Purpose: To report 8 patients with misdiagnosis of MemoryLens intraocular lens (IOL) late postoperative calcification and the resulting potentially avoidable procedures leading to secondary complications.
Design: Retrospective interventional case series.
Participants: Eight patients with an opacified hydrophilic acrylic MemoryLens.
Methods: Eight cases of MemoryLens IOL opacification that were originally misdiagnosed were reviewed. The following parameters were noted: baseline patient characteristics, time frame of IOL opacification, original misdiagnosis, subsequent surgical procedures, and postexplantation outcomes and complications. Two explanted lenses from this series were available for laboratory analyses. They underwent gross and light microscopic evaluation and scanning electron microscopy with energy-dispersive x-ray spectroscopy (EDS).
Main Outcome Measures: Patient parameters noted above. The IOLs were examined for distribution, structure, and composition of the deposits causing opacification of their optic components.
Results: All 8 patients' IOLs were implanted between August 1999 and March 2000. Complaints of decreased visual function occurred 13 to 58 months after implantation. Half of the patients were initially diagnosed as having posterior capsular opacification and underwent neodymium:yttrium-aluminum-garnet laser capsulotomy. The other half were initially diagnosed with some form of vitreous involvement and underwent vitrectomies. Six of the 8 patients underwent subsequent lens exchanges, with 3 of them having postexchange complications including endophthalmitis, cystoid macular edema, and retinal detachment. Scanning electron microscopy with EDS confirmed the presence of calcified deposits on the surface of the 2 explants available for analysis. The deposits also stained positive for calcium.
Conclusions: Despite previous reports, misdiagnosis of MemoryLens IOL calcification leading to optic opacification still occurs. Not recognizing this process can lead to potentially avoidable surgical procedures and increased risk of complications after repeated interventions.
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http://dx.doi.org/10.1016/j.ophtha.2006.12.024 | DOI Listing |
J Oleo Sci
January 2025
Graduate School of Science and Technology, Kumamoto University.
Near-infrared wavelength-selective soft actuators have attracted much attention for applications in microsystems in bioliving. It is desirable for the photothermal conversion materials in the actuators to be downsized to the molecular scale. However, in conventional actuator materials using copolymer gels composed of thermosensitive and photothermal conversion molecule-coordinated monomers, the strong cross-linking of molecules in the networks impairs the actuator deformation.
View Article and Find Full Text PDFACS Appl Mater Interfaces
January 2025
State Key Laboratory of Solid Lubrication, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou 730000, China.
The aging population necessitates a critical need for medical devices, where polymers-based surface lubrication coating is essential for optimal functionality. In fact, lubrication and mechanical requirements vary depending on the service environment of different medical devices. Until now, key mean is still blank for general preparation of hydrophilic polymers-based lubrication coatings with on-demand mechanics and lubricity.
View Article and Find Full Text PDFMaterials (Basel)
January 2025
Department of Energy Engineering, Soonchunhyang University, 22 Soonchunhyang-ro, Asan 31538, Republic of Korea.
(Meth)acrylate polymers are commonly used as photoresist materials in photolithography. However, these polymers encounter the problem of swelling during the development process. To address this, we explored the use of a hydrophobic group to control the solubility in the hydrophilic developer.
View Article and Find Full Text PDFSyst Rev
January 2025
Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Postal Code, 35516, Egypt.
Background: Hydrophilic monomer 2-hydroxyethyl methacrylate (HEMA)-free adhesive systems are gaining increasing popularity nowadays. Although the addition of HEMA to dental adhesives improves dentin wettability and resin diffusion into demineralized collagen fibrils, HEMA's high hydrophilicity can lead to hydrolytic degradation of the adhesive interface. Thus, HEMA-free adhesive systems have been developed.
View Article and Find Full Text PDFACS Omega
January 2025
School of Petroleum Engineering, China University of Petroleum (East China), Qingdao 266580, P. R. China.
For the purpose of efficient temporary plugging and self-removal of the plugging of reservoir formations, the thermally induced expandable and acid-generating temporary plugging agent (TAPA) was prepared with acrylonitrile (AN), methacrylic acid (MAA), ,-dimethylacrylamide (DMAA), and butyl acrylate (BA) as the shell monomers as well as the carboxylate esters with high boiling points as the core material. The TAPA was structurally characterized, and the properties were studied. The results showed that the TAPA had a good spherical structure with a median particle size (D50) of 16.
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