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使用超临界流体对负载可折叠人工晶状体进行超临萃取和光学特性研究。

Supercritical impregnation and optical characterization of loaded foldable intraocular lenses using supercritical fluids.

机构信息

From Aix-Marseille Université, (Bouledjouidja, Masmoudi, Badens), CNRS, Marseille, France; He University Eye Hospital (Li, He), Liaoning Province, China.

From Aix-Marseille Université, (Bouledjouidja, Masmoudi, Badens), CNRS, Marseille, France; He University Eye Hospital (Li, He), Liaoning Province, China.

出版信息

J Cataract Refract Surg. 2017 Oct;43(10):1343-1349. doi: 10.1016/j.jcrs.2017.07.033.

DOI:10.1016/j.jcrs.2017.07.033
PMID:29120719
Abstract

PURPOSE

To prepare drug-loaded intraocular lenses (IOLs) used to combine cataract surgery with postoperative complication treatment through supercritical impregnation while preserving their optical properties.

SETTING

Aix-Marseille Université, CNRS, Centrale Marseille, Laboratoire de Mécanique, Modélisation & Procédés Propres, Marseille, France, and He University Eye Hospital, Liaoning Province, China.

DESIGN

Experimental study.

METHODS

Supercritical impregnations of commercial foldable IOLs used in cataract surgery with ciprofloxacin (an antibiotic) and dexamethasone 21-phosphate disodium salt (an antiinflammatory drug) were performed in a noncontinuous mode. Impregnation amounts were determined through drug-release kinetic studies. The optical characterizations of IOLs were determined by evaluating the dioptric power and the imaging quality by determining the modulating transfer function (MTF) at a specified spatial frequency according to the International Organization for Standardization (ISO 11979-2:2014).

RESULTS

Transparent IOLs presenting an effective impregnation were obtained with a prolonged drug delivery during approximately 10 days. Optical characterizations (dioptric powers and MTF values) show preserved optical properties after supercritical treatment/impregnation.

CONCLUSION

Supercritical treatments/impregnations do not damage the optical properties of IOLs and are therefore adequate for the preparation of delivery devices used for cataract surgery.

摘要

目的

通过超临界浸渍法制备载药人工晶状体(IOL),将白内障手术与术后并发症治疗相结合,同时保持其光学性能。

设置

法国马赛大学、法国国家科学研究中心、马赛中央理工学院、马赛力学、建模与专业处理实验室,以及中国辽宁省何氏眼科医院。

设计

实验研究。

方法

对白内障手术中使用的商业折叠式 IOL 进行超临界浸渍,用环丙沙星(一种抗生素)和地塞米松 21-磷酸二钠盐(一种抗炎药)浸渍。通过药物释放动力学研究确定浸渍量。通过评估屈光力和根据国际标准化组织(ISO 11979-2:2014)在规定的空间频率下确定调制传递函数(MTF)来确定 IOL 的成像质量,对 IOL 的光学特性进行了测定。

结果

得到了具有延长药物释放期约 10 天的透明 IOL,具有有效的浸渍。光学特性(屈光力和 MTF 值)表明超临界处理/浸渍后保持光学性能。

结论

超临界处理/浸渍不会损害 IOL 的光学性能,因此适合制备用于白内障手术的输送装置。

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