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Swelling behavior of poly(sodium acrylate) gels crosslinked by aluminum ions.

The cylindrical poly(sodium acrylate) gel (SA gel) was synthesized in the glass capillary using aluminum ions as the crosslinker. The swelling ratio of the gel was measured after the repeated exchange of solvent (distilled deionized water, about pH 5.8). The gel exhibited two relaxation processes; at first the gel swells rapidly as exchange of water (the swelling process), then shrinks very slowly (the shrinking process). In order to reveal the microscopic structural change (especially, the formation of hydrogen bonding) by water exchange, attenuated total refraction (ATR) Fourier transform infrared (FT-IR) spectroscopy was applied to the gels with different swelling ratio. The IR absorption peaks of the gel were assigned based on those of poly(sodium acrylate) aqueous solutions at different pH. On the swelling process, the carboxyl groups were gradually protonated, and the intermolecular hydrogen bonding started to form in the gel with maximum swelling ratio. On the shrinking process, the formation of hydrogen bonding gradually increased with long-time repeated water exchange which resulted in the shrinkage of the gel. Effects of the repeated water exchange on the swelling behavior were discussed in terms of the exchange of counter ions and the formation of hydrogen bonding.

Acrylates↗

pH responsive adhesion of phospholipid vesicle on poly(acrylic acid) cushion grafted to poly(ethylene terephthalate) surface.

Polymer-supported lipid bilayer is a key enabling technology for the design and fabrication of novel biomimetic devices. To date, the physical driving force underlying the formation of polymer-supported lipid bilayer remains to be determined. In this study, the interaction between dipalmitoylphosphocholine (DPPC) vesicle and poly(ethylene terephthalate) [PET] surface with or without grafted poly(acrylic acid) [PAA] layer is examined with several biophysical techniques. First, vesicle deformation analysis shows that the geometry of adherent vesicle on either plain PET or PAA-grafted PET surface is best described by a truncated sphere model. At neutral pH, the degree of deformation and adhesion energy are unaltered by the grafted polymerization of acrylic acid on PET surface. Interestingly, the average magnitude of adhesion energy is increased by 185% and -43% on PAA-grated PET and plain PET surface, respectively, towards an increase of pH at room temperature. Our results demonstrate the possibility of tuning the adhesive interaction between vesicle and polymer cushion through the control of polyelectrolyte ionization on the solid support.

Acrylic Resins↗

Temperature-pH sensitivity of bovine serum albumin protein-microgels based on cross-linked poly(N-isopropylacrylamide-co-acrylic acid).

Monodispersed poly(N-isopropylacrylamide-co-acrylic acid) (PNIPAM/AAc) microgels with various contents of acrylic acid (AAc) and cross-linker N,N'-methylenebisacrylamide (MBAAm) were synthesized by surfactant-free emulsion polymerization. The microgels exhibited affinity of binding bovine serum albumin (BSA) with increase of AAc contents. The adsorption amount of BSA was strongly dependent on suspension pH. The maximum adsorption was observed at around pH 4.0, while both low pH and basic conditions induced the rather low adsorption. In addition, AFM images showed that the microgel particles underwent bridging aggregation by loading BSA. The resultant BSA-microgel particles became more hydrophobic after loading BSA. Importantly, the adsorption of BSA onto PNIPAM/AAc microgel was found to alter the swelling/deswelling behavior of the resultant microgel suspensions. With the increase of BSA concentration, the volume phase transition temperature of BSA-microgel particles shifted to the lower temperature.

Acrylamides↗

A novel amphiphilic acrylic copolymer based on Triton X-100 for a poly(alkenoate) glass-ionomer cement.

