ESCRS Homepage

MAY 2003
IN THIS ISSUE

SARS crisis curbs ophthalmic surgery as hospitals shut down


Dry eye patients take pick as new treatments flood market

Sealed capsule irrigation device could cut PCO after cataract

Clinical debates set tone for symposia at XXI ESCRS Congress in Munich

Drug-free cryoanalgesia freezes out discomfort
in patients undergoing phaco, say surgeons

Hypertensive retinopathy doubled in African Americans

Telemedicine delivers advanced vision screening for diabetic eye disease in remote regions

Software becomes a key player in gauging
influence of IOL design on PCO development

New antimuscarinic drug halves progression of myopia over 12 months in children, study shows

Catheter-based anaesthesia may deliver gains over single needle approach for longer eye operations

Implantation of capsular tension ring lowers PCO after cataract surgery, study shows

Quality of vision improved with ORK-W system

Wavefront-guided PRK causes less increase in overall aberrations than conventional PRK in myopic patients

Intacs inserts hold promise for treatment of post-Lasik corneal ectasia after Lasik surgery, says specialist

Hansatome upgrade reduces epithelial defects

Specially adapted suction trephine could help eliminate corneal peripheral toxicity associated with alcohol use

Cataract removal and visual stimulation may delay course of dementia in elderly patients

WhiteStar power upgrade reduces phaco energy
by up to 40% after eight-month ‘learning curve’

Nano-encapsulated contact lenses could offer another means of delivering ocular medications

Topical antibiotic proves a powerful ally in fight against postoperative ocular infection

FEATURES
From The Editor
Guest Editorial: Can IOL designers meet the challenge?
Reflections on Refractive Surgery
In Your Good Books
Outlook On Industry
Digital Opthalmologist
An Eye On Travel
Regulatory Matters


Nano-encapsulated contact lenses could offer another means of delivering ocular medications

Laszlo Dosa in New Orleans, US

Anuj Chauhan

A NEW technique for encapsulating drugs within contact lenses could some day offer an attractive alternative to conventional topical delivery of ocular medications, say University of Florida bio-engineers.

The new technique involves first encapsulating drugs into microscopic nanoparticles, which can then be incorporated into poly-2-hydroxyethyl methacrylate (HEMA) soft contact lenses during the manufacturing process, explained Anuj Chauhan PhD at the annual meeting of the American Chemical Society.

The idea of using contact lenses to deliver drugs to the eyes is not new. Other researchers have attempted soaking lenses in drug solutions or entrapping the drugs inside a hollow cavity by bonding two separate pieces of lens material. However, Dr Chauhan reports, neither of these methods proved to be very effective in delivering medications for extended periods of time.

“Our proposal is significantly different as we are entrapping the drug molecules inside nanoparticles and incorporating them inside the lens matrix during the polymerisation. This allows us greater flexibility in designing controlled ophthalmic drug delivery vehicles which can be tailored to various drug formulations and which are effective for extended periods of time,” Dr Chauhan said.

The researchers believe that when contact lenses made in this way are placed on the eye, the drug will diffuse from the nanoparticles, travel through the lens matrix and enter the post-lens tear film trapped between the cornea and the lens.
When administered via the lens in this way, drug molecules would remain much longer in the post-lens tear film, compared with the two-minute duration seen with topical drops.
Dr Chauhan explained that drugs administered over a longer time result in higher drug flux through the cornea and reduce the drug inflow into the mucous membranes, preventing drug absorption into the blood stream.

Moreover, the new technology offers the potential of continuous drug release for much longer periods of time for treatment of chronic diseases such as glaucoma.
The research is still in the prototype design stage. Dr Chauhan and his colleague Derya Gulsen PhD evaluated many different kinds of microemulsions in which to entrap hydrophobic drugs. One of those appears suitable for production of the required hydrogel matrix.

“The trapped particles in the hydrogel matrix are about 30nm to 50nm in size, which is smaller than the wavelength of the visible light, rendering the gel transparent. After synthesising the gel, we measured the drug release rates of a model hydrophobic drug, lidocaine, and showed that our proposed system can deliver therapeutic levels of drug for about five days.

“The drug delivery rates can be controlled by tailoring the microstructure of the hydrogel and manipulating the size, concentration and structure of the nanoparticles,” Dr Chuahan said.

The researchers say the next step will be to develop ways of changing and controlling the drug delivery rates by changing the properties of the particles they are synthesising. They hope to begin animal studies within two years, followed by clinical trials.

Dr Chauhan said the process could also be used to incorporate antibiotics into the matrix of a lens, making an extended-wear lens that might leave the wearer less vulnerable to bacterial infections.
The drug-encapsulated lenses might help minimise systemic side-effects of some common topical agent such as timolol.

Anuj Chauhan PhD
Chemical Engineering Department,
University of Florida, US
Email: chauhan@che.ufl.edu

 

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