Department of Chemical Engineering, Pohang University of Science and Technology, Pohang 37673, Republic of Korea.
Department of Ophthalmology, Dong-A University Hospital, Busan 49315, Republic of Korea.
Biomaterials. 2024 Mar;305:122459. doi: 10.1016/j.biomaterials.2023.122459. Epub 2024 Jan 1.
Retinal detachment and other vision-threatening disorders often necessitate vitreous body removal and tamponade injection for retina stabilization. Current clinical tamponades such as silicone oil and expansile gases have drawbacks, including patient discomfort and the need for secondary surgery. We introduce a transparent alginate-phenylboronic acid/polyvinyl alcohol composite hydrogel (TALPPH) as a novel vitreous substitute with tamponading capabilities. In vitro physicochemical, rheological, and optical characterization of in situ self-healable TALPPH was performed, and long-term biocompatibility was assessed in a rabbit model of vitrectomy retinal detachment. In vivo evaluations confirmed TALPPH's ability to inhibit retinal detachment recurrence and preserve rabbit vision without adverse effects. TALPPH's close resemblance to the natural vitreous body suggests potential as a vitreous tamponade substitute for future ophthalmological applications.
视网膜脱离和其他威胁视力的疾病常需要玻璃体切除和眼内填充物注射以稳定视网膜。目前的临床眼内填充物,如硅油和膨胀气体,存在一些缺点,包括患者不适和需要二次手术。我们引入一种透明的藻酸盐-苯硼酸/聚乙烯醇复合水凝胶(TALPPH)作为一种具有填塞功能的新型玻璃体替代物。对原位自修复 TALPPH 的体外理化性质、流变学和光学特性进行了研究,并在兔玻璃体切除视网膜脱离模型中评估了其长期生物相容性。体内评估证实 TALPPH 能够抑制视网膜脱离复发并保持兔眼视力,无不良反应。TALPPH 与天然玻璃体的相似性表明它有可能成为未来眼科应用的玻璃体填塞替代物。