OBJECTIVES: The aim of this study was to synthesize a novel ampiphilic polyalkenoic acid copolymer based on acrylic acid and a methacrylic macromonomer of Triton X-100 and determine the efficacy of the novel copolymeric polyalkenoic acid in the formation of glass-ionomer cements. METHODS: Two water soluble copolymers of acrylic acid (AA) and a new amphiphilic macromonomer derived from Triton X-100 (MT) were prepared via radical copolymerisation at 60 degrees C, using azobisisobutyronitrile (AIBN) as the initiator and used to formulate conventional glass-ionomer cements with reactive glass fillers. The acid-base reaction was carried out by reacting aqueous solutions of the new copolymer (40 and 50%) with a commercial aluminofluorosilicate glass as used in conventional glass-ionomer cements. The efficacy of the new copolymer in the formation of glass-ionomer cements was investigated and preliminary results on setting parameters, FTIR analysis, mechanical properties and SEM analysis are reported in this paper. RESULTS: The copolymers were synthesized and characterized and further used to successfully prepare glass-ionomer cements. The experimental cements exhibited longer setting and working times in comparison to conventional glass-ionomer cements and the inclusion of tartaric acid enhanced the mechanical properties, which were comparable to the commercial glass-ionomer cement, Fuji IX. SIGNIFICANCE: Glass-ionomer cements prepared using ampiphilic comonomers is expected to influence their behavior in both polar and non-polar environments. As bulky side chains have been incorporated within the polymeric chain it is expected to affect the reaction kinetics of the acid-base reaction.

Acrylates↗

Poly(ethylene-co-methyl acrylate) membranes as rate-controlling barriers for drug delivery systems: characterization, mechanical properties and permeability.

Poly(ethylene-co-methyl acrylate) (EMA) membranes with different amounts of methyl acrylate (MA) content were studied in terms of the thermal and mechanical properties, swelling and drug permeation. The increase in MA content in the copolymer significantly increased the percentage of elongation and decreased the tensile strength and modulus of elasticity of the membranes. The degree of swelling of the EMA membranes increased with the ethanol composition and MA content. The contact angle of a sessile drop (10 microL of ethanol/water solution) decreased with an increase in the ethanol fraction suggesting that the membrane wettibility increased with the ethanol content. The flux of diltiazem hydrochloride increased from 0.012 to 0.018 mg cm(-2)h(-1) with an increase in the MA content from 16.5 to 29.0%. By increasing the ethanol fraction from 0.4 to 1.0, the flux of diltiazem hydrochloride into the membranes with 29.0% MA, increased from 2.56 (+/-0.09) x 10(-3) to 18.38 (+/-0.62) x 10(-3) mg cm(-2)h(-1). The permeability coefficient increased from 5.85 x 10(-6) to 3.53 x 10(-4) cm h(-1) with an increase in the ethanol fraction. The flux can also be correlated with the drug solubility in the membrane and ethanol. For example, the solubilities of diltiazem hydrochloride, paracetamol and ibuprofen were 0.64, 6.68 and 504.48 mg cm(-3) in the membrane, respectively. Under the same conditions, the flux for the above mentioned drugs was 0.08 (+/-0.01), 0.53 (+/-0.01) and 45.11 (+/-2.00) mg cm(-2)h(-1).

Acetaminophen↗

Opacification of the visual axis after cataract surgery and single acrylic intraocular lens implantation in the first year of life.

