A very well-preserved capsule-like proteinaceous film continuously covering a Copeland lens implant in a late stage of alpha streptococcus panophthalmitis exhibits neutrophils and fibrin as well as massive pus on its outer surface. But no macrophages, fibroblastlike cells, or giant cells are found. The proteinaceous film has resisted the proteolytic actions of the massive pus present on and around the implant.
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J Reimer Wolter (1985) studied this question.
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