Search Results (49)

The aim of this study was to quantitatively evaluate the swelling and transparency behaviour of Contaflex soft contact lens materials with varying water-content (38–77%) using high-resolution digital imaging and infrared LiDAR. Contaflex materials with 38%, 55%, 58%, 67% and 77% nominal water-contents, denoted as C38, C55, C58, C67, and C77, were tested. Hydrogel samples (N = 5 per group) were monitored over 24 h in pH 7.1 phosphate-buffered saline. Dimensional changes were assessed via linear and radial expansion factors (LEF and REF), and transparency was tracked during hydration. All groups exhibited rapid initial swelling followed by continued expansion. LEF and REF values increased with water-content; C77 reached LEF and REF values of 1.563 ± 0.093 and 1.536 ± 0.052, while C38 stabilised near 1.201 ± 0.019 and 1.179 ± 0.011, respectively. Refractive index decreased with hydration, from 1.552 in C38 to 1.372 in C77. Power simulations revealed deviations beyond ISO tolerance limits in most materials, particularly those with higher water-content. Transparency changes were consistent with swelling dynamics. These findings support the need for material-specific design adjustments to account for hydration-related dimensional and optical changes in soft contact lenses. Full article

Blood samples and testing are routine in healthcare. Presently, there is a growing interest in using tear samples in place of blood. Tear samples can be obtained non-invasively and collection does not require the skills of a trained phlebotomist. Red blood cells and other cells are not present in tears, which avoids centrifugation. Importantly, basal tear samples contain most of the biomarkers present in blood. The difficulty is the small volume of basal tears, which is about 7 μL in each eye. Any contact with the eye results in additional reflex tears with a different chemical composition. The small tear samples are collected with capillary tubes and then sent out for amplified assays, such as enzyme-linked immunosorbent assay (ELISA) or polymerase chain reaction (PCR). The results are not available for several days or a week and, therefore, are less useful in an ophthalmology office. We propose the use of a contact lens that contains bound antibodies for fluorescence immunoassays. The lenses could be removed from the patient for point-of-care measurements at the bedside. To prove that this concept is possible, we performed a three-layer protein capture assay that mimics an immunoassay. For convenience, we used lysozyme (Lys), which spontaneously coats silicon hydrogel (SiHG) contact lenses (CL). Anti-lysozyme IgG was the second layer captured, with anti-lysozyme considered to be the target biomarker. The third layer was rhodamine or Alexa Fluor-labeled Ab against the IgG Fc region, considered to be the detection antibody. The multiple protein layers were stable and did not wash off the SiHG lenses. These results strongly suggest the contact lens can be used for capture immunoassays for a wide variety of biomarkers. Full article

The biomechanical and optical properties of the cornea are responsible for its functional response, structural integrity and refractive function. Corneal viscoelasticity is the cornea’s ability to absorb transient increases in intraocular pressure (IOP) and constitutes a biomarker of glaucoma. The use of silicone hydrogel soft contact lenses (SiH-SCLs) can affect both corneal viscoelasticity and IOP. However, the behavior of the pure elastic and viscous components remains hidden within viscoelastic properties, and their influence and relationship with IOP in the biomechanical changes observed with short-term SiH-SCL use remains unknown. This study investigates the effects of silicone hydrogel soft contact lenses (SiH-SCLs) on corneal elasticity and viscosity and their influence on IOP over different lens wear periods: 10 or 20 consecutive days. Ocular Response Analyzer (ORA) measurements were combined with a biomechanical Standard Linear Solid Model (SLSM) to differentiate and calculate the elastic and viscous components of the cornea. The results showed that after 10 days of lens wear, elasticity and viscosity increased, with a significant reduction in IOP. After 20 days, elasticity and viscosity decreased, with a further reduction in IOP, reflecting a time-dependent effect of SiH-SCLs on corneal biomechanics. The study indicates the potential protective role of corneal viscosity against changes in IOP, which may be used for glaucoma treatment. Full article

Discomfort is one of the leading causes associated with contact lens dropout. This study investigated changes in the tear film parameters induced by lens wear and their relationship with ocular symptomology. Thirty-four lens wearers (32.9 ± 9.1 years, 7 men) and thirty-three non-lens wearers (29.4 ± 6.8 years, 12 men) participated in this clinical setting. Subjects were categorised into asymptomatic (n = 11), moderate (n = 15), or severe symptomatic (n = 8). Clinical evaluations were performed in the morning, including blink frequency and completeness, pre-corneal (NIBUT) and pre-lens non-invasive break-up (PL-NIBUT), lipid interference patterns, and tear meniscus height. Contact lens wearers had a higher percentage of incomplete blinks (37% vs. 19%, p < 0.001) and reduced tear meniscus height compared to controls (0.24 ± 0.08 vs. 0.28 ± 0.10 mm, p = 0.014). PL-NIBUT was shorter than NIBUT (7.6 ± 6.2 vs. 10.7 ± 9.3 s. p = 0.002). Significant statistical differences between the groups were found in the PL-NIBUT (p = 0.01) and NIBUT (p = 0.05), with asymptomatic recording higher times than symptomatic. Long-term use of silicone–hydrogel lenses can affect tear stability, production, and adequate distribution through blinking. Ocular symptomology correlates with tear stability parameters in both lens wearers and non-wearers. Full article