PURPOSE: To report the incidence and risk factors for secondary surgical intervention to treat visual axis opacification (VAO) after cataract surgery and acrylic intraocular lens (IOL) implantation during the first year of life. METHODS: A retrospective review of 29 eyes of 20 patients receiving a hydrophobic acrylic (AcrySof; Alcon, Fort Worth, TX) IOL implantation was conducted. All eyes underwent primary posterior capsulectomy and anterior vitrectomy. Statistical analysis was performed using SPSS for Windows (SPSS, Chicago, IL). RESULTS: Average age at surgery was 4.8 +/- 3.7 months, and average follow-up was 33.4 +/- 16.1 months. Eleven of 29 (37.9%) eyes developed VAO requiring secondary surgical intervention at a median of 4.8 months (95% confidence interval 3.4 to 6.2). Average age at surgery for eyes that subsequently opacified was 3.8 +/- 3.0 months compared with 5.4 +/- 4.0 months for those whose visual axis remained clear (P = 0.26). The relative risk of subsequent VAO surgery was 2.7 for primary surgery performed at or before the first 6 months of life. Opacification was significantly related to eyes with associated ocular anomalies (eg, anterior segment dysgenesis, iris hypoplasia, or persistent fetal vasculature) with a relative risk of 8.6 (P < 0.001). Proliferation of cortex was the most common form of VAO, followed by mixed-type with predominantly fibrous, fibrous alone, or Elschnig pearls. When secondary surgery was required, it occurred primarily during the first 6 months (ie, 9 of 11 patients) after the initial cataract surgery. CONCLUSIONS: When cataract and IOL surgery was undertaken within the first year of life, a secondary surgical procedure was required in 37.9% of eyes to maintain a clear visual axis. Most secondary surgery for VAO occurred within the first 6 months after surgery. Postoperative opacification was most common in eyes with associated ocular anomalies.

Acrylates↗

The effectiveness of Nd:YAG laser capsulotomy for the treatment of posterior capsule opacification in children with acrylic intraocular lenses.

INTRODUCTION: Acrylic intraolcular lenses (IOLs) may result in lower rates of posterior capsular opacification (PCO) than poly(methyl methacrylate) lenses in children. Nonetheless, PCO frequently occurs eventually, especially in younger children. Here, we evaluated the success of neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy for the management of PCO after acrylic IOL implantation without primary capsulectomy. METHODS: We reviewed 73 eyes in 57 children (age 23 months to 12 years; median, 6.4 years) who underwent Nd:YAG laser capsulotomy after AcrySof IOL implantation and who had at least 3 months follow-up (range, 3-92 months; median, 25 months). The effectiveness of laser treatment was evaluated in terms of the need for repeat laser procedures or intraocular surgery to clear the visual axis. RESULTS: Fifty-one eyes (70%) maintained a clear visual axis after a single Nd:YAG procedure, 10 eyes (84% cumulative) after 2 Nd:YAG procedures, and another 3 eyes (88% cumulative) after 3 Nd:YAG procedures. Six eyes (8%) required pars plana membrane removal to clear the visual axis, whereas 3 eyes (4%) continue to need treatment. Life table analysis showed that the probability of continuing success after 24 months with a single Nd:YAG procedure is 68% (95% confidence interval 53-83%). In younger children (age<4 years), this rate probability was lower than in older children (35% vs. 74%; P=0.022). Two eyes developed mild transient elevated intraocular pressure. In 1 eye, the IOL was dislocated and replaced. DISCUSSION: Nd:YAG laser capsulotomy is an acceptable option for the management of PCO after AcrySof IOL implantation in children and produces complications infrequently.

Acrylic Resins↗

Colloid-polymer mixtures in solution with refractive index matched acrylate colloids.

Colloid-polymer (CP) mixtures extend between two limiting cases, the colloid limit with the polymer coil size small compared to the colloid radius Rcol and the protein limit with the colloidal particles much smaller in size than the radius of gyration of the polymer chains Rg. In the present work, model systems are developed for the protein limit. The colloid-solvent pairs are optimized in terms of their isorefractivity in order to facilitate the characterization of large polystyrene chains in suspensions of small colloids. The degree of isorefractivity of colloidal particles was successfully evaluated in terms of a reduced scattering intensity. Two polystyrene samples with radii of gyration of Rg = 96 nm and Rg = 78 nm, respectively, are used. The radii of the colloidal particles are close to Rcol = 12 nm, leading to size ratios of Rg/Rcol = 8 and Rg/Rcol = 6.5. Four colloid solvent systems were found to be suitable for polymer characterization by light scattering, one based on silica particles and three systems with acrylate particles. The present investigation is focused on the three acrylate systems: poly(methyl methacrylate) in ethyl benzoate (ETB) at 7 degrees C, poly(ethyl methacrylate) in toluene at 7 degrees C and poly(ethyl methacrylate) in ETB at 40 degrees C. Characterization of PS chains is for the first time performed in colloid concentrations up to 2.5% by weight. In all cases, the size and shape of the polymer chains remain unchanged. A slight mismatch of the colloid scattering or a limited colloid solubility prevented investigation of PS chains at higher colloid concentration.

