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用于眼表面和眼内应用的聚合物材料。

Polymeric Materials for Eye Surface and Intraocular Applications.

机构信息

Department of Chemistry, Duke University, Durham, North Carolina 27708, United States.

Adaptilens, LLC, Boston, Massachusetts 02467, United States.

出版信息

Biomacromolecules. 2021 Feb 8;22(2):223-261. doi: 10.1021/acs.biomac.0c01525. Epub 2021 Jan 6.

DOI:10.1021/acs.biomac.0c01525
PMID:33405900
Abstract

Ocular applications of polymeric materials have been widely investigated for medical diagnostics, treatment, and vision improvement. The human eye is a vital organ that connects us to the outside world so when the eye is injured, infected, or impaired, it needs immediate medical treatment to maintain clear vision and quality of life. Moreover, several essential parts of the eye lose their functions upon aging, causing diminished vision. Modern polymer science and polymeric materials offer various alternatives, such as corneal and scleral implants, artificial ocular lenses, and vitreous substitutes, to replace the damaged parts of the eye. In addition to the use of polymers for medical treatment, polymeric contact lenses can provide not only vision correction, but they can also be used as wearable electronics. In this Review, we highlight the evolution of polymeric materials for specific ocular applications such as intraocular lenses and current state-of-the-art polymeric systems with unique properties for contact lens, corneal, scleral, and vitreous body applications. We organize this Review paper by following the path of light as it travels through the eye. Starting from the outside of the eye (contact lenses), we move onto the eye's surface (cornea and sclera) and conclude with intraocular applications (intraocular lens and vitreous body) of mostly synthetic polymers and several biopolymers. Initially, we briefly describe the anatomy and physiology of the eye as a reminder of the eye parts and their functions. The rest of the Review provides an overview of recent advancements in next-generation contact lenses and contact lens sensors, corneal and scleral implants, solid and injectable intraocular lenses, and artificial vitreous body. Current limitations for future improvements are also briefly discussed.

摘要

聚合物材料在眼部的应用已经广泛研究,用于医学诊断、治疗和视力改善。眼睛是我们与外界联系的重要器官,因此当眼睛受伤、感染或受损时,需要立即进行医疗治疗,以保持清晰的视力和生活质量。此外,眼睛的几个重要部位会随着年龄的增长而失去功能,导致视力下降。现代聚合物科学和聚合物材料提供了各种替代方案,例如角膜和巩膜植入物、人工眼晶状体和玻璃体替代品,以替代眼睛受损的部分。除了用于治疗的聚合物外,聚合物隐形眼镜不仅可以提供视力矫正,还可以作为可穿戴电子产品使用。在这篇综述中,我们重点介绍了用于特定眼部应用的聚合物材料的演变,例如人工晶状体和具有独特特性的最新聚合物系统,这些特性可用于隐形眼镜、角膜、巩膜和玻璃体应用。我们按照光在眼睛中传播的路径组织这篇综述论文。从眼睛的外部(隐形眼镜)开始,我们移动到眼睛的表面(角膜和巩膜),最后以主要为合成聚合物和几种生物聚合物的眼内应用(人工晶状体和玻璃体)结束。首先,我们简要描述了眼睛的解剖结构和生理学,以提醒读者眼睛的各个部位及其功能。综述的其余部分概述了下一代隐形眼镜和隐形眼镜传感器、角膜和巩膜植入物、固态和可注射人工晶状体以及人工玻璃体的最新进展。还简要讨论了当前限制未来改进的因素。

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Polymeric Materials for Eye Surface and Intraocular Applications.用于眼表面和眼内应用的聚合物材料。
Biomacromolecules. 2021 Feb 8;22(2):223-261. doi: 10.1021/acs.biomac.0c01525. Epub 2021 Jan 6.
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Optical considerations for scleral contact lenses: A review.巩膜接触镜的光学考虑因素:综述。
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Treatment of ocular surface disorders and dry eyes with high gas-permeable scleral lenses.使用高透氧性巩膜接触镜治疗眼表疾病和干眼症。
Cornea. 1992 Nov;11(6):518-22. doi: 10.1097/00003226-199211000-00006.
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Effect of Scleral Lens Oxygen Permeability on Corneal Physiology.巩膜镜片氧气透过率对角膜生理的影响。
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Modern scleral contact lenses: A review.现代巩膜接触镜:综述
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[Gas permeable scleral lenses as a conservative treatment option for extreme corneal ectasias and severe dry eye].[透气巩膜镜作为极端角膜扩张症和严重干眼症的一种保守治疗选择]
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Current status of biomaterials in ophthalmology.眼科生物材料的现状
Surv Ophthalmol. 1982 Mar-Apr;26(5):257-65. doi: 10.1016/0039-6257(82)90161-8.

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