Mechanism of action of the tetraflex accommodative intraocular lens

PURPOSE:To investigate the mechanism of action of the Tetraflex (Lenstec Kellen KH-3500) accommodative intraocular lens (IOL). METHODS:Thirteen eyes of eight patients implanted with the Tetraflex accommodating IOL for at least 2 years underwent assessment of their objective amplitude-of-accommodation by autorefraction, anterior chamber depth and pupil size with optical coherence tomography, and IOL flexure with aberrometry, each viewing a target at 0.0 to 4.00 diopters of accommodative demand. RESULTS:Pupil size decreased by 0.62+/-0.41 mm on increasing accommodative demand, but the Tetraflex IOL was relatively fixed in position within the eye. The ocular aberrations of the eye changed with increased accommodative demand, but not in a consistent manner among individuals. Those aberrations that appeared to be most affected were defocus, vertical primary and secondary astigmatism, vertical coma, horizontal and vertical primary and secondary trefoil, and spherical aberration. CONCLUSIONS:Some of the reported near vision benefits of the Tetraflex accommodating IOL appear to be due to changes in the optical aberrations because of the flexure of the IOL on accommodative effort rather than forward movement within the capsular bag.

Late Caledonian magmagenesis in Southern Scotland

The Priestlaw and Cockburn Law intrusions are zoned granitoid plutons intruded into Lower Palaeozoic sediments at the margin of, and prior to closure of, the Iapetus Ocean. They vary from marginal basic rocks to more acid rocks towards their centres. The parental magmas to the plutons were derived from an isotopically depleted mantle modified by melts/fluids during subduction. Zonation in the plutons was caused by combined assimilation and fractional crystallisation (AFC), and rates of assimilation were low relative to rates of fractionation. A series of pyroxene-mica diorites in Priestlaw are however hybrids formed by simple mixing. Porphyrite-acid porphyrite dykes, associated with the plutons, represent chilled portions of the pluton magmas; more evolved quartz porphyry dykes represent crustal melts. Lamprophyre dykes have high LILE and LREE abundances and relative depletions of HFS elements, typical of subduction related ultra-potassic magmas. High Mg numbers, Ni and Cr contents and experimental constraints, imply near primary status for the least evolved lamprophyres. Their enrichments in incompatible elements, high La/Nb, La/Yb, Sr and low Nd indicate derivation from a previously metasomatised mantle source. Granitoid plutons and lavas in the northern Southern Uplands have high Nd and low Sr, whereas the younger plutons of the southern Southern Uplands have higher Sr, La/Yb and lower Nd, consistent with derivation from a more enriched source. No plutons however have remained as closed systems. Three magmatic suites are present in southern Scotland: (1) Midland Valley Suite (2) Northern Southern Uplands Suite and (3) Southern Southern Uplands Suite, consistent with previous models indicating northward underthrusting of English lithosphere below the southern Southern Uplands. Further underthrusting of decoupled lithospheric mantle is indicated by the presence of lamorophyres in the eastern Southern Uplands, and took place between 410 Ma and 400 Ma.