Acrylates↗

Enhancement of oral bioavailability of poorly water-soluble drugs by poly(ethylene glycol)-block-poly(alkyl acrylate-co-methacrylic acid) self-assemblies.

The purpose of the present study was to determine whether pH-sensitive polymeric micelles could improve the oral bioavailability of a poorly water-soluble drug. Poly(ethylene glycol)-block-poly(alkyl acrylate-co-methacrylic acid)s were synthesized by atom transfer radical polymerization and the composition of the ionizable polymer block was varied to maximize drug loading and pH-dependent release. Poorly water-soluble model drugs viz. fenofibrate (FNB) and progesterone (PRG) were incorporated in the self-assemblies by the oil-in-water emulsion or film casting methods. The pH-dependent release of several formulations was studied in vitro and the oral bioavailabilities of FNB-loaded micelles, Lipidil Micro and FNB coarse suspension were assessed in Sprague-Dawley rats at a dose of 7.5 mg/kg. Entrapment efficiency (defined as the ratio of experimental drug loading in self-assemblies to the initial amount of drug added) ranged between 55-75% and was dependent on polymer composition and drug-loading method. Hydrophobic chain composition of the polymer had tremendous impact on in vitro release kinetics, with only poly(ethylene glycol)-block-poly(n-butyl acrylate(17)-co-methacrylic acid(17)) micelles showing the desired pH-dependent drug-release profile. The oral bioavailability of FNB from these self-assemblies revealed 156% and 15% increases vs. FNB coarse suspension and Lipidil Micro, respectively. The results suggest that these pH-sensitive self-assemblies have potential for improving the oral bioavailability of poorly water-soluble drugs.

Acrylates↗

Cisplatin delivery from poly(acrylic acid-co-methyl methacrylate) microparticles.

To develop a platform for tumor chemotherapy, poly(acrylic acid-co-methyl methacrylate) microparticles have been synthesized. Carboxylate containing monomers were included to complex therapeutic agents, specifically cisplatin. Microparticles were prepared by free radical emulsion polymerization in aqueous media. Particle diameter, zeta-potential, in vitro cytotoxicity, and in vivo acute toxicity were characterized for both cisplatin-loaded microparticles and unloaded microparticles. In vitro cytotoxicity and FT-IR were used to characterize cisplatin released from cisplatin-loaded microparticles. Acrylic acid feed mole fraction determined several key microparticle properties, including particle size, zeta-potential, and yield. A burst release of cisplatin (40%) in the first day was followed by a zero-order release phase. The interaction between cisplatin and microparticles allowed approximately 20% additional cisplatin release in the next five days. Cisplatin-loaded and unloaded microparticles are non-toxic (LC50>15 mM) to the cell line used in in vitro tests. Cisplatin released from cisplatin-loaded microparticles retained activity, but that activity was slightly lower than freshly prepared cisplatin. Other than a slight reduction in cisplatin activity, microparticles exhibited low in vivo acute toxicity (LD50>170 mg/kg), which suggests that this hydrogel particulate system and the hydrogel complexation mechanism should further be studied for drug delivery.

Acrylic Resins↗

Folding procedure for acrylic intraocular lenses.

