Straylight in Normal and Cataractous Eyes of Koreans

PURPOSE: To compare intraocular straylight in normal and cataractous eyes as the morphology and to compare straylight as the result of subjective symptoms in early cataract cases using the C-quant straylight meter, the only tool to measure light scattering in media. METHODS: Straylight values were measured in 217 normal eyes and 138 cataractous eyes. Cataractous eyes were classified into posterior subcapsular opacity, anterior subcapsular opacity and nucleosclerosis. Straylight values of each group were measured. The 56 early cataractous eyes were categorized into two groups, depending on the presence of subjective symptoms, and each straylight value was measured. The preoperative and postoperative straylight values of early cataracts were also compared. RESULTS: The mean straylight values of normal and cataractous eyes were 1.34 and 2.46, respectively. The value of posterior subcapsular opacity (2.81) was significantly higher than that of anterior subcapsular opacity (2.33) and nucleosclerosis (1.99). The straylight values of early cataracts were significantly higher in the group with subjective symptoms (2.02) than in the group without subjective symptoms (1.56). The postoperative straylight value decreased to 1.42. CONCLUSIONS: The posterior subcapsular cataract showed significantly high intraocular straylight, indicating that light scattering occurred to a greater extent in this group. Light scattering occurred more in early cataractous eyes with subjective symptoms than in eyes without symptoms, and light scattering was reduced after surgery. The C-quant straylight meter, which measures the light scattering in media, can be a useful tool to determine the time of cataract surgery and to evaluate the quality of vision.

The Inhibitory Effect of TGF-beta Inhibitor on the Corneal Opacity After Corneal Laceration

PURPOSE: To evaluate the effects of TGF-beta inhibitor on the wound healing process after corneal laceration, and its inhibitory effect on corneal scar formation. METHODS: Forty Lewis rats were randomly divided into one control and three experimental groups (groups I, II, and III). After partial-thickness vertical linear corneal incision, a diluted solution with 10, 25, and 50 microgram of TGF-beta inhibitor was instilled into each eye of groups I, II, and III respectively. Corneal haze was measured by using slit-lamp biomicroscopic examination. Using histopathologic examination, we compared the number of stromal keratocytes and the arrangement of regenerated collagen fibers. We also performed immunohistochemistry to confirm the differential expression of fibronectin and alpha-smooth muscle actin in each group. RESULTS: Group III showed less corneal haze and more regular arrangement of regenerated collagen fibers than the other groups. The number of stromal keratocytes and immunoreactivity to fibronectin and alpha-smooth muscle actin decreased as the dose of TGF-beta inhibitor increased. CONCLUSIONS: TGF-beta inhibitor effectively reduced corneal haze during corneal healing processes after corneal laceration.

Effect of Glutathione With Sea Tangle Extract on Prevention of Selenite-Induced Cataract Formation in Rats

PURPOSE: To evaluate antioxidative and preventive effects of sea tangle extract on selenite-induced cataract formation. METHODS: Eighty SD rat pups were randomized into 8 groups. Group 1 received no injection of reagent (normal); Group 2 to 8 received injection of selenite (15 micromol/Kg, s.c.) was injected. In group 2 (control) and group 3, normal saline (i.p.) and ascorbic acid (i.p.) was injected on days 3~31. In groups 4~8, sea tangle extract (i.p.) was injected at a concentration of 12.5, 25, 50, 100, 200 mg/kg, respectively. Development of cataract was assessed and photographed weekly under slit lamp. Rat lenses were analyzed for antioxidant enzymes, glutathione peroxidase (GPx), superoxide dismutase and malondialdehyde. Furthermore, an amino acid analysis of sea tangle extract was performed. RESULTS: Significant differences (p<0.05) were seen in cataract development in group 7. Dense nuclear cataracts developed in 8 of 10 of the control group (group 2); Group 4~8 developed nuclear cataract with proportion of 6/10, 3/10, 2/10, 1/10, and 6/10 rats. In sea tangle injected group, levels of GPx were higher than in the ascorbic acid and control groups. In particular, group 7, injected with 100 mg/kg of sea tangle extract, showed significantly high level of enzyme. Results of the amino acid analysis showed sea tangle includes glutamate-glycine-cysteine, major constituents of glutathione (GSH). CONCLUSIONS: The glutamate-glycine-cysteine in sea tangle is supposed to increase the level of lens GSH and this may contribute to lowering cataract development. This study strongly supports the activity of sea tangle as an endogenous antioxidant and anticataract agent.