Four kinds of silicone hydrogel transparent contact lenses (CLs) with different formulations were prepared by the free radical photocuring polymerization. By mixing polyethylene glycol diacrylate (PEGDA) of 1000 Da with ethylene glycol dimethacrylate (EGDMA) and adding other silicone monomers and hydrophilic monomers, the transparency and flexibility of the material were successfully achieved. By optimizing the weight percentage of each component, the best balance of optical performance can be achieved. The photocuring properties of the materials were characterized by electronic universal test, double-beam UV-visible spectrophotometer, Atomic Force Microscope (AFM), Scanning Electron Microscope (SEM) and Fourier Transform Infrared Spectroscopy (FTIR). The results showed that the addition of higher PEGDA content reduces the elastic modulus, improves curing efficiency, improves equilibrium water content (EWC), and enhances light transmission. Hydrogels containing only high PEGDA but no EGDMA showed similar curing rates, water content, and elastic modulus, but had the worst optical transparency, far inferior to the materials mixed with PEGDA and EGDMA. Additionally, imaging performance of the CLs was further evaluated through simulation analysis using Ansys Zemax OpticStudio2024 software. This research provides a new choice of material consideration to improve the performance and wearing comfort of CLs. Full article

This study aims to build an optimal drug delivery system by manufacturing and evaluating a hydrogel contact lens using Tretinoin (ATRA) and protein nanoparticles to improve the drug delivery system as an ophthalmic medical contact lens. To evaluate the optical and physical properties of the manufactured lens, the spectral transmittance, refractive index, water content, contact angle, AFM, tensile strength, drug delivery, and antibacterial properties were analyzed. The contact lens was manufactured to contain ATRA and bovine serum albumin (BSA) in different ways, and the results confirmed that A, B, and C each had different physical properties. In particular, for Sample A, using the soak and release method and using ATRA solution in the contact lens with BSA added, the wettability was 55.94°, the tensile strength was 0.1491 kgf/mm², and drug delivery released 130.35 μm over 336 h, which was found to be superior to samples B and C. Therefore, the three hydrogel contact lenses compared in this study according to the addition method of ATRA and BSA can be used in various ways to build an optimal drug delivery system that is very useful as an ophthalmic medical lens. Full article

The main weakness of non-silicone hydrogel contact lenses is their low oxygen permeability (Dk). Hence, we have tried to optimize their Dk using various concentrations and lengths of the poly (ethylene glycol) dimethacrylate crosslinker in a mixture of N,N-Dimethylacrylamide and Cyclohexyl methacrylate monomers. After synthesizing the different contact lenses, we evaluated their chemical, optical, and mechanical properties. The resultant non-silicone hydrogel contact lenses presented similar high water contents (75.69–80.60%) and adequate optical (e.g., a transmittance ranging from 85.91% to 99.91% and a refractive index between 1.3630 and 1.3740) and elongation at break (178.95–356.05%) characteristics for clinical applications. Conversely, they presented high contact angles (81.00–100.00°) and a low Young’s modulus (0.066–0.167 MPa). Regarding the impact of the crosslinking modifications, the water content, contact angle, refractive index, transmittance, and Young’s modulus of the synthesized lenses were slightly affected by crosslinker conditions. In contrast, the elongation at break (178.95–356.05%) and, more importantly, the oxygen permeability, which reached values of up to 73.90 Fatt units, were considerably impacted by the crosslinker conditions. To our knowledge, this study demonstrates for the first time that, in addition to water, other usual hydrogel components, like crosslinkers, can modulate the Dk of non-silicone contact lenses. It also provides a simple and scalable method to fabricate more permeable non-silicone lenses. Full article

In this study, we investigated lipid deposition and diffusion in silicone hydrogel (Si-Hy) contact lenses using confocal microscopy. Different Si-Hy lenses were analyzed to understand the interaction patterns of cholesterol with various lens materials. The results highlight significant differences in the deposition and diffusion of lipids through the lenses, revealing that some materials, such as comfilcon A, allow lipids to diffuse more freely compared to others, such as samfilcon A, which provides a greater barrier. The study also observed different morphology and movement of lipid agglomerates across the lenses and above it surfaces. These findings contribute to the understanding of lipid–lens interaction, which is important for the development of lenses with improved comfort and functionality. The research highlights the importance of considering lipid interactions in the design and selection of Si-Hy contact lenses to enhance wearer comfort and lens performance. Full article

