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Swann N, Tang K, Nam J, Lee J, Domin M, Shaw TE, Kozimor SA, Som S, Lee KL. Intermolecular C-H silylations of arenes and heteroarenes with mono-, bis-, and tris(trimethylsiloxy)hydrosilanes: control of silane redistribution under operationally diverse approaches. Chem Sci 2024; 15:11912-11918. [PMID: 39092102 PMCID: PMC11290416 DOI: 10.1039/d4sc03394a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Accepted: 06/17/2024] [Indexed: 08/04/2024] Open
Abstract
Efficient catalytic protocols for C-H silylations of arenes and heteroarenes with sterically and electronically different hydrosiloxysilanes are disclosed. The silylations are catalyzed by a well-defined Rh-complex (1 mol%), derived from [Rh(1,5-hexadiene)Cl]2 and a bulky BINAP type ligand. This catalyst not only promotes C-Si bond formation affording the desired products in up to 95% isolated yield, but also can suppress the silane redistribution side reactions of HSiMe2(OTMS). The protocol can also be applied for the C-H silylations of more reactive HSiMe(OTMS)2 with a much lower catalyst loading (0.25 mol%) and even with sterically demanding HSi(OTMS)3. The steric bulk of the arene substituent and hydrosiloxysilane is a major factor in determining the regioselectivity and electronic effect as secondary. The current method can be performed under operationally diverse conditions: with/without a hydrogen scavenger or solvent.
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Affiliation(s)
- Noah Swann
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
| | - Kiki Tang
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
| | - Jihyeon Nam
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
| | - Jooyeon Lee
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
| | - Marek Domin
- Mass Spectrometry Centre, Boston College 245 Beacon Street, Chestnut Hill MA 02467 USA
| | - Thomas E Shaw
- Los Alamos National Laboratory P.O. Box 1663 Los Alamos NM 87545 USA
| | - Stosh A Kozimor
- Los Alamos National Laboratory P.O. Box 1663 Los Alamos NM 87545 USA
| | - Salina Som
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
| | - Kangsang L Lee
- University of Central Florida, Department of Chemistry 4111 Libra Drive, PSB #255 Orlando FL USA 32816
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Riboni N, Ribezzi E, Marraffa E, Mora P, Bellucci C, Bianchi F, Careri M. An ex vivo headspace gas chromatography-mass spectrometry method for the determination of short-chain siloxanes in silicon oil tamponades used in ophthalmic surgery. J Pharm Biomed Anal 2024; 238:115871. [PMID: 38006704 DOI: 10.1016/j.jpba.2023.115871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 11/02/2023] [Accepted: 11/20/2023] [Indexed: 11/27/2023]
Abstract
Being able to facilitate retinal reattachment by preventing water migration into the subretinal space, silicone oils are widely used as long-term intraocular tamponade to treat cases of retinal detachment. Various commercial tamponades constituted by linear polydimethylsiloxane polymers with different molecular weights and cyclic impurities are available. In this study, for the first time, an untargeted headspace-gas-chromatography-mass spectrometry (HS-GC-MS) method was developed to identify low-molecular weight contaminants in three different types of silicone oil tamponades, namely Siluron 2000, RS-OIL ECS5000 and Densiron Xtra. Both commercial and post-operative tamponades were analysed to screen for the different classes of compounds present in the samples. The most abundant classes were short-chain siloxanes, fluorinated compounds, and hydrocarbons. To quantify the siloxanes present in the samples, a targeted HS-GS-MS was optimized using a central composite design and validated according to guidelines for bioanalytical methods. Lower limits of quantification in the low μg/L range, good precision with RSD% < 12% and accuracy with recovery rates in the 81 ( ± 7) - 96 ( ± 4) % range were achieved. Short-chain siloxanes were quantified in both commercial and post-operative tamponades, being the RS-OIL ECS5000 characterized by the highest concentration levels of the investigated analytes. By contrast, Densiron Xtra tamponades showed the lowest amount of short-chain siloxanes, observing a general decrease in their concentration levels according to the residence time in the eyes.
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Affiliation(s)
- Nicolò Riboni
- University of Parma, Department of Chemistry, Life Sciences and Environmental Sustainability, Parco Area delle Scienze, 17/A, 43124 Parma, Italy.
| | - Erika Ribezzi
- University of Parma, Department of Chemistry, Life Sciences and Environmental Sustainability, Parco Area delle Scienze, 17/A, 43124 Parma, Italy
| | - Enrico Marraffa
- University of Parma, Department of Chemistry, Life Sciences and Environmental Sustainability, Parco Area delle Scienze, 17/A, 43124 Parma, Italy
| | - Paolo Mora
- Ophthalmology Unit, University Hospital of Parma, Via Gramsci 14, 43100 Parma, Italy
| | - Carlo Bellucci
- Ophthalmology Unit, University Hospital of Parma, Via Gramsci 14, 43100 Parma, Italy
| | - Federica Bianchi
- University of Parma, Department of Chemistry, Life Sciences and Environmental Sustainability, Parco Area delle Scienze, 17/A, 43124 Parma, Italy.
| | - Maria Careri
- University of Parma, Department of Chemistry, Life Sciences and Environmental Sustainability, Parco Area delle Scienze, 17/A, 43124 Parma, Italy
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Vitreous Substitutes from Bench to the Operating Room in a Translational Approach: Review and Future Endeavors in Vitreoretinal Surgery. Int J Mol Sci 2023; 24:ijms24043342. [PMID: 36834754 PMCID: PMC9961686 DOI: 10.3390/ijms24043342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/24/2023] [Accepted: 02/02/2023] [Indexed: 02/11/2023] Open
Abstract
Vitreous substitutes are indispensable tools in vitreoretinal surgery. The two crucial functions of these substitutes are their ability to displace intravitreal fluid from the retinal surface and to allow the retina to adhere to the retinal pigment epithelium. Today, vitreoretinal surgeons can choose among a plethora of vitreous tamponades, and the tamponade of choice might be difficult to determine in the ever-expanding range of possibilities for a favorable outcome. The currently available vitreous substitutes have disadvantages that need to be addressed to improve the surgical outcome achievable today. Herein, the fundamental physical and chemical proprieties of all vitreous substitutes are reported, and their use and clinical applications are described alongside some surgical techniques of intra-operative manipulation. The major upcoming developments in vitreous substitutes are extensively discussed, keeping a translational perspective throughout. Conclusions on future perspectives are derived through an in-depth analysis of what is lacking today in terms of desired outcomes and biomaterials technology.