The Understanding of Aerospace Medicine and History of Korean Aerospace Medicine / 대한평형의학회지

No abstract available.

Inhibitory Effects of Paclitaxel and Cisplatin on Transdifferentiation of Lens Epithelial Cells into Fibroblast

PURPOSE: This study investigated the inhibitory effects of Paclitaxel by altering tubulin assembly and cisplatin exposure by binding DNA of the lens epithelial cells (LECs) during epithelial cell cultures in the capsular bag model. METHODS: In the capsular bag model, the LECs were cultured with exposure to Paclitaxel (1, 10, 100 nM) and Cisplatin (1, 10, 100 micro M) for 3 min. The effect of Paclitaxel and Cisplatin was analyzed by observing the cell number of fibroblasts per field, Western blots for type IV collagen, TUNEL assay and the Proliferating Cell Nuclear Antigen (PCNA) and Bromodeoxyuridine (BrdU) incorporated proliferating cells. RESULTS: An increase in concentration of Paclitaxel and Cisplatin resulted in a decrease in the number of fibroblasts and spindle-shaped cells. The number of proliferating cells showing PCNA positivity and BrdU incorporation in the nuclei was decreased in a dose dependent manner by treatments of Paclitaxel and Cisplatin. Expression of type IV collagen also decreased after treatment with these two agents. Results of the TUNEL assay showed no change in the apoptosis of cells with regard to an increase in concentration of Paclitaxel and Cisplatin. CONCLUSIONS: This study showed inhibitory effects of Paclitaxel and Cisplatin on the proliferation and transdifferentiation of LECs into fibroblasts using the capsular bag model.

Screening of the Previous Photorefractive Surgery Using the Minimum Distance Between the Anterior Best Fit Sphere and the Center of the Anterior Corneal Surface

PURPOSE: To develop a screening test based on the difference (Diff) between the anterior corneal surface and the anterior best fit sphere in the central region of the Orbscan IIz topography as a way of detecting previous myopic photorefractive surgery. METHODS: From 1623 patients who had no refractive surgery and no corneal disease, 3132 topographies were defined as normal. From 120 patients who had Orbscan IIz topography after myopic photorefractive surgery, 238 topographies were defined as eyes that had undergone refractive surgery. The first objective was to determine the difference (Diff) between the anterior corneal surface and the anterior best fit sphere in the central region. The second objective was to classify the anterior elevation map of Orbscan IIz topography. RESULTS: The Diff value of the center of the anterior cornea surface averaged 0.008+/-0.003 mm in normal eyes, and all values were over 0 mm. However, in eyes that had previous refractive surgery, the average was 0.014+/-0.009 mm, and all values in this group were less than 0. The specificity and sensitivity was 100 % in both groups. The spherical equivalent of the degree of myopic correction and the Diff value of the center of the anterior cornea surface showed a linear relationship. Consequently, we could derive a formula to determine the degree of myopic correction with a known Diff value of the center of the anterior corneal surface. CONCLUSIONS: The screening test, based on the Diff value of Orbscan IIz topography, is quite useful in determining whether an eye has undergone previous myopic photorefractive surgery.