The increase in bacterial resistance to antibiotics in recent years demands innovative strategies for the detection and combating of biofilms, which are notoriously resilient. Biofilms, particularly those on contact lenses, can lead to biofilm-related infections (e.g., conjunctivitis and keratitis), posing a significant risk to patients. Non-destructive and non-contact sensing techniques are essential in addressing this threat. Digital holographic tomography emerges as a promising solution. This allows for the 3D reconstruction of the refractive index distribution in biological samples, enabling label-free visualization and the quantitative analysis of biofilms. This tool provides insight into the dynamics of biofilm formation and maturation on the surface of transparent materials. Applying digital holographic tomography for biofilm examination has the potential to advance our ability to combat the antibiotic bacterial resistance crisis. A recent study focused on characterizing biofilm formation and maturation on six soft contact lens materials (three silicone hydrogels, three hydrogels), with a particular emphasis on Staphylococcus epidermis and Pseudomonas aeruginosa, both common culprits in ocular infections. The results revealed species- and time-dependent variations in the refractive indexes and volumes of biofilms, shedding light on cell dynamics, cell death, and contact lens material-related factors. The use of digital holographic tomography enables the quantitative analysis of biofilm dynamics, providing us with a better understanding and characterization of bacterial biofilms. Full article

Purpose: The purpose of this study was to develop an enzyme-triggered, therapeutic-releasing bandage contact lens material using a unique gelatin methacrylate formulation (GelMA+). Methods: Two GelMA+ formulations, 20% w/v, and 30% w/v concentrations, were prepared through UV polymerization. The physical properties of the material, including porosity, tensile strain, and swelling ratio, were characterized. The enzymatic degradation of the material was assessed in the presence of matrix metalloproteinase-9 (MMP-9) at concentrations ranging from 0 to 300 µg/mL. Cell viability, cell growth, and cytotoxicity on the GelMA+ gels were evaluated using the AlamarBlue^TM assay and the LIVE/DEAD^TM Viability/Cytotoxicity kit staining with immortalized human corneal epithelial cells over 5 days. For drug release analysis, the 30% w/v gels were loaded with 3 µg of bovine lactoferrin (BLF) as a model drug, and its release was examined over 5 days under various MMP-9 concentrations. Results: The 30% w/v GelMA+ demonstrated higher crosslinking density, increased tensile strength, smaller pore size, and lower swelling ratio (p < 0.05). In contrast, the 20% w/v GelMA+ degraded at a significantly faster rate (p < 0.001), reaching almost complete degradation within 48 h in the presence of 300 µg/mL of MMP-9. No signs of cytotoxic effects were observed in the live/dead staining assay for either concentration after 5 days. However, the 30% w/v GelMA+ exhibited significantly higher cell viability (p < 0.05). The 30% w/v GelMA+ demonstrated sustained release of the BLF over 5 days. The release rate of BLF increased significantly with higher concentrations of MMP-9 (p < 0.001), corresponding to the degradation rate of the gels. Discussion: The release of BLF from GelMA+ gels was driven by a combination of diffusion and degradation of the material by MMP-9 enzymes. This work demonstrated that a GelMA+-based material that releases a therapeutic agent can be triggered by enzymes found in the tear fluid. Full article

The pre-lens tear film (PLTF) over (i) delefilcon A silicone hydrogel water gradient (WG; 33–80% from core to surface) contact lenses (CLs) (SHWG-CLs) and (ii) subjects’ own non-WG soft CLs (SCLs) (SO-SCLs) was studied in 30 eyes of 30 subjects to assess the hypothesized PLTF stabilization over SHWG-CLs. In both eyes, delefilcon A SHWG-CLs (DAILIES TOTAL1^®; Alcon, Fort Worth, TX, USA) or SO-SCLs were worn. After 15 min of wearing each lens, the tear meniscus radius (TMR, mm), lipid-layer interference grade (IG) and spread grade (SG), and non-invasive breakup time (NIBUT, seconds) were evaluated and compared between the SHWG-CLs and the SO-SCLs. The comparison between the SHWG-CL and SO-SCL groups (SHWG-CL and SO-SCL, mean ± SD) revealed that TMRs temporarily decreased and reached a plateau value after 15 min (0.21 ± 0.06; 0.21 ± 0.06) compared to the value prior to CL insertion (0.24 ± 0.08; 0.25 ± 0.08), with no significant difference between the two groups. The NIBUT, IG, and SG values after 15 min of wearing the CLs were (9.7 ± 3.7; 4.7 ± 4.2), (1.0 ± 0.2; 1.8 ± 1.0), and (1.1 ± 0.4; 1.9 ± 1.5), respectively, and all values were significantly better in the SHWG-CL group (p < 0.0001, p = 0.0039, and p < 0.0001, respectively). We found that compared to the SO-SCLs, the maintenance of the PLTF on the SHWG-CLs was supported by the thicker and more stable PLTF. Full article

