AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed a...AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed at the inferior nasal quadrant with the inserted cannula linking with a self-designed handheld rigid infusion catheter.All right eyes of rabbits underwent a modified 25-gauge vitrectomy and were subsequently filled with balanced salt solution,silicone oil,and eight-arm polyethylene glycols(8-arm PEGs)hydrogel separately for comparison.Ophthalmic examinations were performed regularly to record the changes after the surgery.RESULTS:Successful vitrectomy was achieved among 44 chinchilla rabbits.The mean operation time was 4.51±1.25min.Four eyes(9.1%)presented limited lens touch and two eyes(4.5%)showed retinal touch during surgery.Incision leakage was found in three eyes(6.8%)after surgery.There was no endophthalmitis,hemorrhage,or retinal detachment during the observation period and ophthalmic examinations after the implantation of vitreous substitutes.CONCLUSION:The modified technique of the standard vitrectomy applied in the endotamponade model in rabbits shows excellent safety and practicality.展开更多
The natural vitreous body has a fine structure and complex functions. The imitation of the natural vitreous body by vitreous substitutes is a challenging work for both researchers and ophthalmologists. Gases, silicone...The natural vitreous body has a fine structure and complex functions. The imitation of the natural vitreous body by vitreous substitutes is a challenging work for both researchers and ophthalmologists. Gases, silicone oil, heavy silicone oil and hydrogels, particularly the former two vitreous substitutes are clinically widely used with certain complications. Those, however, are not real artificial vitreous due to lack of structure and function like the natural vitreous body. This article reviews the situations, challenges, and future directions in the development of vitreous substitutes, particularly the experimental and clinical use of a new artificial foldable capsular vitreous body.展开更多
Development of a biostable and biosafe vitreous substitute is highly desirable,but remains a grand challenge.Herein,we propose a novel strategy for constructing a readily administered vitreous substitute based on a th...Development of a biostable and biosafe vitreous substitute is highly desirable,but remains a grand challenge.Herein,we propose a novel strategy for constructing a readily administered vitreous substitute based on a thiol-acrylate clickable polyzwitterion macromonomer.A biocompatible multivinyl polycarboxybetaine(PCB-OAA)macromonomer is designed and synthesized,and mixed with dithiothreitol(DTT)via a Michael addition reaction to form a hydrogel in vitreous cavity.This resultant PCB-OAA hydrogel exhibits controllable gelation time,super anti-fouling ability against proteins and cells,excellent biocompatibility,and approximate key parameters to human vitreous body including equilibrium water content,density,optical properties,modulus.Remarkably,outperforming clinically used silicone oil in biocompatibility,this rapidly formed hydrogel in the vitreous cavity of rabbit eyes remains stable in vitreous cavity,showing an appealing ability to prevent significantly inflammatory response,fibrosis and complications such as raised intraocular pressure(IOP),and cataract formation.This zwitterionic polymer hydrogel holds great potential as a vitreous substitute.展开更多
基金Supported by the Project of National Key Research and Development(No.2018YFC1106103)the Health Commission of Hubei Province Scientific Research Project(No.WJ2019Q024).
文摘AIM:To improve the standard three-port vitrectomy for establishing and evaluating an endotamponade model in rabbits.METHODS:Three ports were prepared near the third eyelid of rabbits,and the infusion port was placed at the inferior nasal quadrant with the inserted cannula linking with a self-designed handheld rigid infusion catheter.All right eyes of rabbits underwent a modified 25-gauge vitrectomy and were subsequently filled with balanced salt solution,silicone oil,and eight-arm polyethylene glycols(8-arm PEGs)hydrogel separately for comparison.Ophthalmic examinations were performed regularly to record the changes after the surgery.RESULTS:Successful vitrectomy was achieved among 44 chinchilla rabbits.The mean operation time was 4.51±1.25min.Four eyes(9.1%)presented limited lens touch and two eyes(4.5%)showed retinal touch during surgery.Incision leakage was found in three eyes(6.8%)after surgery.There was no endophthalmitis,hemorrhage,or retinal detachment during the observation period and ophthalmic examinations after the implantation of vitreous substitutes.CONCLUSION:The modified technique of the standard vitrectomy applied in the endotamponade model in rabbits shows excellent safety and practicality.
基金Supported by the "Twelfth Five-Year" Plan for Science & Technology Support Grant (No. 2012BAI08B02)the National 863 Project (No. 2009AA02Z404)the Guangdong Provincial Industry University Research Cooperation Plan (No. 2010A090200074)
文摘The natural vitreous body has a fine structure and complex functions. The imitation of the natural vitreous body by vitreous substitutes is a challenging work for both researchers and ophthalmologists. Gases, silicone oil, heavy silicone oil and hydrogels, particularly the former two vitreous substitutes are clinically widely used with certain complications. Those, however, are not real artificial vitreous due to lack of structure and function like the natural vitreous body. This article reviews the situations, challenges, and future directions in the development of vitreous substitutes, particularly the experimental and clinical use of a new artificial foldable capsular vitreous body.
基金We are thankful for the financial support of the National Natural Science Foundation(Grant Nos.51733006,52073203,31771030).
文摘Development of a biostable and biosafe vitreous substitute is highly desirable,but remains a grand challenge.Herein,we propose a novel strategy for constructing a readily administered vitreous substitute based on a thiol-acrylate clickable polyzwitterion macromonomer.A biocompatible multivinyl polycarboxybetaine(PCB-OAA)macromonomer is designed and synthesized,and mixed with dithiothreitol(DTT)via a Michael addition reaction to form a hydrogel in vitreous cavity.This resultant PCB-OAA hydrogel exhibits controllable gelation time,super anti-fouling ability against proteins and cells,excellent biocompatibility,and approximate key parameters to human vitreous body including equilibrium water content,density,optical properties,modulus.Remarkably,outperforming clinically used silicone oil in biocompatibility,this rapidly formed hydrogel in the vitreous cavity of rabbit eyes remains stable in vitreous cavity,showing an appealing ability to prevent significantly inflammatory response,fibrosis and complications such as raised intraocular pressure(IOP),and cataract formation.This zwitterionic polymer hydrogel holds great potential as a vitreous substitute.