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Sinisi F, Della Santina M, Loiudice P, Figus M, Casini G. The Role of Silicone Oil in the Surgical Management of Endophthalmitis: A Systematic Review. J Clin Med 2022; 11:jcm11185445. [PMID: 36143089 PMCID: PMC9505397 DOI: 10.3390/jcm11185445] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/07/2022] [Accepted: 09/08/2022] [Indexed: 12/03/2022] Open
Abstract
(1) Background: We aimed to systematically review the current literature to evaluate if in patients with postoperative endophthalmitis treated with pars plana vitrectomy, silicone oil tamponade could provide a useful contribution to the control and eradication of infection and if it could influence anatomical recovery and functional outcome. (2) Randomized controlled trials, cross-sectional studies, case series, and case reports published in the English language in peer-reviewed journals were included. No restriction was placed based on the study location. We used medical subject headings (MeSH) and text words. We searched MEDLINE (OVID and PubMed), Google Scholar, ISI Web of Science (Thom-on-Reuters), and the Cochrane Library (Wiley) from January 1995 to the present. To ensure literature saturation, we scanned the reference lists of included studies or relevant reviews identified through the search. Risk of Bias was assessed using the Newcastle-Ottawa scale for longitudinal studies and Cochrane risk-of-bias tool for randomized trials. (3) Results: abstracts of 75 articles were selected for full-text reading; after full-text reading, 44 articles were taken into consideration in the systematic review. 5 out of 7 in vitro experimental studies demonstrated antimicrobial activity against different species of bacteria and fungi. The use of SO as endotamponade associated with PPV led to better visual acuity and a lower rate of retinal detachment and the need for additional surgery. (4) Conclusions: Silicone oil reduces the risk of postoperative retinal detachment, especially in case of undetected retinal breaks, produces compartmentalization of the eye, may lead to early visual recovery, allows laser photocoagulation, prevents severe postoperative hypotony and has antimicrobic activity due to an inhibitory effect for several species of pathogens. Concerns regarding possible toxic effects on the retina and optic disc, compartmentalization and impaired washout of pathogen toxins have been reported. It may also influence intravitreal antibiotic distribution and clearance.
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Affiliation(s)
- Fabrizio Sinisi
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56124 Pisa, Italy
| | - Marco Della Santina
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56124 Pisa, Italy
| | - Pasquale Loiudice
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56124 Pisa, Italy
- Complex Operative Ophthalmology Unit, “F. Lotti” Hospital, 56025 Pontedera, Italy
- Correspondence:
| | - Michele Figus
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56124 Pisa, Italy
| | - Giamberto Casini
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56124 Pisa, Italy
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Injectable self-crosslinking hydrogels based on hyaluronic acid as vitreous substitutes. Int J Biol Macromol 2022; 208:159-171. [PMID: 35301003 DOI: 10.1016/j.ijbiomac.2022.03.046] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/16/2022] [Accepted: 03/09/2022] [Indexed: 02/07/2023]
Abstract
After vitrectomy, the ideal vitreous substitute should be implanted to maintain the normal function of the eye. However, the existing materials (such as silicone oil, air, perfluorocarbons, etc.) still have some shortcomings and cannot fully meet the clinical needs. In this study, thiolated hyaluronic acid (SH-HA) was prepared based on hyaluronic acid. The SH-HA hydrogel was formed by a simple transformation of the sulfhydryl group to the disulfide bond, which had high transparency, controllable swelling property, suitable mechanical strength, excellent biocompatibility and similar physical and chemical properties to natural vitreous. SH-HA hydrogel was filled into the eyes of experimental rabbits to replace their own vitreous after vitrectomy. During the 90 days follow-up period, SH-HA hydrogel showed excellent intraocular compatibility, maintained normal intraocular pressure (IOP), and no cataract, endophthalmitis, retinal detachment and other complications were observed. In general, SH-HA hydrogel has great potential as a vitreous substitute.
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Physical Characterization and In Vitro Toxicity Test of PDMS Synthesized from Low-Grade D4 Monomer as a Vitreous Substitute in the Human Eyes. J Funct Biomater 2022; 13:jfb13010003. [PMID: 35076527 PMCID: PMC8788430 DOI: 10.3390/jfb13010003] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 12/20/2021] [Accepted: 12/27/2021] [Indexed: 02/05/2023] Open
Abstract
Polydimethylsiloxane (PDMS) is one of the most superior materials and has been used as a substitute for vitreous humor in the human eye. In previous research, we have succeeded in producing PDMS with low and medium viscosity using octamethylcyclotetrasiloxane (D4) monomer with a low grade of 96%. Both have good physical properties and are comparable to commercial product PDMS and PDMS synthesized using D4 monomer with a high grade of 98%. An improvement of the synthesis process is needed to ensure that PDMS synthesized from a low-grade D4 monomer under specific synthesis conditions can repeatedly produce high-quality PDMS. Apart from good physical properties, the PDMS as a substitute for vitreous humor must also be safe and not cause other disturbances to the eyes. Here, we reported the process of synthesizing and characterizing the physical properties of low- and medium-viscosity PDMS using a low-grade D4 monomer. We also reported for the first time the in vitro toxicity test using the Hen’s Egg Test Chorioallantoic Membrane (HET-CAM) test method. We have succeeded in obtaining PDMS with viscosities of 1.15 Pa.s, 1.17 Pa.s, and 1.81 Pa.s. All samples have good physical properties such as refractive index, surface tension, and functional groups that are similar to commercial PDMS. The HET-CAM test results showed that all samples did not show signs of irritation indicating that samples were non-toxic. From the results of this study, it can be concluded that PDMS synthesized from a low-grade D4 monomer under specific synthesis conditions by the ROP method is very safe and has the potential to be developed as a substitute for vitreous humor in human eyes.
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Chen Y, Lam Ip Y, Zhou L, Li PY, Chan YM, Lam WC, Li KKW, Steel DH, Chan YK. What Is the Cause of Toxicity of Silicone Oil? MATERIALS 2021; 15:ma15010269. [PMID: 35009415 PMCID: PMC8745808 DOI: 10.3390/ma15010269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 12/17/2021] [Accepted: 12/25/2021] [Indexed: 11/16/2022]
Abstract
Purpose: To investigate the toxicity of the low-molecular-weight components (LMWCs) in ophthalmic silicone oils (SilOils) on retinal cell lines. Methods: The toxicity of six types of LMWCs were studied and compared with conventional SilOil 1000 cSt. In vitro cytotoxic tests of LMWCs, in both liquid and emulsified forms, on three retinal cell lines (Müller cells (rMC-1), photoreceptor cells (661W) and retinal pigment epithelial cells (ARPE-19)) were conducted using a transwell cell culturing system. The morphology and viability of cells were assessed by light microscopy and Cell Counting Kit-8 (CCK-8) assay at different time points (6, 24 and 72 h). The ARPE-19 apoptotic pathway was investigated by Mitochondrial Membrane Potential/Annexin V Apoptosis Kit at different time points (6, 24 and 72 h). Results: Apart from dodecamethylpentasiloxane (L5), all liquid LMWCs showed varying degrees of acute cytotoxicity on retinal cell lines within 72 h. Emulsified LMWCs showed comparable cytotoxicity with liquid LMWCs on retinal cell lines. Cyclic LMWCs, octamethylcyclotetrasiloxane (D4) and decamethylcyclopentasiloxane (D5) had significantly higher cytotoxicity when compared with their linear counterparts decamethyltetrasiloxane (L4) and L5 with similar molecular formula. Using ARPE-19 cells as an example, we showed that LMWCs induce the apoptosis of retinal cells. Conclusions: Most LMWCs, in both liquid and emulsified forms, can induce acute cytotoxicity. In addition, cyclic LMWCs are suspected to have higher cytotoxicity than their linear counterparts. Therefore, LMWCs are suspected to be the main cause of the long-term toxicity of ophthalmic SilOil, due to their toxicity and propensity to cause ophthalmic SilOil to emulsify. The amount of LMWCs should be considered as the paramount parameter when referring to the quality of SilOil.