Anterior Elevation Maps as the Screening Test for the Ablation Power of Previous Myopic Refractive Surgery

PURPOSE: We classified the Orbscan anterior elevation maps in normal eyes (under myopic, emmetropic and hyperopic conditions) and in those after myopic refractive surgery. We did this classification to demonstrate how Orbscan anterior elevation maps are useful in screening for the existence and extent of previous myopic refractive surgery. Such a classification can help clinicians interpret preoperative and postoperative topographies. METHODS: We measured for visual acuity and refractive power in 4800 eyes. After a slit-lamp examination, a corneal topography exam was performed with an Orbscan corneal topography system. The eyes were divided into two groups, with Group I representing those who had not had refractive surgery (4438 eyes). Group II included those who had undergone previous refractive surgery to correct myopia (362 eyes). RESULTS: In Group I, the central island type (43.0%) was the most common, followed by the temporal ridge (25.8%), the with-the-rule regular ridge (16.7%), the against-the-rule regular ridge (6.6%), the nasal ridge (4.0%), and the saddle type (2.1%). In Group II, the depressed lake type (69.9%) was most common, followed by the de-centered ablation type (21.3%). The trend line of the postoperative central anterior surface elevation (E) and the ablation power of refractive surgery were calculated. Ablation power of refractive surgery=0.0047 E+0.0083 CONCLUSIONS: This study demonstrates that it is possible to use Orbscan anterior elevation maps to screen for the extent of previous refractory surgery used in the correction of myopia. This study may also be useful in understanding the shapes of Orbscan anterior elevation maps before and after myopic refractive surgery as well as in determining the degree of ablated myopic refractive power and decentration.

Inhibitory Effect of Radiation on the Transdifferentiation of Lens Epithelial Cells into Fibroblasts

PURPOSE: We estimated the effectiveness of radiation on transdifferentiation of the lens epithelial cells into fibroblast. METHODS: The morphologic changes and number of fibroblasts were determined using a phase contrast microscope. The proliferation of lens epithelial cells was analyzed by PCNA and BrdU assay in the control group and in the experimental groups exposed to 500, 1000 or 2000 rad of X-ray on the 7th day of culture. Expression of type IV collagen was estimated by Western blot and apoptosis was investigated using TUNEL assay. RESULTS: The number of fibroblast transdifferentiated from lens epithelial cell was 300+/-1.58 in control group, and 240+/-1.58, 231.75+/-4.1E, and 213.50+/-0.22 in the group exposed to 500 (experimental group I), 1000 (experimental group II), and 2000 rad (experimental group III), respectively, on the 7th day of culture (radiation was decreased in a dose-dependent manner). The index of PCNA and count of BrdU labeling cells were 56+/-1.58% and 27.6+/-4.6 in control group; 26+/-1.56% and 18.4+/-8.5 in experimental group I; 24+/-1.60% and 17.2+/-4.2 in experimental group II; 16+/-1.58% and 8.6+/-2.4 in experimental group III, respectively. These results indicated that proliferation of lens epithelial cells was inhibited by radiation in a dose-dependant manner. The Western blot showed that the expression of collagen decreased in experimental groups I and II and markedly decreased in experimental group III, compared with control group. TUNEL showed no differences between the control and experimental groups I and II but showed increased apoptosis in experimental group III. CONCLUSIONS: Radiation may inhibit the transdifferentiation of lens epithelial cells into fibroblasts. It would be practicable that radiation suppresses proliferation of lens epithelial cells in posterior capsular opacity.

