REFILLING THE LENS WITH AN INFLATABLE ENDOCAPSULAR BALLOON - SURGICAL-PROCEDURE IN ANIMAL EYES

被引:47
作者
NISHI, O
HARA, T
HARA, T
SAKKA, Y
HAYASHI, F
NAKAMAE, K
YAMADA, Y
机构
[1] HARA EYE HOSP,UTSUNOMIYA,JAPAN
[2] SAKKA EYE CLIN,KITAKYUSHU,JAPAN
[3] HAYASHI EYE HOSP,FUKUOKA,JAPAN
[4] MENICON CO,NAGOYA,JAPAN
[5] KOBE UNIV,FAC ENGN,KOBE 657,JAPAN
关键词
D O I
10.1007/BF00166762
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
In this report we describe the surgical details involved in refilling the lenses of 13 rabbit and 3 primate eyes using an inflatable endocapsular balloon to restore accommodation. The procedure involves endocapsular phacoemulsification through a small "buttonhole" or "dumbbell" anterior capsulotomy or minicircular capsulotomy and the simultaneous preservation of capsular integrity, including the zonules and ciliary muscles. An inflatable balloon made of thin silicone membrane is then inserted into the empty capsular bag. A liquid silicone polymer is injected into the balloon through a delivery tube, and the empty capsular bag is refilled by the inflated balloon. The procedure was found to be reproducible, and an accommodation of 6 D was confirmed in one primate eye. Capsular opacification occurred, but the proliferation and migration of residual lens epithelial cells could be hindered by abundant refilling. This lens-refilling technique may provide restoration of accommodation in future cataract surgery.
引用
收藏
页码:47 / 55
页数:9
相关论文
共 12 条
[1]  
APPLE DJ, 1989, INTRAOCULAR LENSES E, P201
[2]  
Gindi JJ, 1985, CATARACT, V2, P6
[3]   ACCOMMODATION OF AN ENDOCAPSULAR SILICONE LENS (PHACO-ERSATZ) IN THE NONHUMAN PRIMATE [J].
HAEFLIGER, E ;
PAREL, JM ;
FANTES, F ;
NORTON, EWD ;
ANDERSON, DR ;
FORSTER, RK ;
HERNANDEZ, E ;
FEUER, WJ .
OPHTHALMOLOGY, 1987, 94 (05) :471-477
[4]  
HAEFLIGER E, 1989, EXTRACAPSULAR CATARA, P678
[5]  
HARA T, 1989, ATARASHII GANKA, V6, P1595
[6]  
MACHEMER R, 1979, VITRECTOMY, P125
[8]   ENDOCAPSULAR PHACOEMULSIFICATION FOLLOWING BUTTONHOLE ANTERIOR CAPSULOTOMY - A PRELIMINARY-REPORT [J].
NISHI, O ;
NISHI, K .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1990, 16 (06) :757-762
[9]   MICROPUNCH FOR BUTTONHOLE ANTERIOR CAPSULOTOMY IN ENDOINTERCAPSULAR CATARACT-SURGERY [J].
NISHI, O ;
NISHI, K .
ARCHIVES OF OPHTHALMOLOGY, 1990, 108 (06) :892-893
[10]   FURTHER DEVELOPMENT OF EXPERIMENTAL-TECHNIQUES FOR REFILLING THE LENS OF ANIMAL EYES WITH A BALLOON [J].
NISHI, O ;
HARA, T ;
HARA, T ;
HAYASHI, F ;
SAKKA, Y ;
IWATA, S .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1989, 15 (05) :584-588