Analysis of biomaterials deposited on soft contact lenses.

Formation of opaque deposits on the anterior (air) surface of hydrophilic soft contact lenses is a problem worthy of investigation by all concerned. These deposits have been analyzed for biomaterials by chemical, biochemical, electrophoretic, and immunological techniques. Qualitative and quantitative chemical colorimetric tests revealed the presence of variable amounts of protein (5-10 microgram/lens), carbohydrate (1.0-1.2 microgram/lens), and phospholipids (0.01-0.05 micronmole/lens). Cholesterol and glucose were not present at detectable levels. Fluorescent antibody tests with appropriate controls gave positive tests for albumin, lysozyme, gamma-G-globulin, and alpha1-lipoprotein in the deposits, all proteins present in tear fluid. Deposits were most effectively removed from the lenses by the combination of heat, sodium dodecyl sulfate (SDS) detergent, and the thiol reagent dithiothreitol (DTT). SDS-denatured protein migrated on polyacrylamide gels with electrophoretic patterns corresponding to molecular weights for those proteins detected by the above antibody tests. The nature of the bonding interactions of biomaterials to the lenses was probed by chemical reagents used to remove them, employed singly and in all possible combinations. Urea, guanidine hydrochloride, potassium thiocyanate, potassium perchlorate, hydroxylamine, and EDTA were much less effective than SDS and DTT. These data suggest that apolar interactions plus disulfide bonds may be important in stabilizing the deposit structure, and point to improved cleaning procedures.