■第一-(单体),二次(预凝胶),和第三代(注射后原位凝胶化)水凝胶先前被引入以替换玻璃体切除术后的玻璃体。在这项研究中,我们评估了手术,光学,在先前应用于眼内植入物的加速老化方案之前和之后,玻璃体替代水凝胶的粘弹性。
■注射力的测量,使用临床建立的玻璃体切除术设置的移除速度,以及在加速老化方案之前和之后进行正向光散射和粘弹性性能的评估。将结果与猪和人玻璃体进行比较,以及目前临床上应用的轻和重于水的硅油。
■所有测试水凝胶的去除速度均大大低于猪玻璃体的去除速度(0.2g/minvs.2.7g/min对于性能最好的水凝胶和猪玻璃体,分别)。在老化过程后,第二代玻璃体替代水凝胶的前向光散射高于平均70岁玻璃体的杂散光(9.4与5.5deg2/sr,分别)。所有水凝胶的粘弹性特性都没有以临床意义的方式改变;然而,老化后刚度和弹性的趋势明显。
■这项研究表明,在临床使用前需要解决水凝胶的手术弱点,特别是低去除速度。与原位凝胶化水凝胶(第三代)相比,预联水凝胶(第二代)在手术性能方面表现较差。
■本研究强调了在临床上应用玻璃体替代水凝胶时可能存在的关于手术和光学性质的缺陷。
UNASSIGNED: First- (monomers), second- (pre-gelated), and third- (in situ gelating after injection) generation
hydrogels were previously introduced to replace the vitreous body after vitrectomy surgery. In this study, we evaluated the surgical, optical, and viscoelastic properties of vitreous body replacement
hydrogels before and after an accelerated aging protocol previously applied to intraocular implants.
UNASSIGNED: Measurements of injection force, removal speed using a clinically established vitrectomy setup, as well as evaluation of forward light scattering and viscoelastic properties before and after an accelerated aging protocol were conducted. Results were compared to porcine and human vitreous bodies, as well as currently clinically applied lighter- and heavier-than-water silicone oils.
UNASSIGNED: Removal speed of all tested
hydrogels is substantially lower than the removal speed of porcine vitreous body (0.2 g/min vs. 2.7 g/min for the best performing hydrogel and porcine vitreous body, respectively). Forward light scattering in second-generation vitreous body replacement
hydrogels was higher after the aging process than the straylight of the average 70-year-old vitreous body (9.4 vs. 5.5 deg2/sr, respectively). The viscoelastic properties of all hydrogels did not change in a clinically meaningful manner; however, trends toward greater stiffness and greater elasticity after aging were apparent.
UNASSIGNED: This study demonstrates surgical weaknesses of the hydrogels that need to be addressed before clinical use, especially low removal speed. Pre-linked hydrogels (second-generation) showed inferior performance regarding surgical properties compared to in situ gelating
hydrogels (third-generation).
UNASSIGNED: This study highlights possible pitfalls regarding surgical and optical properties when applying vitreous replacement hydrogels clinically.