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Affiliation(s)
- Ying Chen
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | - Yan Lam Ip
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | - Liangyu Zhou
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | - Pik Yi Li
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | - Yee Mei Chan
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | - Wai Ching Lam
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
| | | | - David H. Steel
- Sunderland Eye Infirmary, Sunderland SR2 9HP, UK;
- Bioscience Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK
- Department of Eye and Vision Science, University of Liverpool, Liverpool L69 3BX, UK
| | - Yau Kei Chan
- Department of Ophthalmology, The University of Hong Kong, Hong Kong, China; (Y.C.); (Y.L.I.); (L.Z.); (P.Y.L.); (Y.M.C.); (W.C.L.)
- Correspondence:
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He B, Yang J, Liu Y, Xie X, Hao H, Xing X, Liu W. An in situ-forming polyzwitterion hydrogel: Towards vitreous substitute application. Bioact Mater 2021; 6:3085-3096. [PMID: 33778190 PMCID: PMC7960944 DOI: 10.1016/j.bioactmat.2021.02.029] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/06/2021] [Accepted: 02/20/2021] [Indexed: 12/18/2022] Open
Abstract
Development of a biostable and biosafe vitreous substitute is highly desirable, but remains a grand challenge. Herein, we propose a novel strategy for constructing a readily administered vitreous substitute based on a thiol-acrylate clickable polyzwitterion macromonomer. A biocompatible multivinyl polycarboxybetaine (PCB-OAA) macromonomer is designed and synthesized, and mixed with dithiothreitol (DTT) via a Michael addition reaction to form a hydrogel in vitreous cavity. This resultant PCB-OAA hydrogel exhibits controllable gelation time, super anti-fouling ability against proteins and cells, excellent biocompatibility, and approximate key parameters to human vitreous body including equilibrium water content, density, optical properties, modulus. Remarkably, outperforming clinically used silicone oil in biocompatibility, this rapidly formed hydrogel in the vitreous cavity of rabbit eyes remains stable in vitreous cavity, showing an appealing ability to prevent significantly inflammatory response, fibrosis and complications such as raised intraocular pressure (IOP), and cataract formation. This zwitterionic polymer hydrogel holds great potential as a vitreous substitute.
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Affiliation(s)
- Binbin He
- School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China
| | - Jianhai Yang
- School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China
| | - Yang Liu
- School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China
| | - Xianhua Xie
- School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China
| | - Huijie Hao
- Tianjin International Joint Research and Development Centre of Ophthalmology and Vision Science, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, 300384, China
| | - Xiaoli Xing
- Tianjin International Joint Research and Development Centre of Ophthalmology and Vision Science, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, 300384, China
| | - Wenguang Liu
- School of Materials Science and Engineering, Tianjin Key Laboratory of Composite and Functional Materials, Tianjin University, Tianjin, 300350, China
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Wang T, Ran R, Ma Y, Zhang M. Polymeric hydrogel as a vitreous substitute: current research, challenges, and future directions. Biomed Mater 2021; 16. [PMID: 34038870 DOI: 10.1088/1748-605x/ac058e] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 05/26/2021] [Indexed: 02/08/2023]
Abstract
Vitreoretinal surgery is an essential approach to treat proliferative diabetic vitreopathy, retinal detachment, retinal tear, ocular trauma, and macular holes. The removal of the natural vitreous and the replacement with substitutes are critical steps for retina reattachment. Vitreous substitutes including silicone oil (SiO), air, sulfur hexafluoride (SF6), and perfluoropropane (C3F8), have been widely applied in clinical practice. However, these substitutes are reported to cause complications such as emulsification, high intraocular pressure, and lens opacification. Polymeric hydrogels are a kind of material with favorable physical, mechanical properties, and adaptable biocompatibility, thus being highly expected to be ideal vitreous substitutes. Despite years of research, very few polymeric hydrogels can be applied practically in the vitreous cavity. In this review, we focus on the development of polymeric natural-based hydrogels and synthetic hydrogels. Particularly, we pay attention to recent advances in the novel stimuli-response and self-assembly supramolecular hydrogels. Characterized by easy injectability and long residence time, this kind of hydrogel becomes the potentially promising candidates for ideal vitreous substitutes. Finally, we evaluate the current challenges and provide the future directions of vitreous substitutes.
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Affiliation(s)
- Ting Wang
- Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China.,West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China
| | - Ruijin Ran
- Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China.,Minda Hospital of Hubei Minzu University, Enshi, People's Republic of China
| | - Yan Ma
- State Key Laboratory of Coordination Chemistry, School of Chemistry and Chemical Engineering, Nanjing University, Nanjing 210023, People's Republic of China
| | - Ming Zhang
- Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China
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Chen Y, Kearns VR, Zhou L, Sandinha T, Lam WC, Steel DH, Chan YK. Silicone oil in vitreoretinal surgery: indications, complications, new developments and alternative long-term tamponade agents. Acta Ophthalmol 2021; 99:240-250. [PMID: 32930501 DOI: 10.1111/aos.14604] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 07/27/2020] [Accepted: 08/01/2020] [Indexed: 01/01/2023]
Abstract
Silicone oil (SO) has been used as a long-term tamponade agent in the treatment of complicated vitreoretinal diseases for about half a century, during which time many advances in surgical techniques and technologies have been made. This review summarizes the chemical and physical properties of SO, its indications and complications, including particularly emulsification. The mechanisms and risk factors for emulsification are discussed, as well as novel strategies for its effective removal. Finally, the review focuses on new improved formulations of SO, including research into slow-release pharmacological agents within SO and provides an overview of alternatives to SO for the purpose of long-term tamponade that are being developed.