Inhibitory Effect of Gefitinib on the Proliferation of Lens Epithelial Cells

PURPOSE: To evaluate the effect of Gefitinib used for the treatment of non-small cell lung cancer on the proliferation of the lens epithelial cells and the activities of growth factors. METHODS: The cell samples were divided into a control group cultured in DMEM and three experimental groups. Group I was exposed to Gefitinib for 3 minutes; group II was exposed to growth factors; and for group III growth factors were added to each concentration of Gefitinib. MMT assays, BrdU staining and morphologically observations with a phase-contrast microscope were used to verify the degrees of cell proliferation. Western blot analysis was conducted to confirm the effects of Gefitinib on extracellular signal-regulated kinase phosphorylation and on type I collagen production. RESULTS: Lens epithelial cell proliferation in experimental group I was reduced to 76% and 56% for 1.00 micro M and 10.00 micro M of Gefitinib, respectively. Experimental group II showed a 140% increase in cell proliferation with EGF treatment. Experimental group III exhibited decreased lens epithelial cell proliferation with both EGF (86% and 66%), and TGF-beta2 (78% and 59%). BrdU staining demonstrated a significant decrease in cell proliferation in groups I and III exposed to more than 1.0 micro M Gefitinib, while group II showed an increase compared to the control group. Moreover, Western blot analysis revealed inhibiting effects on ERK phosphorylation and type I collagen production. CONCLUSIONS: In the culture of human lens epithelial cells, Gefitinib inhibited cell proliferation when used at a concentration above 1.00 (M for 3 minutes. Furthermore, the effects of EGF and TGF-beta2 were also inhibited.

Inhibitory Effects of Imatinib Mesylate on Transdifferentiation of Lens Epithelial Cells into Fibroblast

PURPOSE: To investigate whether Imatinib mesylate (IM) could inhibit the transdifferentiation of the lens epithelial cells (LECs) into fibroblasts using the capsular bag model. METHODS: In the capsular bag model, LECs were cultured by exposure to IM at various concentrations for 3 min. The effect of IM was analysed by observing the covering area, numbers of alpha-SMA positive cell, and BrdU incorporated proliferating cells. The same analysis was performed in the culture of LECs with TGF-beta. RESULTS: The covering area was significantly decreased by the treatment of 30 micro M IM, and the positive cells for alpha-SMA and BrdU were also decreased by IM treatment in a dose dependent manner. In addition, increasing TGF-beta concentration accelerated transdifferentiation, but suppressed the acceleration of the transdifferentiation induced by TGF-beta. CONCLUSIONS: In the capsular bag model, IM effectively inhibited not only the transdifferentiation of LECs into fibroblasts but also the TGF-beta induced acceleration of the transdifferentiation.

Effect of Collagen Gel with Growth Factor and Wrapping Materials on Fibrovascularization of Porous Orbital Implant

PURPOSE: To determine the effect of bFGF complexed collagen gel, which allows constant release of bFGF along with biodegradation of the collagen gel. The specific study purpose was to determine whether it can accelerate the fibrovascular ingrowth into wrapped HA-coated porous alumina and to verify the safety of new wrapping materials. Synthetic polyester-urethane (Neuropatch(R)) and lyophilized bovine pericardium (Lyoplant(R)) were compared to donor sclera for the fibrovascular ingrowth into HA-coated porous alumina. METHODS: The experimental and control groups, each consisting of 9 rabbits were wrapped with each wrapping materials (3 rabbits per wrapping material). The experimental group underwent pretreatment of bFGF-collagen gel while the control group did not. The fibrovascular ingrowth was compared at 2 and 4 weeks after implantation. Western blot analysis was conducted at 4 weeks using antibodies against CD141 and laminin. The rate of fibrovascular ingrowth was fastest in orbital implant wrapped with Lyoplant(R). RESULTS: Histopathologic examinations at 2 weeks showed no differences in distance and percentage area of fibrovascular ingrowth. Histopathologic examinations at 4 weeks showed that pretreatment of bFGF-collagen gel increased the fibrovascular ingrowth in the experimental group. Western blot analysis on experimental group also showed that the expressions of CD141 and laminin were increased by bFGF-collagen gel, thereby indicating that the fibrovascular proliferations were accelerated by bFGF released from the complex. CONCLUSIONS: bFGF-collagen gel increased the rate and degree of fibrovascular growth into hydroxyapatite-coated porous alumina by releasing bFGF as the collagen gel biodegraded. Both Lyoplant(R) and Neuropatch(R) were evaluated as safe for substitution of the donor sclera.

