Enhanced Visualization And Analysis Of Glistenings In Intraocular Lenses Through Updated Microscopic Techniques
Published 2024 - 42nd Congress of the ESCRS
Reference: PP07.02 | Type: Poster | DOI: 10.82333/kwe8-gt76
Authors: Dmitrii Bagautdinov* 1 , Sonja Schickhardt 2 , Gerd Uwe Auffarth 2
1Ophthalmology,University Clinic,Heidelberg,Germany, 2Ophthalmology,University Clinic,Heidelberg,Germany;International Vision Correction Research Centre (IVCRC),Heidelberg,Germany
Purpose
The study aims to refine the existing method for assessing Glistenings in IOLs. By inducing Glistenings under controlled temperatures and analyzing them under various magnifications and lighting conditions, we seek to optimize the visualization of these phenomena.
Setting
International Vision Correction Research Centre (IVCRC), Dept. of Ophthalmology, University of Heidelberg, Germany
Methods
Ongoing study. The investigation was conducted in a controlled laboratory setting, ensuring precise temperature conditions for Glistenings induction and subsequent analysis using advanced microscopy equipment.
Five IOLs underwent Glistenings induction at 45°C for 24 hours, followed by stabilization in a 37°C water bath for 2 hours. Two microscopes with differing magnifications and lighting conditions were used for analysis, with Glistenings counted utilizing ImageJ (Version 1.53t) software. Emphasis was on determining the optimal magnification for Glistenings visibility, assessing their size and shape.
Results
Utilizing 20x magnification provided optimal visualization of Glistenings, revealing distinct sizes and shapes within the same IOL. The study established that Glistenings of varying dimensions can coexist. Light conditions were standardized to ensure reproducibility for each IOL examination.
Conclusions
The updated method yields more detailed and accurate representations of Glistenings in IOLs. The standardized lighting conditions enhance reproducibility and minimize imaging artifacts, offering a significant improvement over the previous technique.