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Affiliation(s)
- Ying Chen
- Ruian Traditional Chinese Medicine Hospital Ruian China
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong SAR China
| | - Victoria R Kearns
- Department of Eye and Vision Science University of Liverpool Liverpool UK
| | - Liangyu Zhou
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong SAR China
| | - Teresa Sandinha
- Department of Eye and Vision Science University of Liverpool Liverpool UK
- St. Paul's Eye Unit The Royal Liverpool University Hospital Liverpool UK
| | - Wai Ching Lam
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong SAR China
| | - David H Steel
- Department of Eye and Vision Science University of Liverpool Liverpool UK
- Newcastle University Newcastle Upon Tyne UK
- Sunderland Eye Infirmary Sunderland UK
| | - Yau Kei Chan
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong SAR China
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11
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Long-Term Effect of Silicone Oil Tamponade for Postoperative and Posttraumatic Bacterial Endophthalmitis. J Ophthalmol 2021; 2021:6658281. [PMID: 33604082 PMCID: PMC7870316 DOI: 10.1155/2021/6658281] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 01/16/2021] [Accepted: 01/21/2021] [Indexed: 11/17/2022] Open
Abstract
Purpose To compare clinical features and microbial profiles, treatment outcomes, and prognostic factors of the eyes between postoperative and posttraumatic bacterial endophthalmitis after pars plana vitrectomy (PPV) with silicone oil (SO) tamponade. Methods Overall, 57 eyes of 57 patients who diagnosed exogenous bacterial endophthalmitis and underwent PPV with SO tamponade between 2000 and 2019 were reviewed. Causative microorganisms, culture positivity, change of mean best-corrected visual acuity (BCVA), and course of treatment were investigated between postoperative and posttraumatic groups, and relevant factors were analyzed according to the final BCVA. Results The mean BCVA change was not significantly different between groups. The positive rate of microorganisms was significantly higher in the postoperative group. The mean time to surgery over 48 hours, initial BCVA worse than hand motion, and additional surgery after initial vitrectomy were correlated with poor final BCVA worse than 20/200. There was significantly achieved final BCVA 20/200 or better in the Staphylococcus and Streptococcus group than the Enterococcus and Pseudomonas group. Conclusion PPV with SO tamponade may be an effective surgical treatment strategy for exogenous bacterial endophthalmitis. Final visual outcomes were not significantly different between postoperative and posttraumatic groups, and the mean time to surgery, initial visual acuity, additional surgery, and type of microorganism are significantly related to visual prognosis.
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12
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Tram NK, Maxwell CJ, Swindle-Reilly KE. Macro- and Microscale Properties of the Vitreous Humor to Inform Substitute Design and Intravitreal Biotransport. Curr Eye Res 2020; 46:429-444. [PMID: 33040616 DOI: 10.1080/02713683.2020.1826977] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Research on the vitreous humor and development of hydrogel vitreous substitutes have gained a rapid increase in interest within the past two decades. However, the properties of the vitreous humor and vitreous substitutes have yet to be consolidated. In this paper, the mechanical properties of the vitreous humor and hydrogel vitreous substitutes were systematically reviewed. The number of publications on the vitreous humor and vitreous substitutes over the years, as well as their respective testing conditions and testing techniques were analyzed. The mechanical properties of the human vitreous were found to be most similar to the vitreous of pigs and rabbits. The storage and loss moduli of the hydrogel vitreous substitutes developed were found to be orders of magnitude higher in comparison to the native human vitreous. However, the reported modulus for human vitreous, which was most commonly tested in vitro, has been hypothesized to be different in vivo. Future studies should focus on testing the mechanical properties of the vitreous in situ or in vivo. In addition to its mechanical properties, the vitreous humor has other biotransport mechanisms and biochemical functions that establish a redox balance and maintain an oxygen gradient inside the vitreous chamber to protect intraocular tissues from oxidative damage. Biomimetic hydrogel vitreous substitutes have the potential to provide ophthalmologists with additional avenues for treating and controlling vitreoretinal diseases while preventing complications after vitrectomy. Due to the proximity and interconnectedness of the vitreous humor to other ocular tissues, particularly the lens and the retina, more interest has been placed on understanding the properties of the vitreous humor in recent years. A better understanding of the properties of the vitreous humor will aid in improving the design of biomimetic vitreous substitutes and enhancing intravitreal biotransport.
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Affiliation(s)
- Nguyen K Tram
- Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA
| | - Courtney J Maxwell
- Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA
| | - Katelyn E Swindle-Reilly
- Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA.,William G. Lowrie Department of Chemical and Biomolecular Engineering, The Ohio State University, Columbus, OH, USA.,Department of Ophthalmology & Visual Science, The Ohio State University, Columbus, OH, USA
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13
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Laradji A, Shui YB, Karakocak BB, Evans L, Hamilton P, Ravi N. Bioinspired Thermosensitive Hydrogel as a Vitreous Substitute: Synthesis, Properties, and Progress of Animal Studies. MATERIALS (BASEL, SWITZERLAND) 2020; 13:E1337. [PMID: 32183465 PMCID: PMC7143394 DOI: 10.3390/ma13061337] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 02/26/2020] [Accepted: 03/13/2020] [Indexed: 11/16/2022]
Abstract
In many vitreal diseases, the surgeon removes the natural vitreous and replaces it with silicone oils, gases, or balanced salt solutions to fill the eyeball and hold the retina in position. However, these materials are often associated with complications and have properties that differ from natural vitreous. Herein, we report an extension of our previous work on the synthesis of a biomimetic hydrogel that is composed of thiolated gellan as an analogue of type II collagen and poly(methacrylamide-co-methacrylate-co-bis(methacryloyl)cystamine), a polyelectrolyte, as an analogue of hyaluronic acid. This thermosensitive hydrogel can be injected into the eye as a viscous solution at 45 °C. It then forms a physical gel in situ when it reaches body temperature, and later forms disulfide covalent crosslinks. In this article, we evaluated two different formulations of the biomimetic hydrogels for their physical, mechanical, and optical properties, and we determined their biocompatibility with several cell lines. Finally, we report on the progress of the four-month preclinical evaluation of our bio-inspired vitreous substitute in comparison to silicone oil or a balanced salt solution. We assessed the eyes with a slit-lamp examination, intraocular pressure measurements, electroretinography, and optical coherence tomography. Preliminary results are very encouraging for the continuing evaluation of our bio-inspired hydrogel in clinical trials.
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Affiliation(s)
- Amine Laradji
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
- Department of Veterans Affairs, St. Louis Medical Center, St. Louis, MO 63106, USA
| | - Ying-Bo Shui
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
| | - Bedia Begum Karakocak
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
- Department of Veterans Affairs, St. Louis Medical Center, St. Louis, MO 63106, USA
| | - Lynn Evans
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
| | - Paul Hamilton
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
| | - Nathan Ravi
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA; (A.L.); (Y.-B.S.); (B.B.K.); (L.E.); (P.H.)