Differentiation and Transdifferentiation of Lens Epithelial Cells in Capsular Bag Model Culture

PURPOSE: To investigate the differentiation of lens epithelial cells (LECs) to lens fiber, and the transdifferentiation of LECs to fibroblast in capsular bag culture. METHODS: After observing the changes of LECs by using phase-contrast microscopy, we observed a cross section of capsular bag by using light microscope (LM) and electron microscope (EM). In addition, the expressions of alpha A-crystallin, a marker of differentiation of LEC to lens fiber, and of alpha-smooth muscle actin, a marker of LEC to fibroblast, were examined during the culture period by western blot. RESULTS: On phase-contrast microscopy, 7 to 14 days after culture, the portion of LECs was gradually elongated and cytoplasm became transparent, so that the differentiation resembled lens fiber. One to 7 days after culture, the portion of LECs changed to spindle shape and the transdifferentiation resembled fibroblast. LM and EM observations indicated that changes of each LEC were lens fiber, and fibroblast. According to Western blot, the expression of alpha A-crystallin was increased by 10 days after culture. The alpha-smooth muscle actin showed an increased expression 10 to 30 days after culture. CONCLUSIONS: From the capsular bag model, we observed the resemblances of the differentiation and transdifferentiation of LECs with lens fiber and fibroblast.

Transthoracic Echocardiography and Carotid Doppler Ultrasound for Detection of Cardiac and Carotid Artery Disease in Patients with Acute Retinal Artery Obstruction

We reviewed the medical records of patients with acute retinal artery obstruction (RAO) and evaluated the importance of transthoracic echocardiography (TTE) and carotid Doppler ultrasound in determining causes of cardiac and carotid artery origin in RAO. A retrospective case study conducted in the Department of Ophthalmology, Inha University Hospital, Korea comprised 26 patients presenting with acute RAO who underwent systemic evaluation, TTE and carotid Doppler ultrasound between June 1, 1997 and December 31, 2003. Among these 26 patients, abnormal cardiac findings were detected in 12 (46%) and abnormal carotid findings in 4 (15%). Furthermore, other risk factors for RAO were found in 2 (8%) and stroke broke out within 7 months after experiencing RAO in 4 (15%) of the 26 patients. In patients with acute RAO, TTE and carotid Doppler ultrasound play an important role in pinpointing the origins of retinal emboli. It is thought that TTE and carotid Doppler ultrasound may be essential examinations for determining the underlying cause, planning treatment strategies, and preventing stroke and death.

Inhibitory Effects of Mitomycin-C and 5-Fluorouracil on the Proliferation of Lens Epithelial Cells using Capsular Bag Model

PURPOSE: We investigated the inhibitory effects of mitomycin-C (MMC) and 5-fluorouracil (5-FU) on the proliferation of the lens epithelial cells (LECs) depending on time and concentration during the epithelial cell culture using capsular bag model. METHODS: We cultured LECs using capsular bag model after exposure to various time and concentration of MMC and 5-FU. We compared the half coverage time and appearance of posterior capsule by LECs. We examined the proliferative and inhibitory effect on LECs using BrdU immune staining. We observed the morphologic change of LECs on histologic section. RESULTS: Half coverage time of posterior capsule by LEC was 18.2 +/- 3.5 days in control group, whereas 27.5 +/- 3.8 days and 26.8 +/- 4.2 days when treated with 0.2 mg/ml MMC, 50 mg/ml 5-FU for 3 minutes, repectively. The increase of concentration and the exposure time of MMC or 5-FU resulted in the delay of coverage time of posterior capsule by LECs and reduction of BrdU incorporation in the nucleus of proliferating cells. On histologic section, reduction of LECs' multilayering and few cytoplasmic organells were observed. CONCLUSIONS: Using capsular bag model, we found the inhibitory effect of MMC and 5-FU on LECs proliferation depending on the concentration and exposure time. Capsular bag model would be contribute to the study about after-cataract.

