Compression forces of haptics of freely rotating posterior chamber intraocular lenses.

PURPOSE: To measure the compressive forces of the haptics of 28 intraocular lens (IOL) models for different modes of compression and compare the results of two types of measurements. SETTING: Department of Ophthalmology, Central Hospital of Central Finland, Jyväskylä, Finland. METHODS: The haptics of 28 types of IOLs were compressed to a diameter of 9.0 mm between curved anvils. The compression forces in the plane of compression (i.e., in the plane of the optics) were measured at 0.5 mm intervals. During compression, the optics and the haptics were free to rotate with respect to the anvils. The results were compared with those of earlier measurements in which the optics were held fixed during compression. Perpendicular forces were measured at 0.4 mm intervals. RESULTS: The measured forces in the plane of the optics varied between 114 and 659 mg at a diameter of 10.0 mm and 192 and 1047 mg at a diameter of 9.0 mm. When compressed to 10.0 mm in diameter, the forces were 1 to 75% lower than when lens rotation was not possible. The forces perpendicular to the optic varied between 0 and 96 mg at a 10.0 mm diameter and correlated with the forces in the plane of the optic. CONCLUSION: The compression forces of the lens haptics were generally lower when the lenses were allowed to rotate during compression. The orders of stiffness of the haptics in these two measurements were similar. The perpendicular forces were generally small and correlated significantly with the forces measured in the plane of the optic.

Compression forces of haptics of selected posterior chamber lenses.

PURPOSE: To compare the compressive forces of the haptics of different intraocular lens (IOL) models and analyze the observed differences. SETTING: Central Hospital of Central Finland and University of Jyväskylä, Jyväskylä, Finland. METHODS: The haptics of 28 IOL models were compressed to a diameter of 9.0 mm. The compression forces were measured at 0.5 mm intervals. The conclusions were verified by numerical simulations of mechanical models of the lenses. RESULTS: The measured forces varied between 100 and 601 mg at a diameter of 11.0 mm, 206 and 1057 mg at a diameter of 10.0 mm, and 315 and 2094 mg at a diameter of 9.0 mm. The slopes of the force curves of the three-piece lenses were fairly linear. In general, the three-piece models were less rigid than one-piece models and underwent plastic deformations after repeated compressions. For most one-piece models, compression force increased progressively with increasing compression. The overall IOL diameter and differences in haptic thickness and length and the angle between optic at the point of haptic insertion were the main causes of the observed differences in the compression forces. The variation in forces between individual specimens of the same model, which occurred with almost all models, were mainly the result of variations in haptic thickness. CONCLUSION: Great variations in the compression forces of the IOL haptics were found. Compression behaviors should be taken into account when selecting a lens to implant.

Myopia and myopic progression among schoolchildren: a three-year follow-up study.

PURPOSE: To discuss the factors that might explain the rate of myopic progression and the degree of myopia after a 3-year follow-up among schoolchildren with myopia. METHODS: Myopic progression among 238 schoolchildren was followed up in a randomized clinical trial of myopia treatment. The associations between the explanatory factors and myopic progression and the final value of the spherical equivalent after the follow-up were studied by analysis of variance and regression analysis. RESULTS: Myopia progressed faster among girls than boys. According to the regression models for the boys, 25% of the variation of myopic progression and 57% of the final spherical equivalent could be explained by initial spherical equivalent, age at receiving first spectacles, time spent on sports and outdoor activities, and on reading and close work. Among the girls, 30% of myopic progression could be explained by age at receiving first spectacles, time spent on reading and close work, and reading distance. Similarly, 49% of the final spherical equivalent could be explained by age at receiving first spectacles, initial spherical equivalent, time spent on reading and close work, and reading distance. The rest of the variations could not be explained by the variables measured in this study. CONCLUSIONS: The factors with the most significant relationships to myopic progression were sex, age of onset, and degree of myopia at the beginning of the follow-up. Myopic progression and final myopia were related to time spent on reading and close work and to reading distance but not, however, to accommodation stimulus.

Determinants of isometric muscle strength in men of different ages.

Values of maximal isometric strength of five muscle groups and associated factors including occupational status, life style and health were studied in three groups of men aged from 31 to 35, 51 to 55, and 71 to 75 years. The results indicated significant differences between the age groups in isometric handgrip, elbow flexion, knee extension, trunk extension and trunk flexion strength. In the youngest group, the manual workers tended to have higher strength values in all muscle groups than the lower and higher status white collar workers, whereas among the middle-aged and oldest men the manual workers tended to have the poorest performance. Good self-rated health and the intensity of physical exercise during leisure were positively associated with muscle strength in the youngest and middle-aged groups whereas in the oldest group the most important variable was home gymnastics. The multivariate structural equation models of isometric strength differed somewhat among the age groups and in these models the above-mentioned variables accounted for from 33% to 43% of the variance in isometric strength within the age groups. The results illustrated the most important factors associated with isometric strength in samples of men of different ages and also provided suggestions as to how these determinants might influence comparisons between different age groups in respect of muscle strength.