A Novel Approach to Increase the Oxygen Permeability of Soft Contact Lenses by Incorporating Silica Sol

Design Characteristics of a Neoteric, Superhydrophilic, Mechanically Robust Hydrogel Engineered To Limit Fouling in the Ocular Environment

Current challenges with ocular drug delivery and the chronic nature of many ocular ailments render the use of traditional ocular devices for additional drug delivery purposes very attractive. To achieve this feat, there is the need to develop biomaterials that are biocompatible, mechanically robust for ocular applications, highly transparent (depending on the targeted ocular device), and with ultralow protein adhesion potential (the primary step in processes that lead to fouling and potential device failure). Herein is reported the facile synthesis of a novel, highly transparent, mechanically robust, nontoxic, bulk functionalized hydrogel with characteristics suited to scalable fabrication of ocular implantable and nonimplantable devices. Synergistic superhydrophilicity between methacrylated poly(vinyl alcohol) (PVAGMA) and zwitterionic sulfobetaine methacrylate was exploited to obtain a superhydrophilic polymer conjugate through facile photoinitiated cross-linking polymerization. Proton nuclear magnetic resonance (1H NMR), attenuated total reflectance-Fourier transform infrared spectroscopy (ATF-FTIR), X-ray powder diffraction (XRD), thermogravimetric analysis (TGA), and differential scanning calorimetry (DSC) were used to confirm the synthesis and establish the physicochemical parameters for both the starting materials, the conjugated polymer, and the hydrogels. Cytotoxicity and cell adhesion potential evaluated in primary human retinal epithelial cells showed no toxicity or adhesion of the ocular cells. Biofilm adhesion studies in Escherichia coli and Staphylococcus aureus showed over 85% reduction in biofilm adhesion for the best-modified polymer compared to the unconjugated PVAGMA, highlighting its antifouling potential.

Smart Contact Lenses as Wearable Ophthalmic Devices for Disease Monitoring and Health Management

The eye contains a complex network of physiological information and biomarkers for monitoring disease and managing health, and ocular devices can be used to effectively perform point-of-care diagnosis and disease management. This comprehensive review describes the target biomarkers and various diseases, including ophthalmic diseases, metabolic diseases, and neurological diseases, based on the physiological and anatomical background of the eye. This review also includes the recent technologies utilized in eye-wearable medical devices and the latest trends in wearable ophthalmic devices, specifically smart contact lenses for the purpose of disease management. After introducing other ocular devices such as the retinal prosthesis, we further discuss the current challenges and potential possibilities of smart contact lenses.

Contact lens as an emerging platform for ophthalmic drug delivery: A systematic review

The number of people with eye diseases has increased with the use of electronics. However, the bioavailability of eye drops remains low owing to the presence of the ocular barrier and other reasons. Although many drug delivery systems have been developed to overcome these problems, they have certain limitations. In recent years, the development of contact lenses that can deliver drugs for long periods with high bioavailability and without affecting vision has increased the interest in using contact lenses for drug delivery. Hence, a review of the current state of research on drug delivery contact lenses has become crucial. This article reviews the key physical and chemical properties of drug-laden contact lenses, development and classification of contact lenses, and features of the commonly used materials. A review of the methods commonly used in current research to create contact lenses has also been presented. An overview on how drug-laden contact lenses can overcome the problems of high burst and short release duration has been discussed. Overall, the review focuses on drug delivery methods using smart contact lenses, and predicts the future direction of research on contact lenses.

Recent Advances in Hydrogels for the Diagnosis and Treatment of Dry Eye Disease

Dry eye disease (DED) is the most common clinical ocular surface disease. Given its multifactorial etiology, no consensus has been reached on the diagnosis criteria for dry eye disease. Topical drug administration remains the mainstay of treatment but is limited to the rapid clearance from the eye surface. To address these problems, hydrogel-based materials were designed to detect biomarkers or act as drug delivery systems by taking advantage of their good biocompatibility, excellent physical and mechanical properties, and long-term implant stability. Biosensors prepared using biocompatible hydrogels can be sensitive in diagnosing DED, and the designed hydrogels can also improve the drug bioavailability and retention time for more effective and long-term treatment. This review summarizes recent advances in the use of hydrogels for diagnosing and treating dry eye, aiming to provide a novel reference for the eventual clinical translation of hydrogels in the context of dry eye disease.

Evaluation of silicone hydrogel contact lenses based on poly(dimethylsiloxane) dialkanol and hydrophilic polymers

Silicone hydrogel lenses were prepared by copolymerizing PDMS-PEGMA macromer (PGP) with various combinations of DMA, NVP, and PEGMA through UV initiated polymerization process. The resultant PGP macromer were characterized by gel permeation chromatography (GPC), and scanning electron microscope (SEM-EDS). Characterization of all the resultant co-polymers included Fourier transform infrared spectroscopy (FTIR), atomic force microscopy (AFM), equilibrium water content (EWC), oxygen permeability (Dk), optical transparency, contact angle, mechanical properties, zeta potential, protein deposition, and cytotoxicity. The results show that higher content of hydrophilic polymers increased water uptake ability as well as improved hydrophilicity and modulus of silicone hydrogel lenses; however, oxygen permeability decreased with the decrease of PDMS content (145 barrers of PGP to 37 barrers of DP0). In addition, these silicone hydrogel lenses exhibited relatively optical transparency, anti-protein deposition, and non-cytotoxic according to an in vitro L929 fibroblast assay. Therefore, these silicone hydrogel polymers would be applicable for making contact lens.

Characterization of Biocompatible Hydrogel Lenses Using Methacrylic Acid with Neodymium Oxide Nanoparticles

We prepared hydrogel contact lenses containing nanoparticles of neodymium oxide and methacrylic acid (MA) to investigate their effect on the physical and chemical properties of the lens. Neodymium oxide nanoparticles improved the tensile strength without affecting wettability. The tensile strength, wettability, and light transmittance were all increased when MA was added in a specific ratio. To confirm the safety of the newly used nanoparticles, test on absorbance, eluate, and pH change were conducted and it was found that the safety level was satisfactory. In conclusion, it was confirmed that durable contact lenses can be manufactured with neodymium oxide nanoparticles, and most of the basic elements of the lens such as transparency, strength, and wettability could be improved using MA, which is a hydrophilic material. It is believed that the study will be helpful as part of basic research to use new materials.