Viscoelastic, Optical, and Surgical Properties of Vitreous Body Replacement Hydrogels After Aging Compared to Porcine Vitreous Bodies And Silicone Oils

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 h...

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Veröffentlicht in:Translational vision science & technology 2024-07, Vol.13 (7), p.5
Hauptverfasser: Hammer, Maximilian, Muuss, Marcel, Herbster, Lorenz, Herth, Jonathan, Scheuerle, Alexander, Khoramnia, Ramin, Labuz, Grzegorz, Uhl, Philipp, Auffarth, Gerd Uwe
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container_issue 7
container_start_page 5
container_title Translational vision science & technology
container_volume 13
creator Hammer, Maximilian
Muuss, Marcel
Herbster, Lorenz
Herth, Jonathan
Scheuerle, Alexander
Khoramnia, Ramin
Labuz, Grzegorz
Uhl, Philipp
Auffarth, Gerd Uwe
description 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. 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. 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. 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). This study highlights possible pitfalls regarding surgical and optical properties when applying vitreous replacement hydrogels clinically.
doi_str_mv 10.1167/tvst.13.7.5
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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. 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). 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subjects Aged
Aging - physiology
Animals
Elasticity
Humans
Hydrogels - chemistry
Retina
Silicone Oils - chemistry
Swine
Viscosity
Vitrectomy - methods
Vitreous Body - surgery
title Viscoelastic, Optical, and Surgical Properties of Vitreous Body Replacement Hydrogels After Aging Compared to Porcine Vitreous Bodies And Silicone Oils
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