Retinal-detachment repair and vitreous-like-body reformation via a thermogelling polymer endotamponade

Nat Biomed Eng. 2019 Aug;3(8):598-610. doi: 10.1038/s41551-019-0382-7. Epub 2019 Apr 8.

Abstract

Internal-tamponade agents are crucial surgical adjuncts in vitreoretinal surgery. Clinically used endotamponade agents act through buoyancy forces, yet can result in prolonged post-operative positioning, temporary loss of vision, raised intra-ocular pressure, cataract formation or the need for additional removal surgery. Here, we describe a thermogelling polymer that provides an internal tamponade effect through surface tension and swelling counter-forces. We tested the long-term biocompatibility of the polymer endotamponade in rabbit vitrectomy models, and its surgical efficacy and biocompatibility in a non-human primate retinal-detachment model. We also show that, while the thermogel biodegrades during the three months following surgery, it promotes the reformation of a vitreous-like body that mimics the biophysical properties of the natural vitreous. The thermogelling endotamponade might serve as a long-term vitreous substitute.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Endotamponade / methods*
  • Gels / chemistry
  • Humans
  • Intraocular Pressure
  • Macaca fascicularis
  • Male
  • Models, Animal
  • Pain Management
  • Polymers*
  • Rabbits
  • Retina
  • Retinal Detachment / surgery*
  • Surface Tension
  • Tonometry, Ocular
  • Vitrectomy / methods
  • Vitreoretinal Surgery / methods
  • Vitreous Body / surgery*

Substances

  • Gels
  • Polymers