Sacu S, Finle O, Menapace R et al (2004) Comparison of posterior capsule opacification between the 1-piece and 3-piece AcrySof intraocular lenses; two-year results of a randomized trial. Ophthalmology 111:1840–1846

    PubMed  Google Scholar 

  16. Leydolt C, Davidovic S, Sacu S et al (2007) Long-term effect of 1-piece and 3-piece hydrophobic acrylic intraocular lens on posterior capsule opacification; a randomized trial. Ophthalmology 114:1663–1669

    PubMed  Google Scholar 

  17. Bender L, Nimsgern C, Jose R et al (2004) Effect of 1-piece and 3-piece AcrySof intraocular lenses on the development of posterior capsule opacification after cataract surgery. J Cataract Refract Surg 30:786–789

    PubMed  Google Scholar 

  18. Bilge A, Aykan U, Akin T et al (2004) The effects of three-piece or single-piece acrylic intraocular lens implantation on posterior capsule opacification. Eur J Ophthalmol 14:375–380

    CAS  PubMed  Google Scholar 

  19. Nejima R, Miyata K, Honbou M et al (2004) A prospective, randomized comparison of single and three piece acrylic foldable intraocular lenses. Br J Ophthalmol 88:746–749

    CAS  PubMed Central  PubMed  Google Scholar 

  20. Nejima R, Mmiyai K, Kataoka Y et al (2006) Prospective intrapatient comparison of 6.0 millimeter optic single-piece and 3-piece hydrophobic acrylic foldable intraocular lenses. Ophthalmology 113:585–590

    PubMed  Google Scholar 

  21. Zemaitiene R, Jasinskas V, Auffarth G (2007) Influence of three-piece and single-piece designs of two sharp-edge optic hydrophobic acrylic intraocular lenses on the prevention of posterior capsule opacification: a prospective, randomized, long-term clinical trial. Br J Ophthalmol 91:644–648

    PubMed Central  PubMed  Google Scholar 

  22. Nixon D (2004) In vivo digital imaging of the square-edged barrier effect of a silicone intraocular lens. J Cataract Refract Surg 30:2574–2584

    PubMed  Google Scholar 

  23. Werner L, Muller M, Tetz M (2008) Evaluating and defining the sharpness of intraocular lenses: microedge structure of commercially available square-edged hydrophobic lenses. J Cataract Refract Surg 34:310–317

    PubMed  Google Scholar 

  24. Werner L, Tetz M, Feldmann I et al (2009) Evaluating and defining the sharpness of intraocular lenses: microedge structure of commercially available square-edged hydrophilic intraocular lenses. J Cataract Refract Surg 35:556–566

    PubMed  Google Scholar 

  25. Nanavaty M, Spalton D, Boyce J et al (2008) Edge profile of commercially available square-edged intraocular lenses. J Cataract Refract Surg 34:677–686

    PubMed  Google Scholar 

  26. Smith D, Daynes T, Hinckley M et al (2004) The effect of lens edge design versus anterior capsule overlap on posterior capsule opacification. Am J Ophthalmol 138:521–526

    PubMed  Google Scholar 

  27. Vasavada A, Raj S (2004) Anterior capsule relationship of the Acry-Sof intraocular lens optic and posterior capsule opacification: a prospective randomized clinical trial. Ophthalmology 111:886–894

    PubMed  Google Scholar 

  28. Werner L, Pandey S, Escobar-Gomez M et al (2000) Anterior capsule opacification: a histopathological study comparing different IOL styles. Ophthalmology 107:463–471

    CAS  PubMed  Google Scholar 

  29. Werner L, Pandey S, Apple D et al (2001) Anterior capsule opacification: correlation of pathological findings with clinical sequelae. Ophthalmology 108:1675–1681

    CAS  PubMed  Google Scholar 

  30. Tassignon M, De Groot V, Vrensen G (2002) Bag-in-the-lens implantation of intraocular lenses. J Cataract Refract Surg 28:1182–1188

    PubMed  Google Scholar 

  31. De Groot V, Tassignon M, Vrensen G (2005) Effect of bag-in-the-lens implantation on posterior capsule opacification in human donor eyes and rabbit eyes. J Cataract Refract Surg 31:398–405

    PubMed  Google Scholar 

  32. Tassignon M, De Groot V, Van Tenten Y (2005) Searching the way out for posterior capsule opacification. Verh K Acad Geneeskd Belg 67:277–288

    CAS  PubMed  Google Scholar 

  33. De Groot V, Leysn I, Neuhann T et al (2006) One-year follow-up of bag-in-lens intraocular lens implantation in 60 eyes. J Cataract Refract Surg 32:1632–1637

    PubMed  Google Scholar 

  34. Leysen I, Coeckelbergh T, Gobin L et al (2006) Cumulative neodymium:YAG laser rates after bag-in-the-lens and lens-in-the-bag intraocular lens implantation: comparative study. J Cataract Refract Surg 32:2085–2090

    PubMed  Google Scholar 

  35. Tassignon M, De Veuster I, Godts D et al (2007) Bag-in-the-lens intraocular lens implantation in the pediatric eye. J Cataract Refract Surg 33:611–617

    PubMed  Google Scholar 

  36. Verbruggen K, Rozema J, Gobin L et al (2007) Intraocular lens centration and visual outcomes after bag-in-the-lens implantation. J Cataract Refract Surg 33:1267–1272

    PubMed  Google Scholar 

  37. Tassignon M, Rozema J, Gobin L (2006) Ring-shaped caliper for better anterior capsulorhexis sizing and centration. J Cataract Refract Surg 32:1253–1255

    PubMed  Google Scholar 

  38. De Keyzer K, Leysen I, Timmermans J et al (2008) Lens epithelial cells in an in vitro capsular bag model: lens-in-the-bag versus bag-in-the-lens technique. J Cataract Refract Surg 34:687–695

    PubMed  Google Scholar 

  39. Werner L, Tassignon M, Gobin L et al (2008) Bag-in-the-lens: first pathological analysis of a human eye obtained postmortem. J Cataract Refract Surg 34:2163–2165

    PubMed  Google Scholar 

  40. Werner L, Tassignon M, Zaugg B et al (2010) Clinical and histopathologic evaluation of six human eyes implanted with the bag-in-lens. Ophthalmology 117:55–62

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Liliana Werner M.D., Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Japan

About this chapter

Cite this chapter

Stallings, S., Werner, L. (2014). PCO Rates in a Large Series of Human Eyes Obtained Postmortem. In: Saika, S., Werner, L., Lovicu, F. (eds) Lens Epithelium and Posterior Capsular Opacification. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54300-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54300-8_11

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54299-5

  • Online ISBN: 978-4-431-54300-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics