This Article Full Text Full Text (PDF) All Versions of this Article: bjo.2007.126649v1 92/3/348    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Schachar, R A Articles by Koivula, A Search for Related Content PubMed PubMed Citation Articles by Schachar, R A Articles by Koivula, A

The stress on the anterior lens surface during human in vivo accommodation

¹ Department of Physics, University of Texas at Arlington, Arlington, TX, USA
² St Erik’s Eye Hospital, Stockholm, Sweden
³ Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden

Correspondence to:
R A Schachar, PO Box 601149, Dallas, TX 75360, USA; ron{at}2ras.com

Purpose: To determine the qualitative change in stress on the lens capsule during in vivo human accommodation.

Methods: Nine subjects (mean age: 30 years; range: 25–38 years) were studied, each of whom had undergone a phakic refractive intraocular lens (PRL) surgical procedure. The change, during accommodation, of stress on the surface of the anterior lens capsule (ALS) was determined by employing high-resolution anterior segment optical coherence tomography (OCT). This was done by comparing the ratio of the intensity of the image from the anterior surface of the natural lens (ALS) to the images of the anterior corneal surface (ACS), posterior corneal surface (PCS) and the posterior surface of the phakic refractive intraocular lens (PPRLS) before and during accommodation.

Results: The intensities of the OCT images of the ACS and PPRLS did not significantly change during accommodation when compared with their respective baselines, while the intensity ratios: ALS/ACS, ALS/PCS and ALS/PPRLS all significantly increased during accommodation (p<0.01).

Conclusions: The stress on the anterior lens capsule is increased during in vivo human accommodation. This observation is consistent with a mechanism of accommodation in which zonular tension increases with accommodation, which is opposite to the predictions of the Helmholtz theory.

Ethics approval: Ethics approval obtained.