Research progress of lens zonules

Background: The lens zonule, a circumferential system of fibres connecting the ciliary body to the lens, is responsible for centration of the lens. The structural, functional, and positional abnormalities of the zonular apparatus can lead to the abnormality of the intraocular structure, presenting a...

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Main Authors: Yingying Pan, Zhaoqiang Liu, Han Zhang
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Advances in Ophthalmology Practice and Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667376223000033
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author Yingying Pan
Zhaoqiang Liu
Han Zhang
author_facet Yingying Pan
Zhaoqiang Liu
Han Zhang
author_sort Yingying Pan
collection DOAJ
description Background: The lens zonule, a circumferential system of fibres connecting the ciliary body to the lens, is responsible for centration of the lens. The structural, functional, and positional abnormalities of the zonular apparatus can lead to the abnormality of the intraocular structure, presenting a significant challenge to cataract surgery. Main text: The lens zonule is the elaborate system of extracellular fibers, which not only centers the lens in the eye but also plays an important role in accommodation and lens immunity, maintains the shape of the lens, and corrects spherical aberration. The zonules may directly participate in the formation of cataract via the immune mechanism. Abnormal zonular fibers that affect the position and shape of the lens may play an important role in the pathogenesis of angle closure disease and increase the complexity of the surgery. Capsular tension rings and related endocapsular devices are used to provide sufficient capsular bag stabilization and ensure the safety of cataract surgery procedures. Better preoperative and intraoperative evaluation methods for zonules are needed for clinicians. Conclusions: The microstructure, biomechanical properties, and physiological functions of the lens zonules help us to better understand the pathogenesis of cataract and glaucoma, facilitating the development of safer surgical procedures for cataract. Further studies are needed to carefully analyze the structure–function relationship of the zonular apparatus to explore new treatment strategies for cataract and glaucoma.
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spelling doaj.art-8f752841dcfd4d7fbe2287f999f3e0732023-05-09T04:05:30ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622023-05-01328085Research progress of lens zonulesYingying Pan0Zhaoqiang Liu1Han Zhang2Department of Ophthalmology, Shandong Provincial Hospital, Shandong University, Jinan, ChinaDepartment of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China; Corresponding author.Department of Ophthalmology, Shandong Provincial Hospital, Shandong University, Jinan, China; Corresponding author.Background: The lens zonule, a circumferential system of fibres connecting the ciliary body to the lens, is responsible for centration of the lens. The structural, functional, and positional abnormalities of the zonular apparatus can lead to the abnormality of the intraocular structure, presenting a significant challenge to cataract surgery. Main text: The lens zonule is the elaborate system of extracellular fibers, which not only centers the lens in the eye but also plays an important role in accommodation and lens immunity, maintains the shape of the lens, and corrects spherical aberration. The zonules may directly participate in the formation of cataract via the immune mechanism. Abnormal zonular fibers that affect the position and shape of the lens may play an important role in the pathogenesis of angle closure disease and increase the complexity of the surgery. Capsular tension rings and related endocapsular devices are used to provide sufficient capsular bag stabilization and ensure the safety of cataract surgery procedures. Better preoperative and intraoperative evaluation methods for zonules are needed for clinicians. Conclusions: The microstructure, biomechanical properties, and physiological functions of the lens zonules help us to better understand the pathogenesis of cataract and glaucoma, facilitating the development of safer surgical procedures for cataract. Further studies are needed to carefully analyze the structure–function relationship of the zonular apparatus to explore new treatment strategies for cataract and glaucoma.http://www.sciencedirect.com/science/article/pii/S2667376223000033Cataract surgeryCapsulorhexisCrystalline lensGlaucomaLens zonule
spellingShingle Yingying Pan
Zhaoqiang Liu
Han Zhang
Research progress of lens zonules
Advances in Ophthalmology Practice and Research
Cataract surgery
Capsulorhexis
Crystalline lens
Glaucoma
Lens zonule
title Research progress of lens zonules
title_full Research progress of lens zonules
title_fullStr Research progress of lens zonules
title_full_unstemmed Research progress of lens zonules
title_short Research progress of lens zonules
title_sort research progress of lens zonules
topic Cataract surgery
Capsulorhexis
Crystalline lens
Glaucoma
Lens zonule
url http://www.sciencedirect.com/science/article/pii/S2667376223000033
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AT hanzhang researchprogressoflenszonules