The Effect of Imatinib (Gleevec(R)) on The Proliferation of Lens Epithelial Cells and The Activities of Growth Factors

PURPOSE: To evaluate the effect of Imatinib which is tyrosine kinase inhibitor used for the treatment of chronic myelogenous leukemia on the proliferation of the lens epithelial cells and the activities of growth factors. METHODS: In the experimental group I, the cells were exposed to Imatinib for 3, 5 min with various concentration. In the experimental group II, the cells were cultured with PDGF, bFGF, TGF-beta2. In the experimental group III, the cells were exposed to Imatinib for 3, 5 min with the various concentration in the presence of each growth factor. The cell viability was assessed by MTT assay. And the cell proliferation were evaluated by BrdU staining. The phosphorylation of ERK (Extracellular-signal regulated kinase) and the amount of collagen type I produced by TGF-beta2 were analyzed with western blot. RESULTS: MTT assay showed that the viability of lens epithelial cells was decreased about 50% at the concentration above Imatinib 30 micro M for 5 mins exposure in group I. Both PDGF and bFFG induced significantly increased cell viability in group II. The group III that was treated with both PDGF and bFGF showed the decrease of cell viability after being exposed to Imatinib. As the concentration of Imatinib increased, BrdU incorporation of experimental group I was decreased compared with control group. It also found that The BrdU incorporation of experimental group III was also decreased compared with experimental group II. The phosphorylation of ERK 1/2 and the amount of collagen type I production was significantly decreased in addition of Imatinib 20 to 30 micro M for 3 mins exposure. CONCLUSIONS: The proliferation of lens epithelial cells could be inhibited by Imatinib. And the activities of PDGF, bFGF, TGF-beta2 were also inhibited by Imatinib.

The Analysis of Refractive Errors of AMO Array(R) Multifocal Intraocular Lens with SRK II Formula

PURPOSE: To evaluate the accuracy of the SRK II formula for the AMO Array(R) multifocal intraocular lens (Array lens) power calculation according to axial length. In case of refractive error more than +/- 1.0 diopter (D), we compared the accuracy of the SRK II with that of other formulas. METHODS: Participants were 178 eyes (142 patients) received the Array lens. These were divided into 3 subgroups based on axial length. Group I had 21 eyes of short axial length (less than 22.0 mm). Group II had 133 eyes of average axial length (more than 22.0mm below 24.5mm). Group III had 24 eyes of long axial length (more than 24.5mm). The difference between preoperative predicted refractive value and postoperative manifest refractive value were calculated. We compared the accuracy of the SRK II and that of SRK/T, Holladay formulas in case of refractive error more than +/- 1.0D. RESULTS: Three eyes (14.2%) in Group I, 14 eyes (10.5%) in group II and 15 eyes (62.5%) in Group III showed refractive errors more than +/- 1.0D. Fifteen eyes (62.5%) in Group III were significantly reduced to 7 eyes (29.1%) with using SRK/T, Holladay formulas. CONCLUSIONS: SRK II formula had better predictive accuracy in axial length less than 24.5mm with Array lens. But it is better to apply SRK/T or Holladay formulas when axial length is more than 24.5mm.

The Study on Healing of the Corneal Epithelial Cells in Laser Assisted Subepithelial Keratectomy (LASEK) on Rabbits

PURPOSE: To investigate the difference in healing of the corneal epithelial cells between in LASEK and in PRK and the factor to induce the difference. METHODS: The rate of corneal epithelial recovery was measured after mechanical removal of corneal epithelium (PRK) or after removal with alcohol (LASEK) in rabbits. PCNA (proliferating cell nuclear antigen) staining was performed to compare the degree of cellular proliferation. Immunocytochemical staining was also carried out to examine the expressions of fibronectin and EGFR (epidermal growth factor receptor), which were known as the factors participating in corneal epithelial regeneration. In cultured porcine corneal epithelial cells, the degree of epithelial proliferation was compared between the control group (group I without alcohol treatment) and alcohol treated groups with various alcohol concentrations (groups II, III, IV and V) after cell culture for 2 weeks. RESULTS: The rate of epithelial healing was faster in LASEK group than in PRK group. These epithelial cells recovered to normal cells faster in LASEK group than in PRK group according to light and electron microscopic findings. PCNA expression and fibronectin expression were higher in LASEK group than in PRK group, whereas no difference was seen in the expression of EGFR. Although the proliferation of corneal epithelial cells increased, it was not proportional to the amount of added alcohol-treated epithelial cells. CONCLUSIONS: We showed that the corneal epithelia recovered to normal shape faster in LASEK than in PRK group when alcohol treated corneal epithelial cells were treated to the site of the wound. Higher expression of fibronectin in LASEK group suggest that fibronectin could be a factor promoting corneal epithelial cell regeneration.

