Abstract

PurposeTo characterize the biophysical properties of an artificial vitreous body substitute (VBS), which consists of a biocompatible, cross-linked, hyaluronic acid (HA)-based hydrogel, by analysing the VBS’s influence on intraocular pressure (IOP) and retinal integrity in distinct ex vivo eye models in order to evaluate the its potential for in vivo biocompatibility testing.MethodsPig eyes were obtained immediately postmortem, and VBS was injected after core-vitrectomy. IOP was followed for 24 h (n = 5). VBS influence on retinal integrity was investigated using isolated bovine retinas superfused with an oxygen saturated nutrient solution. An electroretinogram (ERG) was recorded on explanted bovine retinae using silver/silver chloride electrodes; after application of VBS for 2 min, a washout period of 70 min was employed. The percentage of a-and b-wave reduction at the end of the washout phase was compared to baseline values (n = 5). Data were calculated throughout as the mean and the standard deviation. qRT-PCR (Bax/Bcl–2-ratio, GFAP- and PGP9.5-levels) or western blot analysis was used to test for toxicity of Princess Volume after 24 h (and β-3 tubulin with GAPDH as a control gene). Significance was estimated by Student´s t-test; p ≤0.05 was considered to be statistically significant.ResultsThe IOP increased non-significantly by 10% after 24 h. Short-term biocompatibility testing using isolated superfused bovine retinas showed neither significant reductions of the b-wave nor the a-wave amplitudes (b-wave reduction 14.2%, p>0.05; a-wave reduction 23.9%, p>0.05). qRT-PCR and western blot analysis did not reveal significant toxicity after 24 h.ConclusionsThe manufactured HA-based hydrogel showed highly favourable biophysical characteristics in the explored ex vivo models, justifying in vivo studies enabling the assessment of biocompatibility.

Highlights

  • Vitreous tamponades are used for the treatment of complicated cases of retinal detachment

  • The manufactured hyaluronic acid (HA)-based hydrogel showed highly favourable biophysical characteristics in the explored ex vivo models, justifying in vivo studies enabling the assessment of biocompatibility

  • Refractive changes and the multitude of risks associated with a second surgery, including the development of secondary glaucoma, have triggered a search for new tamponades with properties more similar to the human vitreous, a viscoelastic gel consisting of 98% water and a matrix of hyaluronic acid and collagen [2, 3]

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Summary

Introduction

Vitreous tamponades are used for the treatment of complicated cases of retinal detachment. The most common tamponades include expansive gases and silicone oil, but their physicochemical characteristics and associated side effects limit their clinical application [1]. As long as the eye is gas-filled, the patient is markedly impaired due to the differing refractive index. Many complicated retinal pathologies require silicone filling. Silicone oils are not biodegradable, requiring a second surgery to remove the tamponade. Refractive changes and the multitude of risks associated with a second surgery, including the development of secondary glaucoma, have triggered a search for new tamponades with properties more similar to the human vitreous, a viscoelastic gel consisting of 98% water and a matrix of hyaluronic acid and collagen [2, 3]

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