PT  - JOURNAL ARTICLE
AU  - Schachar, R A
AU  - Koivula, A
TI  - The stress on the anterior lens surface during human in vivo accommodation
AID  - 10.1136/bjo.2007.126649
DP  - 2008 Mar 01
TA  - British Journal of Ophthalmology
PG  - 348--350
VI  - 92
IP  - 3
4099  - http://bjo.bmj.com/content/92/3/348.short
4100  - http://bjo.bmj.com/content/92/3/348.full
SO  - Br J Ophthalmol2008 Mar 01; 92
AB  - 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.