Je. Francese et al., MOISTURE DROPLET FORMATION ON THE POSTERIOR SURFACE OF INTRAOCULAR LENSES DURING FLUID AIR EXCHANGE, Journal of cataract and refractive surgery, 21(6), 1995, pp. 685-689
We investigated the conditions under which moisture droplets would for
m on intraocular lens (IOL) posterior surfaces during fluid/air exchan
ge procedures in rabbits implanted with silicone or poly(methyl methac
rylate) (PMMA) IOLs. Moisture droplets did not form when the posterior
capsule was intact, regardless of IOL material or infusion fluid temp
erature. If a capsular tear was present, droplets formed with both IOL
materials when balanced salt solution (BSS(R)) at ambient temperature
was used as the infusion fluid. This effect was significantly more pr
onounced with silicone IOLs, resulting in an immediate loss of visuali
zation of the fundus. In these cases, visualization was quickly restor
ed by applying a viscoelastic to the posterior IOL surface.