PURPOSE: To compare in vitro the effect of 2 standard methods of folding acrylic intraocular lenses (IOLs) on surface characteristics and bacterial adhesion. SETTING: Eye Clinic and Department of Health-Microbiology Unit, University of Florence, Florence, Italy. METHODS: To evaluate the effect of folding, 2 types of acrylic IOLs were not folded or folded with a forceps or an injector and then processed for scanning electron microscopy (SEM) examination. Bacterial adhesion was assessed using an ocular isolate of Pseudomonas aeruginosa. Nonfolded and folded IOLs were placed in test tubes containing the bacterial suspension for direct counting of viable adherent bacteria and for SEM. RESULTS: The injector-folded IOLs did not show major alterations on the surface; 5 of the 9 forceps-folded IOLs showed marks or scratches in the profile of the optic. The mean number of viable adherent bacteria per area of IOL optic was 1082 (95% confidence interval [CI], 835-1330) in forceps-folded IOLs, 366 (95% CI, 192-359) in injector-folded IOLs, and 206 (95% CI, 123-289) in nonfolded IOLs. Scanning electron microscopy confirmed more surface irregularities on forceps-folded IOLs, with bacteria adherent preferentially on the surface scratches. CONCLUSION: Forceps-folding provoked more surface irregularities, which probably make IOLs more susceptible to bacterial adhesion.

Acrylic Resins↗

Equilibrium water content and glistenings in acrylic intraocular lenses.

PURPOSE: To investigate the possible relationship between temperature and water absorption in acrylic intraocular lenses (IOLs). SETTING: Laboratory setting, Miyata Eye Clinic, Hiroshima, Japan. METHODS: The equilibrium water content (amount of water absorbed per weight of the resin x 100) in 2 hydrophobic acrylic IOLs (AcrySof MA60BM [Alcon] and Sensar AR40 [AMO]) was calculated at 30 degrees C, 40 degrees C, and 50 degrees C. The 2 IOLs were also subjected to 3 changes in temperature: from 37 degrees C to 35 degrees C, 39 degrees C to 35 degrees C, and 41 degrees C to 35 degrees C. They were incubated in physiological saline at the higher temperature for 2 hours and at the lower temperature for 30 days before being examined for glistening formation. RESULTS: The water content was higher in the AR40 IOL than in the MA60BM IOL at all temperatures. A temperature-dependent increase in water content was seen in both IOLs, greater in the MA60BM. With a temperature change from 37 degrees C to 35 degrees C, glistening formation was not observed in either IOL. With a temperature change from 39 degrees C to 35 degrees C, glistenings were observed in the MA60BM IOL, and with a temperature change from 41 degrees C to 35 degrees C, they were observed in both IOLs. CONCLUSION: The change in the equilibrium water content caused by temperature changes between 30 degrees C and 40 degrees C is an important factor in glistening formation, and thus an IOL featuring less temperature-dependent water absorption is less likely to form glistenings.

Absorption↗

Comparison of wavefront aberration after cataract surgery with acrylic intraocular lens implantation.

PURPOSE: To compare aberration changes in pseudophakic eyes with 3 types of acrylic intraocular lenses (IOLs) and in normal phakic eyes. SETTING: Department of Ophthalmology, Asan Medical Center, Seoul, Korea. METHODS: This single-center prospective study comprised 51 cataract patients who had cataract surgery and 12 phakic eyes. Fourteen eyes received an AcrySof MA60BM (Alcon), 18 eyes received a Sensar AR40 (AMO), and 19 eyes, a Corneal ACR6D (Corneal Laboratoire). One month after cataract surgery, aberrations in the eyes were measured using a Hartmann-Shack-type aberrometer. The same measurements were done in the 12 age-matched normal phakic eyes. Individual Zernike polynomials and the root-mean-square (RMS) 3rd- and 4th-order aberrations in the 2 groups were compared. The total RMS value was also compared. RESULTS: The RMS value of the 3rd- and 4th-order aberrations did not differ significantly between groups, nor did the total RMS value. In all IOL groups, an individual Zernike coefficient (C3(3), triangular astigmatism with base on the y-axis) was significantly different than that in the normal phakic group. CONCLUSION: There was no statistically significant difference in overall higher-order aberrations between normal eyes and eyes implanted with 3 types of acrylic IOLs.

Acrylic Resins↗

Comparison of posterior capsule opacification rates between hydrophilic and hydrophobic single-piece acrylic intraocular lenses.

