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Guy%20Kleinmann,%20MD1

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Title: Guy%20Kleinmann,%20MD1


1
Biocompatibility of a New Hydrophobic Acrylic
Material for Fabrication of IOLs
Guy Kleinmann, MD1 Shmuel Ben-Elihau, DVM2
  1. Ophthalmology Department, Kaplan Medical Center
  2. Harlan Biotech Israel

Guy Kleinmann is a consultant for Hanita Lenses
2
Purpose
To evaluate the biocompatibility of a new
hydrophobic IOL material the Benz-HF1 Natural
Yellow, Using the SeeLens IOL (Hanita, Israel)
as a platform
3
Methods
  • 10 NZW rabbits
  • Each rabbit was randomly implanted with the
  • new hydrophobic IOL in one eye and B-lens
  • IOL (Hanita, Israel) in the fellow eye
  • Follow up 1D, 1W, 1M, 3M, 6M
  • Each follow up included
  • Photography
  • Slit lamp clinical evaluation

4
Methods cont.
  • At the end of the study
  • Enucliation of the eye
  • Explantion of the lens
  • Histological evaluation of the eye
  • SEM/EDS of the explanted IOLs
  • Analysis of the explanted IOLs
  • Light microscopy analysis (all IOLs)
  • Transmission spectrum (half of the IOLs)
  • Scanning electron microscopic energy
  • dispersive x-ray (SEM/EDX) (half of the IOLs)
  • Two non-implanted IOLs of each IOL
  • served as negative controls

5
Results Macroscopic 1 month
New Hydrophobic
Control
6
ResultsSlit lamp evaluation
1 month
3 months
6 months
Control
New Hydrophobic
7
Results
6 months slit lamp evaluation
Test Control
Decentration 1/10 2/10
Tilt 0/10 1/10
Pigments on the surface of the IOL 2/10 5/10
Soemmerings ring 10/10 10/10
PCO 10/10 10/10
8
Histopathological results

FINDING B-Lens (Control Product) Hydrophobic IOL (Test Product)
FINDING Control Eye Test Eye
FINDING n10 n10
No lesion (1/10) (0/10)
Cornea periphery mixed mononuclear cell infiltration, multifocal 0.9 (9/10) 1.0 (10/10)
Lens Presence of regenerating cortical material 1.0 (5/10) 1.4 (7/10)
Iris - mixed mononuclear cell infiltration, multifocal 0.2 (2/10) 0.1 (1/10)
Cornea hair granuloma, multifocal 0.1 (1/10) 0.0 (0/10)
9
Histology summary
  • No treatment related nor material
  • related changes were noted
  • All reported changes had
  • comparable incidence in both groups

10
SEM/EDS of explanted IOLs
Control
New Hydrophobic
11
Explanted IOLs- summary
The Investigated hydrophobic study IOLs were
superior in comparison to the control lenses
12
Discussion
  • The Benz-HF1 Natural Yellow material was found to
    be superior to the hydrophilic IOL in all the IOL
    analysis parameter
  • No difference between the groups was found in the
    clinical and histological evaluations

Conclusion
The Benz-HF1 Natural Yellow material, using the
SeeLens IOL platform (Hanita, Isreal),
demonstrated excellent biocompatibility in the
Rabbit model of ocular implantation test
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