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      Surface Modification of Intraocular Lenses

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          Abstract

          Objective:

          This paper aimed to review the current literature on the surface modification of intraocular lenses (IOLs).

          Data Sources:

          All articles about surface modification of IOLs published up to 2015 were identified through a literature search on both PubMed and ScienceDirect.

          Study Selection:

          The articles on the surface modification of IOLs were included, but those on design modification and surface coating were excluded.

          Results:

          Technology of surface modification included plasma, ion beam, layer-by-layer self-assembly, ultraviolet radiation, and ozone. The main molecules introduced into IOLs surface were poly (ethylene glycol), polyhedral oligomeric silsesquioxane, 2-methacryloyloxyethyl phosphorylcholine, TiO 2, heparin, F-heparin, titanium, titanium nitride, vinyl pyrrolidone, and inhibitors of cytokines. The surface modification either resulted in a more hydrophobic lens, a more hydrophilic lens, or a lens with a hydrophilic anterior and hydrophobic posterior surface. Advances in research regarding surface modification of IOLs had led to a better biocompatibility in both in vitro and animal experiments.

          Conclusion:

          The surface modification is an efficient, convenient, economic and promising method to improve the biocompatibility of IOLs.

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          Most cited references88

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          Designing cell-compatible hydrogels for biomedical applications.

          Hydrogels are polymeric materials distinguished by high water content and diverse physical properties. They can be engineered to resemble the extracellular environment of the body's tissues in ways that enable their use in medical implants, biosensors, and drug-delivery devices. Cell-compatible hydrogels are designed by using a strategy of coordinated control over physical properties and bioactivity to influence specific interactions with cellular systems, including spatial and temporal patterns of biochemical and biomechanical cues known to modulate cell behavior. Important new discoveries in stem cell research, cancer biology, and cellular morphogenesis have been realized with model hydrogel systems premised on these designs. Basic and clinical applications for hydrogels in cell therapy, tissue engineering, and biomedical research continue to drive design improvements using performance-based materials engineering paradigms.
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            Posterior capsule opacification.

            Posterior Capsule Opacification (PCO) is the most common complication of cataract surgery. At present the only means of treating cataract is by surgical intervention, and this initially restores high visual quality. Unfortunately, PCO develops in a significant proportion of patients to such an extent that a secondary loss of vision occurs. A modern cataract operation generates a capsular bag, which comprises a proportion of the anterior and the entire posterior capsule. The bag remains in situ, partitions the aqueous and vitreous humours, and in the majority of cases, houses an intraocular lens. The production of a capsular bag following surgery permits a free passage of light along the visual axis through the transparent intraocular lens and thin acellular posterior capsule. However, on the remaining anterior capsule, lens epithelial cells stubbornly reside despite enduring the rigours of surgical trauma. This resilient group of cells then begin to re-colonise the denuded regions of the anterior capsule, encroach onto the intraocular lens surface, occupy regions of the outer anterior capsule and most importantly of all begin to colonise the previously cell-free posterior capsule. Cells continue to divide, begin to cover the posterior capsule and can ultimately encroach on the visual axis resulting in changes to the matrix and cell organization that can give rise to light scatter. This review will describe the biological mechanisms driving PCO progression and discuss the influence of IOL design, surgical techniques and putative drug therapies in regulating the rate and severity of PCO.
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              Enhanced visible-light photocatalytic activity of g-C3N4/TiO2 films.

              Enhanced photocatalytic degradation of methylene blue (MB) using graphitic carbon nitride/titanium dioxide (g-C3N4/TiO2) catalyst films has been demonstrated in this present work. The g-C3N4/TiO2 composites were prepared by directly heating the mixture of melamine and pre-synthesized TiO2 nanoparticles in Ar gas flow. The g-C3N4 contents in the g-C3N4/TiO2 composites were varied as 0, 20, 50 and 70 wt%. It was found that the visible-light-induced photocatalytic degradation of MB was remarkably increased upon coupling TiO2 with g-C3N4 and the best degradation performance of ~70% was obtained from 50 wt% g-C3N4 loading content. Results from UV-vis absorption study, Electron microscopy, Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy suggest that the improved photoactivity is due to a decrease in band gap energy, an increased light absorption in visible light region and possibly an enhanced electron-hole separation efficiency as a result of effective interfacial electron transfer between TiO2 and g-C3N4 of the g-C3N4/TiO2 composite film. Based on the obtained results, the possible MB degradation mechanism is ascribed mainly to the generation of active species induced by the photogenerated electrons.
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                Author and article information

                Journal
                Chin Med J (Engl)
                Chin. Med. J
                CMJ
                Chinese Medical Journal
                Medknow Publications & Media Pvt Ltd (India )
                0366-6999
                20 January 2016
                : 129
                : 2
                : 206-214
                Affiliations
                [1 ]Department of Ophthalmology, Navy General Hospital of PLA, Beijing 100048, China
                [2 ]Department of Ophthalmilogy, Third Clinical Medical College of Southern Medical University, Guangzhou, Guangdong 510515, China
                [3 ]Department of Ophthalmology, Hong Kong Laser Eye Center, Hong Kong 999077, China
                [4 ]Department of Ophthalmology, Laboratory of Retina Brain Research, The University of Hong Kong, Hong Kong 999077, China
                [5 ]State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong 999077, China
                [6 ]Research Centre of Heart, Brain, Hormone and Healthy Aging, The University of Hong Kong, Hong Kong 999077, China
                Author notes
                Address for correspondence: Dr. Gui-Qin Wang, Department of Ophthalmology, Navy General Hospital of PLA, Beijing 100048, China E-Mail: wgqbyq@ 123456163.com
                Article
                CMJ-129-206
                10.4103/0366-6999.173496
                4799549
                26830993
                8f679466-92d6-4027-8636-55fdc2f476b4
                Copyright: © 2016 Chinese Medical Journal

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                : 26 August 2015
                Categories
                Review Article

                biocompatibility,capsule biocompatibility,cataract,intraocular lenses,surface modification,uveal biocompatibility

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