PURPOSE: To determine the effect of intraocular lens (IOL) material on the development of posterior capsule opacification (PCO) at 1 year. SETTING: Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. METHODS: One hundred six eyes of 53 patients with bilateral cataract and no other ocular comorbidity were prospectively randomized to receive a hydrophobic acrylic or hydrophilic acrylic single-piece IOL in the first eye to have surgery. The alternate IOL was implanted in the fellow eye 4 to 6 weeks later. All surgery was performed by a single surgeon. Postoperative follow-up was 1 day, 1 and 6 months, and 1 year. At each visit, the best corrected high- and low-contrast visual acuities were assessed and a high-intensity digital retroillumination photograph was taken. Posterior capsule opacification was assessed from the digital images by a single operator using a dedicated software program and calculated as the percentage area of opacified capsule. RESULTS: One year postoperatively, the median percentage area of PCO was 50.3% in the hydrophilic IOL group and 4.9% in the hydrophobic IOL group (P<.001). The difference in PCO was not accounted for by loss of contact between the capsulorhexis and IOL surface. Further analysis showed that lens epithelial cells tended to invade the posterior capsule at the haptic-optic junction. This was more marked in the hydrophilic IOL group. CONCLUSIONS: The rate of PCO was significantly higher with the hydrophilic IOL. However, the results cannot be attributed to the IOL material alone as they show the importance of both IOL material and design.

Acrylic Resins↗

Single-piece foldable acrylic intraocular lens implantation in the sulcus in eyes with posterior capsule tear during phacoemulsification.

PURPOSE: To evaluate early and late period results of the implantation of single-piece foldable acrylic intraocular lens (IOL) in the sulcus in eyes developing a posterior capsule tear (PCT) during phacoemulsification (PE). SETTING: S.S.K. Vakif Gureba Training Hospital Eye Clinic, Istanbul, Turkey. METHODS: This prospective and noncomparative study consisted of 89 eyes of 88 patients in which PCT developed, with or without vitreous loss, and that were followed up for at least 1 year. The IOL was implanted in the sulcus in all eyes with sufficient capsule support. Postoperative best corrected visual acuity (BCVA), anterior segment biomicroscopy, intraocular pressure (IOP), IOL centralization, and fundus were analyzed. RESULTS: Temporary corneal edema, the most frequently observed cause of reduced vision in the early period, appeared in 33 eyes; high IOP in 17 eyes; anterior chamber inflammatory reaction in 5 eyes; clinical cystoid macular edema in 7 eyes; and retinal detachment in 1 eye. The IOL was decentered in 4 eyes and dislocated in 1 eye. Repositioning was performed in 2 eyes. No IOL was removed. In the early period, BCVA was 5/10 and above in 41 eyes; the final BCVA was 4/10 and below in 16 eyes and of 5/10 and above in 73 eyes. CONCLUSIONS: The implantation of foldable acrylic IOL in the sulcus in eyes developing posterior capsule tear during phacoemulsification surgery maintains the advantages of a small incision. Postoperative visual results were good, complications were few, and IOLs were centered.

Acrylic Resins↗

Hydrophilic acrylic intraocular lens as a drug-delivery system: Pilot study.

PURPOSE: To evaluate the ability of a hydrophilic acrylic intraocular lens (IOL) to serve as a drug-delivery system for commercially available gatifloxacin and moxifloxacin. SETTING: David J. Apple, MD, Laboratories for Ophthalmic Devices Research, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS: Hydrophilic acrylic IOLs (C-flex, Rayner Ltd.), presoaked for 24 hours in commercially available solutions of gatifloxacin (Zymar) or moxifloxacin (Vigamox), were implanted in the capsular bag of 6 rabbits for a total of 12 eyes (6 in each group). Aqueous humor samples were taken 2, 4, and 6 hours after implantation. One rabbit served as a control and had nonpresoaked C-flex IOLs implanted. At the end of the operation, 1 drop of Vigamox was applied to the right eye and 1 drop of Zymar was applied to the left eye of the control rabbit. RESULTS: High concentrations of both antibiotics were found in all the samples of the eyes implanted with the presoaked IOLs. The concentrations of the antibiotics decreased over time, but even the 6-hour sample concentrations were markedly higher than the concentrations found in the control rabbit after 4 hours. CONCLUSION: The results suggest that the Rayner C-flex IOL can be effective as a drug-delivery system for fourth-generation fluoroquinolones.

