An indwelling cannula system for the primate eye

Abstract

An indwelling cannula system was designed as an instrument for chronic drug infusion into the vitreous cavity and tested in the cynomolgus monkey eye with repeated injections or continuous infusion using a pumping device. The cannula was passed through the pars plana and its tip situated in the vitreous cavity close to the macular area. Clinical observations up to 18 months did not reveal any adverse effects due to implantation. Histopathological observations from 1 week to 18 months after surgery revealed tissue proliferation around the cannula was minimal and localized only at the wound site, where proliferative tissue originated from the episclera and ciliary epithelium. Retina and choroid at the posterior pole showed normal morphology. Light microscopic autoradiograms demonstrated the function of this system. Injections of tritiated leucine through the cannula resulted in narrow bands of radioactive labelling of the photoreceptor outer segments corresponding to each injection. In contrast, chronic delivery using the pumping device resulted in a diffuse and wide band of labelling. These results strongly suggest that this system did not adversely affect the eye and that repeated intravitreal injections or chronic drug delivery into the vitreous are feasible using this system. Furthermore, autoradiographic results suggest that the drugs infused into the vitreous cavity spread readily into the retina.