Fardoost Ali, Karimi Koosha, Singh Jaydeep, Patel Heneil, Javanmard Mehdi
Department of Electrical Engineering, Rutgers University, 08854, Piscataway, NJ, USA.
Biomed Microdevices. 2025 Apr 21;27(2):18. doi: 10.1007/s10544-025-00740-7.
Glaucoma is a leading cause of irreversible blindness worldwide, affecting millions of individuals due to its progressive damage to the optic nerve, often caused by elevated intraocular pressure (IOP). Conventional methods of IOP monitoring, such as tonometry, provide sporadic and often inaccurate readings due to fluctuations throughout the day, leaving significant gaps in diagnosis and treatment. This review explores the transformative potential of smart contact lenses equipped with continuous IOP monitoring and therapeutic capabilities. These lenses integrate advanced materials such as graphene, nanogels, and magnetic oxide nanosheets alongside sophisticated biosensing and wireless communication systems. By offering continuous, real-time data, these lenses can detect subtle IOP fluctuations and provide immediate feedback to patients and clinicians. Moreover, drug-eluting capabilities embedded in these lenses present a groundbreaking approach to glaucoma therapy by improving medication adherence and providing controlled drug release directly to the eye. Beyond IOP management, these innovations also pave the way for monitoring biochemical markers and other ocular diseases. Challenges such as biocompatibility, long-term wearability, and affordability remain, but the integration of cutting-edge technologies in smart contact lenses signifies a paradigm shift in glaucoma care. These developments hold immense promise for advancing personalized medicine, improving patient outcomes, and mitigating the global burden of blindness.
青光眼是全球不可逆性失明的主要原因,由于其对视神经的渐进性损害,通常由眼内压(IOP)升高引起,影响着数百万人。传统的眼压监测方法,如眼压测量法,由于全天的波动,提供的是零星且往往不准确的读数,在诊断和治疗方面存在重大差距。本综述探讨了配备连续眼压监测和治疗功能的智能隐形眼镜的变革潜力。这些镜片集成了先进材料,如石墨烯、纳米凝胶和磁性氧化物纳米片,以及复杂的生物传感和无线通信系统。通过提供连续的实时数据,这些镜片可以检测到细微的眼压波动,并向患者和临床医生提供即时反馈。此外,这些镜片中嵌入的药物洗脱功能通过提高药物依从性并直接向眼睛提供可控的药物释放,为青光眼治疗提供了一种开创性的方法。除了眼压管理,这些创新还为监测生化标志物和其他眼部疾病铺平了道路。生物相容性、长期佩戴性和可负担性等挑战仍然存在,但智能隐形眼镜中前沿技术的整合标志着青光眼护理的范式转变。这些发展对于推进个性化医疗、改善患者预后以及减轻全球失明负担具有巨大的前景。