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基于微流控模板加工技术的具有发散通道和阶梯轴结构的青光眼微支架。

A glaucoma micro-stent with diverging channel and stepped shaft structure based on microfluidic template processing technology.

机构信息

School of Mechanical and Power Engineering, East China University of Science and Technology, No. 130 Meilong Road, Shanghai, 200237, China.

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, No.7 Jinsui Road, Tianhe District, Guangzhou, 510060, China.

出版信息

Biomed Eng Online. 2024 Jul 27;23(1):73. doi: 10.1186/s12938-024-01266-4.

Abstract

BACKGROUND

Minimally invasive glaucoma surgery (MIGS) has experienced a surge in popularity in recent years. Glaucoma micro-stents serve as the foundation for these minimally invasive procedures. Nevertheless, the utilization of these stents still presents certain short-term and long-term complications. This study aims to elucidate the creation of a novel drainage stent implant featuring a diverging channel, produced through microfluidic template processing technology. Additionally, an analysis of the mechanical properties, biocompatibility, and feasibility of implantation is conducted.

RESULTS

The stress concentration value of the proposed stent is significantly lower, approximately two to three times smaller, compared to the currently available commercial XEN gel stent. This indicates a stronger resistance to bending in theory. Theoretical calculations further reveal that the initial drainage efficiency of the gradient diverging drainage stent is approximately 5.76 times higher than that of XEN stents. Notably, in vivo experiments conducted at the third month demonstrate a favorable biocompatibility profile without any observed cytotoxicity. Additionally, the drainage stent exhibits excellent material stability in an in vitro simulation environment.

CONCLUSIONS

In summary, the diverging drainage stent presents a novel approach to the cost-effective and efficient preparation process of minimally invasive glaucoma surgery (MIGS) devices, offering additional filtering treatment options for glaucoma.

摘要

背景

微创青光眼手术 (MIGS) 近年来越来越受欢迎。青光眼微支架是这些微创手术的基础。然而,这些支架的使用仍然存在一些短期和长期并发症。本研究旨在阐明一种新型引流支架植入物的制作,该植入物采用了微流控模板加工技术制造的发散通道。此外,还对其机械性能、生物相容性和植入可行性进行了分析。

结果

与现有的商业 XEN 凝胶支架相比,所提出的支架的应力集中值显著降低,大约小两到三倍。这表明理论上具有更强的抗弯曲能力。理论计算进一步表明,梯度发散引流支架的初始引流效率比 XEN 支架高约 5.76 倍。值得注意的是,在第三个月进行的体内实验表明,该引流支架具有良好的生物相容性,没有观察到细胞毒性。此外,该引流支架在体外模拟环境中表现出优异的材料稳定性。

结论

总之,发散式引流支架为微创青光眼手术 (MIGS) 设备的经济高效制备工艺提供了一种新方法,为青光眼提供了额外的过滤治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93a0/11282771/514613419a0c/12938_2024_1266_Fig1_HTML.jpg

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