A New Polymeric Minimally Invasive Glaucoma Implant

被引:1
作者
Pereira, Ines C. F. [1 ,2 ]
Bartels, Paul A. A. [2 ,3 ]
Bertens, Christian J. F. [4 ]
Soentjens, Serge H. M. [5 ]
Wyss, Hans M. [1 ,2 ]
Schenning, Albertus P. H. J. [2 ,6 ]
Dankers, Patricia Y. W. [2 ,3 ]
Beckers, Henny J. M. [4 ]
den Toonder, Jaap M. J. [1 ,2 ]
机构
[1] Eindhoven Univ Technol, Dept Mech Engn, Microsyst Res Sect, POB 513, NL-5600 MB Eindhoven, Netherlands
[2] Eindhoven Univ Technol, Inst Complex Mol Syst ICMS, Dolech 2, NL-5600 MB Eindhoven, Netherlands
[3] Eindhoven Univ Technol, Dept Biomed Engn, Lab Chem Biol, POB 513, NL-5600 MB Eindhoven, Netherlands
[4] Univ Eye Clin Maastricht, Maastricht Univ Med Ctr MUMC, P Debyelaan 25, NL-6229 HX Eindhoven, Netherlands
[5] SyMO Chem BV, Den Dolech 2, NL-5612 AZ Eindhoven, Netherlands
[6] Eindhoven Univ Technol, Dept Chem Engn & Chem, Stimuli Respons Funct Mat & Devices, NL-5600 MB Eindhoven, Netherlands
关键词
glaucoma implant; microfabrication; minimally invasive; polycarbonate bisamide; TREATMENT OUTCOMES; SURGERY; BAERVELDT; PHACOEMULSIFICATION; DEGRADATION;
D O I
10.1002/admt.202301686
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
Glaucoma drainage devices are implanted in the eye to treat glaucoma, a disease that can cause vision loss and blindness. These devices are designed to reduce intraocular pressure (IOP), a major risk factor for the progression of glaucoma, by providing an alternative outflow path for the fluid produced by the eye, the aqueous humor. Here, a novel polymeric minimally invasive glaucoma implant designed to enhance aqueous humor outflow is demonstrated. The implant is made of a unique, potentially biodegradable thermoplastic material, polycarbonate bisamide (PC-BA), and produced through replica molding using hot embossing and femtosecond laser-machined glass molds. Post-mortem experiments demonstrate successful device implantation into a rabbit's eye, with the implant remaining securely in place. Although the mass loss and changes in molecular weight observed in the in vitro degradation experiments are not significant within the tested times and degradation conditions, the PC-BA is a slow-degradation polymer that may take a few years to fully degrade. Thus, the implant will also slowly degrade and be absorbed by the body over time, leaving behind a natural outflow pathway. This potentially biodegradable glaucoma implant may represent a promising new approach for restoring outflow in a more natural way. A novel glaucoma implant-minimally invasive, polymeric, and potentially biodegradable-is presented. Made of a unique thermoplastic using replica molding, this device addresses common postoperative complications associated with rigid metallic implants. The potential biodegradability of the implant after implantation suggests a promising new approach for managing glaucoma. image
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页数:10
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