- Department of Veterans Affairs, St. Louis Medical Center, St. Louis, MO 63106, USA
- Department of Energy, Environmental, and Chemical Engineering, Washington University in St. Louis, St. Louis, MO 63110, USA
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14
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Lu Y, Chan YK, Lau LH, Wong D, Wong JKW, Shih KC, Lai SM, Shum HC. Amphiphilic additives in silicone oil tamponade and emulsification: an eye-on-a-chip study. Acta Ophthalmol 2020; 98:e232-e237. [PMID: 31386804 DOI: 10.1111/aos.14212] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 07/10/2019] [Indexed: 12/26/2022]
Abstract
AIMS Recently, chemically modified silicone oil has been demonstrated as a reservoir for sustained release of intraocular drugs, many of which might be amphiphilic in nature. In this work, we study the effect of amphiphilic additives in silicone oil on emulsification under eye-like movements. METHODS Three silicone-oil-soluble surfactants, namely DC749, MQ1640 and FZ2233, were used as model amphiphilic additives. The change of viscosity was measured by a rheometer in the cone-and-plate geometry. The interfacial tension (IFT) between silicone oil and model aqueous phase was measured by pendant drop tensiometry. Emulsification of silicone oil was induced by simulated saccadic eye movements on a cell-coated eye-on-a-chip platform for 4 days. The number of emulsified silicone oil droplets observed in the aqueous phase was assessed daily by optical microscopy. RESULTS Significantly more emulsified droplets were formed in silicone oil with DC749 or MQ1640 (P < 0.05). However, such increase was not directly related to the change in IFT nor viscosity. Moreover, water droplets were also found in the silicone oil, but not in the control silicone oil without additive. CONCLUSIONS The amphiphilic substances in silicone oil promoted emulsification. Besides typical oil-in-water drops that normally affect the eye, water-in-oil drops were also formed. Before silicone oil could be considered as a vehicle for drug delivery, the nature of the drug and its possible effect on emulsification and therefore on the pharmacokinetics needs to be investigated. An additional concern is that water-in-oil droplets in the eye would affect the optical clarity of silicone oil and might cause visual symptoms.
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Affiliation(s)
- Yongjie Lu
- Department of Mechanical Engineering University of Hong Kong Hong Kong Hong Kong
| | - Yau Kei Chan
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong
| | - Long Hei Lau
- Department of Mechanical Engineering University of Hong Kong Hong Kong Hong Kong
| | - David Wong
- Department of Eye and Vision Science University of Liverpool Liverpool UK
| | | | - Kendrick Co Shih
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong
| | - Shiu Ming Lai
- Department of Ophthalmology University of Hong Kong Hong Kong Hong Kong
| | - Ho Cheung Shum
- Department of Mechanical Engineering University of Hong Kong Hong Kong Hong Kong
- HKU‐Shenzhen Institute of Research and Innovation (HKU‐SIRI) Shenzhen China
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15
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Tram NK, Jiang P, Torres‐Flores TC, Jacobs KM, Chandler HL, Swindle‐Reilly KE. A Hydrogel Vitreous Substitute that Releases Antioxidant. Macromol Biosci 2019; 20:e1900305. [DOI: 10.1002/mabi.201900305] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 11/11/2019] [Indexed: 02/05/2023]
Affiliation(s)
- Nguyen K. Tram
- Department of Biomedical Engineering The Ohio State University 1080 Carmack Rd. Columbus OH 43210 USA
| | - Pengfei Jiang
- William G. Lowrie Department of Chemical and Biomolecular Engineering The Ohio State University 151 W. Woodruff Avenue Columbus OH 43210 USA
| | - Tiara C. Torres‐Flores
- Department of Biomedical Engineering The Ohio State University 1080 Carmack Rd. Columbus OH 43210 USA
| | - Kane M. Jacobs
- William G. Lowrie Department of Chemical and Biomolecular Engineering The Ohio State University 151 W. Woodruff Avenue Columbus OH 43210 USA
| | - Heather L. Chandler
- College of Optometry The Ohio State University 338 West 10th Avenue Columbus OH 43210 USA
| | - Katelyn E. Swindle‐Reilly
- Department of Biomedical Engineering The Ohio State University 1080 Carmack Rd. Columbus OH 43210 USA
- William G. Lowrie Department of Chemical and Biomolecular Engineering The Ohio State University 151 W. Woodruff Avenue Columbus OH 43210 USA
- Department of Ophthalmology and Visual Science The Ohio State University 915 Olentangy River Road, Suite 5000 Columbus OH 43212 USA
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16
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Chao C, Xu G, Fan X. Effect of surface tension, viscosity, pore geometry and pore contact angle on effective pore throat. Chem Eng Sci 2019. [DOI: 10.1016/j.ces.2018.12.029] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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17
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Enzymatically obtaining hydrogels of PVA crosslinked with ferulic acid in the presence of laccase for biomedical applications. Eur Polym J 2019. [DOI: 10.1016/j.eurpolymj.2018.10.024] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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18
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Santhanam S, Shui YB, Struckhoff J, Karakocak BB, Hamilton PD, Harocopos GJ, Ravi N. Bioinspired Fibrillary Hydrogel with Controlled Swelling Behavior: Applicability as an Artificial Vitreous. ACS APPLIED BIO MATERIALS 2018; 2:70-80. [DOI: 10.1021/acsabm.8b00376] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Sruthi Santhanam
- Energy, Environmental and Chemical Engineering, Washington University in St. Louis, St. Louis, Missouri 63110, United States
| | - Ying-Bo Shui
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, United States
| | - Jessica Struckhoff
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, United States
| | - Bedia Begum Karakocak
- Energy, Environmental and Chemical Engineering, Washington University in St. Louis, St. Louis, Missouri 63110, United States
| | - Paul D. Hamilton
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, United States
| | - George J. Harocopos
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, United States
- Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri 63110, United States
| | - Nathan Ravi
- Energy, Environmental and Chemical Engineering, Washington University in St. Louis, St. Louis, Missouri 63110, United States
- Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, United States
- Department of
Veterans Affairs, St. Louis Medical Center, St. Louis, Missouri 63106, United States
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19
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Jiang X, Peng Y, Yang C, Liu W, Han B. The feasibility study of an in situ
marine polysaccharide-based hydrogel as the vitreous substitute. J Biomed Mater Res A 2018; 106:1997-2006. [DOI: 10.1002/jbm.a.36403] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Revised: 02/06/2018] [Accepted: 03/15/2018] [Indexed: 11/06/2022]
Affiliation(s)
- Xiaolei Jiang
- College of Marine Life Sciences, Ocean University of China; Qingdao Shandong China
| | - Yanfei Peng
- College of Marine Life Sciences, Ocean University of China; Qingdao Shandong China
| | - Chaozhong Yang
- School of Medicine; Heze Medical College; Heze Shandong China
| | - Wanshun Liu
- College of Marine Life Sciences, Ocean University of China; Qingdao Shandong China
| | - Baoqin Han
- College of Marine Life Sciences, Ocean University of China; Qingdao Shandong China
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20
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Stein S, Bogdahn M, Rosenbaum C, Weitschies W, Seidlitz A. Distribution of fluorescein sodium and triamcinolone acetonide in the simulated liquefied and vitrectomized Vitreous Model with simulated eye movements. Eur J Pharm Sci 2017; 109:233-243. [PMID: 28823853 DOI: 10.1016/j.ejps.2017.08.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 07/26/2017] [Accepted: 08/17/2017] [Indexed: 01/20/2023]
Abstract
Intravitreal administration is the method of choice for drug delivery to the posterior segment of the eye with special emphasis on the vitreous body and its surrounding retinal vasculature. In order to gain a better understanding of the underlying distribution processes, an in vitro model simulating the vitreous body (Vitreous Model, VM) and a system simulating the impact of movement on the VM (Eye Movement System, EyeMoS) was previously developed. In the study reported here, these systems were modified in regard to a standardized injection procedure, the diversity of simulated eye movements, extended periods of investigation, the opportunity to simulate the state after vitrectomy and in considering the physiological temperature. Fluorescein sodium (FS) and triamcinolone acetonide (TA) were used as (model) drugs to examine the drug distribution within the VM. Vitrectomy was simulated by replacing half the volume of the polyacrylamide gel that was used as vitreous substitute with the clinically used Siluron® 5000 whereas for a simulated liquefaction half the volume of the gel was replaced by buffer. A simulated liquefaction caused a 12-fold faster distribution of FS compared to the simulated juvenile VM, which was most likely caused by convective forces and mass transfer. Also, the injection technique (injection into the gel or into the buffer compartment) influenced the resulting distribution pattern. Without any liquefaction, the previously described initial injection channel occurred with both (model) drugs and, in the case of TA, remained almost unchanged during the investigation period of 72h. Simulating vitrectomized eyes, TA did not spread uniformly, but either remained in the depot or strongly sedimented within the VM suggesting that a homogenous distribution of a TA suspension is highly unlikely in vitrectomized eyes. High variabilities were observed with ex vivo animal eyes, demonstrating the limited benefit of explanted tissues for such distribution studies. The combination of the modified VM and EyeMoS seems a valuable tool for characterizing intravitreal dosage forms in a reproducible simulation of diversified eye movements and a partially liquefied or vitrectomized vitreous body.
