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Kim K, Kim HJ, Zhang H, Park W, Meyer D, Kim MK, Kim B, Park H, Xu B, Kollbaum P, Boudouris BW, Lee CH. All-printed stretchable corneal sensor on soft contact lenses for noninvasive and painless ocular electrodiagnosis. Nat Commun 2021; 12:1544. [PMID: 33750806 PMCID: PMC7943761 DOI: 10.1038/s41467-021-21916-8] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 12/17/2020] [Indexed: 02/03/2023] Open
Abstract
Electroretinogram examinations serve as routine clinical procedures in ophthalmology for the diagnosis and management of many ocular diseases. However, the rigid form factor of current corneal sensors produces a mismatch with the soft, curvilinear, and exceptionally sensitive human cornea, which typically requires the use of topical anesthesia and a speculum for pain management and safety. Here we report a design of an all-printed stretchable corneal sensor built on commercially-available disposable soft contact lenses that can intimately and non-invasively interface with the corneal surface of human eyes. The corneal sensor is integrated with soft contact lenses via an electrochemical anchoring mechanism in a seamless manner that ensures its mechanical and chemical reliability. Thus, the resulting device enables the high-fidelity recording of full-field electroretinogram signals in human eyes without the need of topical anesthesia or a speculum. The device, superior to clinical standards in terms of signal quality and comfortability, is expected to address unmet clinical needs in the field of ocular electrodiagnosis.
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Affiliation(s)
- Kyunghun Kim
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA
| | - Ho Joong Kim
- Charles D. Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, USA
| | - Haozhe Zhang
- Department of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA, USA
| | - Woohyun Park
- School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA
| | - Dawn Meyer
- School of Optometry, Indiana University, Bloomington, IN, USA
| | - Min Ku Kim
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA
| | - Bongjoong Kim
- School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA
| | - Heun Park
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA
| | - Baoxing Xu
- Department of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA, USA.
| | - Pete Kollbaum
- School of Optometry, Indiana University, Bloomington, IN, USA.
| | - Bryan W Boudouris
- Charles D. Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, USA.
- Department of Chemistry, Purdue University, West Lafayette, IN, USA.
| | - Chi Hwan Lee
- Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.
- School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA.
- School of Materials Engineering, Purdue University, West Lafayette, IN, USA.
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Current World Literature. Curr Opin Allergy Clin Immunol 2009; 9:284-90. [DOI: 10.1097/aci.0b013e32832c00ee] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Sandalon S, Ofri R. The effect of topical anesthesia on the rat electroretinogram. Doc Ophthalmol 2008; 118:101-8. [PMID: 18665412 DOI: 10.1007/s10633-008-9141-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2008] [Accepted: 07/08/2008] [Indexed: 10/21/2022]
Abstract
Topical anesthetics are recommended when electroretinograms (ERGs) are recorded using contact lens electrodes. However, these drugs act by blocking voltage-gated Na+ channels. Since such channels have been located in both the inner and outer retina of many species, topical anesthesia could affect the ERG recordings in these subjects. The purpose of this study was to evaluate the effects of oxybuprocaine, a commonly used ester local anesthetic, on the rat ERG. Full-field scotopic and pattern ERGs (PERGs) were recorded successively from both eyes of seven rats. One eye was randomly treated with oxybuprocaine 15 min prior to recording. In 10 rats unilateral full-field photopic ERG recordings were conducted prior to, and 15 min after, treatment. B-wave amplitude ratios of the experimental/control eyes were 1.13, 1.30, and 1.35 for the three intensities used to record scotopic ERG responses, and 1.04 for the photopic ERG responses. PERG amplitude ratios of the experimental/control eyes were 1.10, 1.21, 1.21, 1.24, and 1.26 for the five patterns used. Treatment had no significant negative effect on signal amplitude or implicit time of the full-field ERG or PERG. In fact, amplitudes of signals from treated eyes tended to be (insignificantly) higher, though this might reflect better position of the active electrode rather than a biological effect. We conclude that oxybuprocaine has no negative effect on the rat ERG.
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Affiliation(s)
- Shai Sandalon
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, PO Box12, Rehovot 76100, Israel
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