The changes of fibronectin in the cultured porcine lens epithelial cells

PURPOSE: to investigate change of fibronectin as a relating factor of cellular migration in the cultured lens epithelial cells. METHODS: We attempted to observe the fibronectin from cornea, crystalline lens and cultured lens epithelial cells by immunocytochemistry. We also compared the expression of fibronectin from normal porcine crystalline lens epithelial cells and cultured lens epithelial cells that received bFGF with western blot method. RESULTS: Fibronectin was detected in the extracellular matrix of normal corneal epithelium by immunocytochemistry, but not in the normal lens epithelial cells. However, fibronectin was detected in the cytoplasm of the cultured lens epithelial cells and treated with bFGF by immunocytochemistry. CONCLUSIONS: lens epithelial cells in normal condition may not produce fibronectin, but lens epithelial cells without lens nucleus after cataract surgery produce fibronectin.

The Vision and Satisfaction According to Postoperative Refractive Error after AMO Array(R) Multifocal Intraocular Lens Insertion

PURPOSE: To evaluate the visual outcome and satisfaction according to postoperative refractive error in patient with cataract surgery using AMO Array(R) multifocal intraocular lens. METHODS: According to postoperative refractive errors, 120 eyes (80 patients) were inserted the AMO Array(R) multifocal intraocular lens and were divided into three groups respectively: 28 eyes were myopic group (-0.50 ~ -1.50D), 74 eyes were emetropic group (-0.50 ~ +0.50D) and 18 eyes were hyperopic group (+0.50 ~ +1.50D). In each group, distant vision, near vision and contrast sensitivity test were measured. Also the patients were questioned on their satisfaction. RESULTS: Three months after the operation, the distance uncorrected visions of the myopic, emmetropic and hyperopic group were 0.42 +/- 0.23, 0.73 +/- 0.22, 0.36 +/- 0.28 and the near uncorrected visions were 0.47 +/- 0.18, 0.65 +/- 0.03, 0.41 +/- 0.14 in each. There were no difference in satisfaction, contrast sensitivity and glare visual acuity between three groups. CONCLUSIONS: In cataract surgery using the AMO Array(R) multifocal intraocular lens, we could get the best uncorrected visual acuity in emmetopic group. There were no difference in satisfaction and vision between myopic and hyperopic group. Thus, at the time of cataract operation, the multifocal intraocular lens power should be set on emmetropia in order to improve the vision and satisfaction.

The Effect of the Remnants after Cataract Extraction on the Lens Epithelial Cell Culture

PURPOSE: To assess the effect of the remnants after lens extraction on posterior capsular opacification with lens epithelial cell culture through in vitro capsular bag model. METHODS: After isolating porcine lens capsules, sterile non-toxic PMMA (polymethyl- mathacrylate) tension ring was inserted into the capsule. These were placed in organ culture medium up to 6 weeks. The grade of cell coverage of the posterior lens capsule was recorded to check the proliferative activity. RESULTS: In the process of cell culture, outgrowth of the epithelial cells was observed across the posterior capsule after a lag period. The rate of cell coverage was dependent upon the added factors. The proliferative activity was the greatest in the group where lens cortical and nuclear materials were added, and other groups showed no difference from a control group. CONCLUSIONS: To reduce posterior capsular opacification, it is important that we should not leave the lens cortical material behind during cataract surgery.