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Affiliation(s)
- Sandra Stein
- Institute of Pharmacy, Centre of Drug Absorption and Transport, Biopharmaceutics and Pharmaceutical Technology, University of Greifswald, Germany
| | - Malte Bogdahn
- Institute of Pharmacy, Centre of Drug Absorption and Transport, Biopharmaceutics and Pharmaceutical Technology, University of Greifswald, Germany
| | - Christoph Rosenbaum
- Institute of Pharmacy, Centre of Drug Absorption and Transport, Biopharmaceutics and Pharmaceutical Technology, University of Greifswald, Germany
| | - Werner Weitschies
- Institute of Pharmacy, Centre of Drug Absorption and Transport, Biopharmaceutics and Pharmaceutical Technology, University of Greifswald, Germany
| | - Anne Seidlitz
- Institute of Pharmacy, Centre of Drug Absorption and Transport, Biopharmaceutics and Pharmaceutical Technology, University of Greifswald, Germany.
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21
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Morandim-Giannetti ADA, Rubio SR, Nogueira RF, Ortega FDS, Magalhães Junior O, Schor P, Bersanetti PA. Characterization of PVA/glutaraldehyde hydrogels obtained using Central Composite Rotatable Design (CCRD). J Biomed Mater Res B Appl Biomater 2017; 106:1558-1566. [DOI: 10.1002/jbm.b.33958] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2017] [Revised: 06/23/2017] [Accepted: 07/04/2017] [Indexed: 11/11/2022]
Affiliation(s)
| | - Samantha Regina Rubio
- Departamento de Engenharia Química; Centro Universitário FEI; São Bernardo do Campo Brazil
| | - Regina Freitas Nogueira
- Departamento de Oftalmologia e Ciências Visuais; Escola Paulista de Medicina, Universidade Federal de São Paulo; São Paulo Brazil
| | | | - Octaviano Magalhães Junior
- Departamento de Oftalmologia e Ciências Visuais; Escola Paulista de Medicina, Universidade Federal de São Paulo; São Paulo Brazil
| | - Paulo Schor
- Departamento de Oftalmologia e Ciências Visuais; Escola Paulista de Medicina, Universidade Federal de São Paulo; São Paulo Brazil
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22
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Preliminary study of the safety and efficacy of medium-chain triglycerides for use as an intraocular tamponading agent in minipigs. Graefes Arch Clin Exp Ophthalmol 2017; 255:1593-1604. [DOI: 10.1007/s00417-017-3695-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 04/24/2017] [Accepted: 05/09/2017] [Indexed: 11/27/2022] Open
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23
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Su X, Tan MJ, Li Z, Wong M, Rajamani L, Lingam G, Loh XJ. Recent Progress in Using Biomaterials as Vitreous Substitutes. Biomacromolecules 2015; 16:3093-102. [PMID: 26366887 DOI: 10.1021/acs.biomac.5b01091] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Vitreous substitutes are crucial adjuncts during vitreo-retinal surgery for retinal diseases such as complicated retinal detachment, macular holes, complications of diabetic retinopathy, and ocular trauma involving posterior segment. In retinal detachment surgery, an internal tamponade agent is required to provide internal pressure for reattachment of the detached neurosensory retina. Current available options serve only as a temporary surgical adduct or short-term solution and are associated with inherent problems. Despite many years of intensive research, an ideal vitreous substitute remains elusive. Indeed, the development of an ideal vitreous substitute requires the concerted efforts of synthetic chemists and biomaterial engineers, as well as ophthalmic surgeons. In this review, we propose that polymeric hydrogels present the future of artificial vitreous substitutes due to its high water composition, optical transparency, and rheological properties that closely mimic the natural vitreous. In particular, thermosensitive smart hydrogels, with reversible sol to gel change, have emerged as the material class with the most potential to succeed as ideal vitreous substitutes, facilitating easy implementation during surgery. Importantly, these smart hydrogels also display potential as efficacious drug delivery systems.
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Affiliation(s)
- Xinyi Su
- Department of Ophthalmology, National University Hospital , 1E Kent Ridge Road, NUHS Tower Block, Level 7, Singapore 119228, Singapore.,Singapore Eye Research Institute , 11 Third Hospital Avenue, Singapore 168751, Singapore
| | - Mein Jin Tan
- Institute of Materials Research and Engineering (IMRE), A*STAR , 3 Research Link, Singapore 117602, Singapore
| | - Zibiao Li
- Institute of Materials Research and Engineering (IMRE), A*STAR , 3 Research Link, Singapore 117602, Singapore
| | - Meihua Wong
- Department of Ophthalmology, National University Hospital , 1E Kent Ridge Road, NUHS Tower Block, Level 7, Singapore 119228, Singapore
| | | | - Gopal Lingam
- Department of Ophthalmology, National University Hospital , 1E Kent Ridge Road, NUHS Tower Block, Level 7, Singapore 119228, Singapore
| | - Xian Jun Loh
- Institute of Materials Research and Engineering (IMRE), A*STAR , 3 Research Link, Singapore 117602, Singapore.,Department of Materials Science and Engineering, National University of Singapore , 9 Engineering Drive 1, Singapore 117576, Singapore.,Singapore Eye Research Institute , 11 Third Hospital Avenue, Singapore 168751, Singapore
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24
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Yang W, Yuan Y, Zong Y, Huang Z, Mai S, Li Y, Qian X, Liu Y, Gao Q. Preliminary study on retinal vascular and oxygen-related changes after long-term silicone oil and foldable capsular vitreous body tamponade. Sci Rep 2014; 4:5272. [PMID: 24920425 PMCID: PMC4053724 DOI: 10.1038/srep05272] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 05/23/2014] [Indexed: 12/27/2022] Open
Abstract
Silicone oil has been the only long-term vitreous substitute used in the treatment of retinal detachment since 1962 by Cibis. Nevertheless, its effects on retinal vascular morphology and oxygen supply to the retina are ambiguous in current research. We previously invented a foldable capsular vitreous body (FCVB) to use as a new vitreous substitute in the treatment of severe retinal detachment, but its effects on the retinal vessel were unknown. Therefore, in this study, a standard three-port pars plana vitrectomy (PPV) was performed on the right eye of each rabbit and then silicone oil and FCVB were injected into the vitreous cavity as vitreous substitutes. After 180 days of retention, the retinal vascular morphology did not display any distinct abnormalities, and hypoxia-induced factor-1alpha (HIF-1α) and vascular endothelial growth factor (VEGF) did not vary markedly during the observation period in silicone oil tamponade- and FCVB-implanted eyes. This study may suggest that silicone oil and FCVB tamponade in rabbit eyes did not cause retinal vascular pathologic changes or retinal hypoxia for 180 days.