In the advent of an increasingly aging population and due to the popularity of electronic devices, ocular conditions have become more prevalent. In the world of medicine, accomplishing eye medication administration has always been a difficult task. Despite the fact that there are many commercial eye drops, most of them have important limitations, due to quick clearance mechanisms and ocular barrers. One solution with tremendous potential is the contact lens used as a medication delivery vehicle to bypass this constraint. Therapeutic contact lenses for ocular medication delivery have attracted a lot of attention because they have the potential to improve ocular bioavailability and patient compliance, both with minimal side effects. However, it is essential not to compromise essential features such as water content, optical transparency, and modulus to attain positive in vitro and in vivo outcomes with respect to a sustained drug delivery profile from impregnated contact lenses. Aside from difficulties like drug stability and burst release, the changing of lens physico-chemical features caused by therapeutic or non-therapeutic components can limit the commercialization potential of pharmaceutical-loaded lenses. Research has progressed towards bioinspired techniques and smart materials, to improve the efficacy of drug-eluting contact lenses. The bioinspired method uses polymeric materials, and a specialized molecule-recognition technique called molecular imprinting or a stimuli–responsive system to improve biocompatibility and support the drug delivery efficacy of drug-eluting contact lenses. This review encompasses strategies of material design, lens manufacturing and drug impregnation under the current auspices of ophthalmic therapies and projects an outlook onto future opportunities in the field of eye condition management by means of an active principle-eluting contact lens. Full article

The structure and dynamics of copolymers of 2-hydroxyethyl methacrylate (HEMA) with 2-methacryloyloxyethyl phosphorylcholine (MPC) were studied by molecular dynamics simulations. In total, 20 systems were analyzed. They differed in numerical fractions of the MPC in the copolymer chain, equal to 0.26 and 0.74, in the sequence of mers, block and random, and the water content, from 0 to 60% by mass. HEMA side chains proved relatively rigid and stable in all considered configurations. MPC side chains, in contrast, were mobile and flexible. Water substantially influenced their dynamics. The copolymer swelling caused by water resulted in diffusion channels, pronounced in highly hydrated systems. Water in the hydrates existed in two states: those that bond to the polymer chain and the free one; the latter was similar to bulk water but with a lower self-diffusion coefficient. The results proved that molecular dynamics simulations could facilitate the preliminary selection of the polymer materials for specific purposes before their synthesis. Full article

Underwater adhesion involves bonding substrates in aqueous environments or wet surfaces, with applications in wound dressing, underwater repairs, and underwater soft robotics. In this study, we investigate the underwater adhesion properties of a polyacrylic acid hydrogel coated substrate. The underwater adhesion is facilitated through hydrogen bonds formed at the interface. Our experimental results, obtained through probe-pull tests, demonstrate that the underwater adhesion is rapid and remains unaffected by contact pressure and pH levels ranging from 2.5 to 7.0. However, it shows a slight increase with a larger adhesion area. Additionally, we simulate the debonding process and observe that the high-stress region originates from the outermost bonding region and propagates towards the center, spanning the thickness of the target substrate. Furthermore, we showcase the potential of using the underwater adhesive hydrogel coating to achieve in-situ underwater bonding between a flexible electronic demonstration device and a hydrogel contact lens. This work highlights the advantages of employing hydrogel coatings in underwater adhesion applications and serves as inspiration for the advancement of underwater adhesive hydrogel coatings capable of interacting with a wide range of substrates through diverse chemical and physical interactions at the interface. Full article

Colored contact lenses have gained popularity in recent years. However, their production process is plagued by low efficiency, which is attributed to the complex nature of the lens color patterns. The manufacturing process involves multiple complex steps that can introduce defects or inconsistencies into the contact lenses. Moreover, manual inspection of a considerable number of contact lenses that are produced inefficiently in terms of consistency and quality by humans is prevalent. Alternatively, automatic optical inspection (AOI) systems have been developed to perform quality-control checks on colored contact lenses. However, their accuracy is limited due to the increasing complexity of the lens color patterns. To address these issues, convolutional neural networks have been used to detect and classify defects in colored contact lenses. This study aims to provide a comprehensive guide for AOI systems using artificial intelligence in the colored contact lens manufacturing process, including the benefits and challenges of using these systems. Further, future research directions to achieve a classification accuracy of >95%, which is the human recognition rate, are explored. Full article