Acrylic Resins↗

Active oxygen processing for acrylic intraocular lenses to prevent posterior capsule opacification.

PURPOSE: To evaluate active oxygen processing on the surface of acrylic intraocular lenses (IOLs) to prevent secondary posterior capsule opacification (PCO). SETTING: Department of Ophthalmology, Dokkyo Medical University School of Medicine, Mibu City, Tochigi, Japan. METHODS: Acrylic IOLs were prepared, and ultraviolet (UV)/ozone (UV/O3) or argon plasma was irradiated to the surface of the IOLs. Elemental analysis (electron spectroscopy for chemical analysis [ESCA]) of the IOL surfaces was performed to confirm surface modification. Changes produced by UV/O3 or argon plasma treatment were examined for fibronectin and lens epithelial cell (LEC) adhesion. To evaluate the PCO prevention by treated IOLs, 8-week-old albino rabbits were used. The rabbit eyes randomly had phacoemulcification and implantation of 3 different IOLs: the UV/O3-treated IOLs, argon plasma-treated IOLs, and the control IOLs. After 2 weeks, the rabbits were killed and their globes were dissected and fixed using formaldehyde 10%. The PCO was observed using light microscopy (DX51, ORIMPUS) after hematoxylin and eosin staining. RESULTS: Comparison of IOL surface composition by ESCA showed an increase in nitrogen content and hydroxyl substitute and carboxyl substitute groups on surfaces of treated IOLs. The fibronectin adhesion and the LEC adhesion on the UV/O3-treated and argon plasma-treated samples were increased. In the untreated group, there was statistically significant inhibition of PCO formation in the UV/O3-treated and argon plasma-treated groups. CONCLUSION: Active oxygen processing and argon plasma irradiation on the surface of IOLs was effective in preventing secondary PCO after cataract surgery.

Acrylic Resins↗

Hydrophilic acrylic intraocular lens as a drug-delivery system for fourth-generation fluoroquinolones.

PURPOSE: To evaluate the ability and safety of a hydrophilic acrylic intraocular lens (IOL) as a drug-delivery system for commercially available gatifloxacin and moxifloxacin. SETTING: David J. Apple, MD, Laboratories for Ophthalmic Research, John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah, USA. METHODS: Thirty rabbits were divided into 2 similar groups. In Group A (15 rabbits, 30 eyes), hydrophilic acrylic IOLs (C-flex, Rayner Intraocular Lenses, Ltd.) presoaked for 24 hours in commercially available solutions of gatifloxacin 3 mg/mL or moxifloxacin 5 mg/mL were implanted after evacuation of the crystalline lens. Group B (15 rabbits, 30 eyes) had topical preoperative and postoperative cataract prophylaxis with gatifloxacin 3 mg/mL or moxifloxacin 5 mg/mL; IOLs that were not presoaked were also implanted after evacuation of the crystalline lenses. In both groups, aqueous humor samples were taken 4, 8, or 12 hours after IOL implantation (5 eyes at each time point) to determine the antibiotic concentrations. Clinical examinations were performed 24 hours postoperatively. RESULTS: The antibiotic concentrations in Group A (presoaked IOLs) were statistically significantly higher than those in Group B (topical) for both antibiotics in all postoperative samples except moxifloxacin at 12 hours. In both groups, there was no statistically significant difference between the concentrations of the 2 antibiotics. No eye showed signs of clinical toxicity. CONCLUSION: Results show the C-flex IOL is a safe and effective drug-delivery system for fourth-generation fluoroquinolones.

Acrylic Resins↗