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Affiliation(s)
- Wei Yang
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Yongguang Yuan
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Yao Zong
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Zhen Huang
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Shuyi Mai
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Yujie Li
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Xiaobing Qian
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Yaqin Liu
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
| | - Qianying Gao
- State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
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Donati S, Caprani SM, Airaghi G, Vinciguerra R, Bartalena L, Testa F, Mariotti C, Porta G, Simonelli F, Azzolini C. Vitreous substitutes: the present and the future. BIOMED RESEARCH INTERNATIONAL 2014; 2014:351804. [PMID: 24877085 PMCID: PMC4024399 DOI: 10.1155/2014/351804] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Revised: 04/15/2014] [Accepted: 04/16/2014] [Indexed: 02/05/2023]
Abstract
Vitreoretinal surgery has advanced in numerous directions during recent years. The removal of the vitreous body is one of the main characteristics of this surgical procedure. Several molecules have been tested in the past to fill the vitreous cavity and to mimic its functions. We here review the currently available vitreous substitutes, focusing on their molecular properties and functions, together with their adverse effects. Afterwards we describe the characteristics of the ideal vitreous substitute. The challenges facing every ophthalmology researcher are to reach a long-term intraocular permanence of vitreous substitute with total inertness of the molecule injected and the control of inflammatory reactions. We report new polymers with gelification characteristics and smart hydrogels representing the future of vitreoretinal surgery. Finally, we describe the current studies on vitreous regeneration and cell cultures to create new intraocular gels with optimal biocompatibility and rheological properties.
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Affiliation(s)
- Simone Donati
- Department of Surgical and Morphological Sciences, Section of Ophthalmology, School of Medicine, University of Insubria, Via Guicciardini 9, 21100 Varese, Italy
| | - Simona Maria Caprani
- Department of Surgical and Morphological Sciences, Section of Ophthalmology, School of Medicine, University of Insubria, Via Guicciardini 9, 21100 Varese, Italy
| | - Giulia Airaghi
- Department of Surgical and Morphological Sciences, Section of Ophthalmology, School of Medicine, University of Insubria, Via Guicciardini 9, 21100 Varese, Italy
| | - Riccardo Vinciguerra
- Department of Surgical and Morphological Sciences, Section of Ophthalmology, School of Medicine, University of Insubria, Via Guicciardini 9, 21100 Varese, Italy
| | - Luigi Bartalena
- Endocrine Unit, Department of Clinical and Experimental Medicine, School of Medicine, University of Insubria, 21100 Varese, Italy
| | - Francesco Testa
- Eye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80121 Naples, Italy
| | - Cesare Mariotti
- Department of Ophthalmology, Polytechnic University of Ancona, 60121 Ancona, Italy
| | - Giovanni Porta
- Genetic Laboratory, Department of Surgical and Morphological Sciences, School of Medicine, University of Insubria, 21100 Varese, Italy
| | - Francesca Simonelli
- Eye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80121 Naples, Italy
| | - Claudio Azzolini
- Department of Surgical and Morphological Sciences, Section of Ophthalmology, School of Medicine, University of Insubria, Via Guicciardini 9, 21100 Varese, Italy
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27
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Chen H, Feng S, Liu Y, Huang Z, Sun X, Zhou L, Lu X, Gao Q. Functional evaluation of a novel vitreous substitute using polyethylene glycol sols injected into a foldable capsular vitreous body. J Biomed Mater Res A 2013; 101:2538-47. [PMID: 23359564 DOI: 10.1002/jbm.a.34560] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2012] [Accepted: 12/12/2012] [Indexed: 01/18/2023]
Affiliation(s)
| | | | - Yaqin Liu
- Zhongshan Ophthalmic Center; State Key Laboratory of Ophthalmology; Sun Yat-sen University; Guangzhou 510060; People's Republic of China
| | - Zhen Huang
- Zhongshan Ophthalmic Center; State Key Laboratory of Ophthalmology; Sun Yat-sen University; Guangzhou 510060; People's Republic of China
| | - Xuyuan Sun
- Zhongshan Ophthalmic Center; State Key Laboratory of Ophthalmology; Sun Yat-sen University; Guangzhou 510060; People's Republic of China
| | - Lian Zhou
- Zhongshan Ophthalmic Center; State Key Laboratory of Ophthalmology; Sun Yat-sen University; Guangzhou 510060; People's Republic of China
| | - Xiaohe Lu
- Department of Ophthalmology; Zhujiang Hospital, Southern Medical University; Guangzhou 515282; People's Republic of China
| | - Qianying Gao
- Zhongshan Ophthalmic Center; State Key Laboratory of Ophthalmology; Sun Yat-sen University; Guangzhou 510060; People's Republic of China
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28
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Su WY, Chen KH, Chen YC, Lee YH, Tseng CL, Lin FH. An Injectable Oxidated Hyaluronic Acid/Adipic Acid Dihydrazide Hydrogel as a Vitreous Substitute. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2012; 22:1777-97. [DOI: 10.1163/092050610x522729] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Wen-Yu Su
- a Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, R.O.C.; Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C
| | - Ko-Hua Chen
- b Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C.; Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.; National Yang-Ming University, Taipei, Taiwan, R.O.C
| | - Yu-Chun Chen
- c Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, R.O.C.; Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C
| | - Yen-Hsien Lee
- d Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C
| | - Ching-Li Tseng
- e Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C.; National Science Council, Taipei, Taiwan, R.O.C
| | - Feng-Huei Lin
- f Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, R.O.C.; Division of Medical Engineering Research, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, R.O.C.
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Baino F. Towards an ideal biomaterial for vitreous replacement: Historical overview and future trends. Acta Biomater 2011; 7:921-35. [PMID: 21050899 DOI: 10.1016/j.actbio.2010.10.030] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 10/22/2010] [Accepted: 10/27/2010] [Indexed: 02/03/2023]
Abstract
Removal of the natural vitreous body from the eye and its substitution with a tamponade agent may be necessary in cases of complicated retinal detachment. Many materials have been variously proposed and tested over the years in an attempt to find an ideal vitreous substitute. This review highlights the evolution of research in the field of vitreous replacement and chronicles the main advances that have been made in such a context. The suitability and limitations of vitreous tamponade agents and substitutes in current clinical use are examined, and the future promise of experimentally tested biomaterials are described and discussed. Future trends in research are also considered and, specifically, the great potential of polymeric hydrogels is emphasized, as they seem to be very effective in closely mimicking the features of the natural vitreous and they could successfully act as long-term vitreous substitutes without inducing clinical complications in the patient's eye.
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Affiliation(s)
- Francesco Baino
- Materials Science and Chemical Engineering Department, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino, Italy.
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Wilson CG, Tan LE, Mains J. Principles of Retinal Drug Delivery from Within the Vitreous. DRUG PRODUCT DEVELOPMENT FOR THE BACK OF THE EYE 2011. [DOI: 10.1007/978-1-4419-9920-7_6] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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The Use of Polymers in the Treatment of Retinal Detachment: Current Trends and Future Perspectives. Polymers (Basel) 2010. [DOI: 10.3390/polym2030286] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Matteucci A, Formisano G, Paradisi S, Carnovale-Scalzo G, Scorcia G, Caiazza S, Hoerauf H, Malchiodi-Albedi F. Biocompatibility assessment of liquid artificial vitreous replacements: relevance of in vitro studies. Surv Ophthalmol 2007; 52:289-99. [PMID: 17472804 DOI: 10.1016/j.survophthal.2007.02.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The biocompatibility of liquid artificial vitreous replacements is generally assessed by performing tests in animal models before their clinical use, whereas in vitro experimentation is seldom carried out due to their physico-chemical characteristics. Since their introduction in vitreoretinal surgery, however, the use of some certified vitreous replacements has been discouraged after clinical trials, because of the occurrence of serious side effects. This observation suggests that the tests currently performed for biocompatibility assessment cannot fully guarantee their safety when they are used in humans. Here we review the available literature on in vitro biocompatibility testing of liquid artificial vitreous replacements and survey our own experience on the subject, obtained by using primary retinal cell cultures, seeded on micro-porous inserts. We suggest that in vitro biocompatibility assessment, conducted before experiments in animal models, could improve the required safety evaluation and decrease the risk of undesired side effects, as well as providing a beneficial reduction of animal experimentation.
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Affiliation(s)
- Andrea Matteucci
- G.B. Bietti Foundation for Ophthalmology (I.R.C.C.S.), Rome, Italy
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Young TA, D'Amico DJ. Controversies in proliferative vitreoretinopathy tamponade and pharmacologic adjuvants. Int Ophthalmol Clin 2006; 45:163-71. [PMID: 16199975 DOI: 10.1097/01.iio.0000176368.93887.2c] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Tara A Young
- Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA
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34
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Suri S, Banerjee R. In vitro evaluation ofin situ gels as short term vitreous substitutes. J Biomed Mater Res A 2006; 79:650-64. [PMID: 16826595 DOI: 10.1002/jbm.a.30917] [Citation(s) in RCA: 77] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Dysfunction of the vitreous humor, present in the posterior cavity of the eye, leads to its detachment from the retina and vision loss. In this study, biopolymers were evaluated as in situ gels for short term vitreous substitution. Biophysical characterization revealed that the viscosity of the vitreous was >4000 cP at a shear rate of 0.15/s and it formed a gel with elastic modulus G' greater than the viscous modulus G''. Biopolymers of gellan and hyaluronic acid (8:2 w/w, 1% concentration) were low viscosity liquids at 37 degrees C and gelation was triggered both by the addition of 0.18 mM CaCl(2) as well as ocular temperature, thus making them feasible as in situ gels. Gelation was confirmed by viscoelastic moduli where G' was greater than G'', similar to the vitreous and unlike that of silicone oil, a common vitreous substitute. The gels had a viscosity >5000 cP at a shear rate of 0.512/s, excellent light transmittance and absence of syneresis. Contact angle studies with water and simulated ocular fluids showed that gellan hyaluronic acid gels had similar wetting properties to that of vitreous with contact angles of 27 degrees +/- 1 degrees , 36.7 degrees +/- 1.6 degrees , and 33.7 degrees +/- 0.5 degrees for water, simulated tear fluid, and simulated aqueous humor, respectively. The results of this study suggest that biopolymers of gellan and hylauronic acid are suitable as in situ gels, have biophysical properties similar to that of the vitreous, and may be promising as alternatives to silicone oil as short-term vitreous substitutes.
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Affiliation(s)
- S Suri
- School of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai 400076, India
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Colthurst MJ, Williams RL, Hiscott PS, Grierson I. Biomaterials used in the posterior segment of the eye. Biomaterials 2000; 21:649-65. [PMID: 10711963 DOI: 10.1016/s0142-9612(99)00220-3] [Citation(s) in RCA: 124] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The treatment of posterior segment eye disease and related conditions has improved greatly in recent years with the advent of new therapies, materials and devices. Vitreoretinal conditions, however, remain significant causes of blindness in the developed world. Biomaterials play a major role in the treatment of many of these disorders and the success rate of vitreoretinal surgery, especially in the repair of retinal detachment and related conditions, would increase with the introduction of new and improved materials. This review, which focuses on disorders that feature retinal detachment, briefly describes the anatomy of the eye and the nature and treatment of posterior segment eye disorders. The roles, required properties and suitability of the materials used in vitreoretinal surgery as scleral buckles, tamponade agents or drug delivery devices, are reviewed. Experimental approaches are discussed, along with the methods used for their evaluation, and future directions for biomaterial research in the posterior segment of the eye are considered.
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Affiliation(s)
- M J Colthurst
- Department of Medicine, University of Liverpool, UK.
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Chirila TV, Hong Y, Dalton PD, Constable IJ, Refojo MF. The use of hydrophilic polymers as artificial vitreous. Prog Polym Sci 1998. [DOI: 10.1016/s0079-6700(97)00045-2] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Borovetz HS, Burke JF, Chang TMS, Colas A, Cranin AN, Curtis J, Gemmell CH, Griffith BP, Hallab NJ, Heller J, Hoffman AS, Jacobs JJ, Ideker R, Katz JL, Kennedy J, Lemons JE, Malchesky PS, Morgan JR, Padera RE, Patel AS, Reffojo MF, Roby MS, Rohr TE, Schoen FJ, Sefton MV, Sheridan RT, Smith DC, Spelman FA, Tarcha PJ, Tomapkins RG, Venugopalan R, Wagner WR, Yager P, Yarmush ML. Application of Materials in Medicine, Biology, and Artificial Organs. Biomater Sci 1996. [DOI: 10.1016/b978-012582460-6/50010-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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