May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Development of a Novel Keratoprosthesis Based on Photolithographically Patterned, Biomimetic Hydrogels
Author Affiliations & Notes
  • D. Myung
    Stanford University, Stanford, California
    Chemical Engineering,
    Ophthalmology,
  • L. Zheng
    Stanford University, Stanford, California
    Ophthalmology,
  • A. Bakri
    Stanford University, Stanford, California
    Ophthalmology,
  • A. Marshall
    Stanford University, Stanford, California
    Chemical Engineering,
  • P.-E. Duhamel
    Stanford University, Stanford, California
    Chemical Engineering,
  • M. Carrasco
    Chemistry, Santa Clara University, Santa Clara, California
  • J. Noolandi
    Stanford University, Stanford, California
    Ophthalmology,
  • J. Cochran
    Stanford University, Stanford, California
    Bioengineering,
  • C. W. Frank
    Stanford University, Stanford, California
    Chemical Engineering,
  • C. N. Ta
    Stanford University, Stanford, California
    Ophthalmology,
  • Footnotes
    Commercial Relationships D. Myung, None; L. Zheng, None; A. Bakri, None; A. Marshall, None; P. Duhamel, None; M. Carrasco, None; J. Noolandi, None; J. Cochran, None; C.W. Frank, None; C.N. Ta, None.
  • Footnotes
    Support Stanford Bio-X Program, Stanford Office of Technology Licensing, and Stanford Center on Polymer Interfaces and Macromolecular Assemblies Shared Instruments Facility
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 1864. doi:
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      D. Myung, L. Zheng, A. Bakri, A. Marshall, P.-E. Duhamel, M. Carrasco, J. Noolandi, J. Cochran, C. W. Frank, C. N. Ta; Development of a Novel Keratoprosthesis Based on Photolithographically Patterned, Biomimetic Hydrogels. Invest. Ophthalmol. Vis. Sci. 2007;48(13):1864.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

The design and preliminary evaluation of a novel keratoprosthesis (Kpro) made by photolithography is presented. The goal is to develop a Kpro with improved in vivo stability through a novel biomimetic hydrogel construct that has the ability to support both surface epithelialization and peripheral tissue integration.

 
Methods:
 

Hydrogels were synthesized and tested for their optical properties, mechanical properties, and water content. A photolithographic polymerization process was used to fabricate a one-piece Kpro with a central optical region and microperforated peripheral rim. Patterns with varying pore diameters (60 - 120 microns), spacings (10 - 20 microns), and distributions (grid or radial) were induced in the hydrogels with high fidelity using custom-made photomasks. The construct was then covalently tethered with collagen type I using a heterobifunctional, photoreactive crosslinker. The optical and peripheral components of the construct were tested for their capacity to support epithelialization and fibroblast adhesion, respectively, both in vitro and in vivo.

 
Results:
 

Several promising prototypes were developed, each with progressively improved properties. The current design consists of a core-and-skirt Kpro with central transparency of 90%, Young’s modulus and tensile strength greater than 3 MPa, and water content of 77%, values that approximate those of the natural cornea. The collagen-tethered hydrogels were also shown to support both corneal epithelial cell growth as well as corneal fibroblast adhesion.

 
Conclusions:
 

A hydrogel with biomimetic optical and mechanical properties was developed. A photolithographic patterning process to fabricate a novel keratoprosthesis based on this hydrogel was established. Photochemical tethering of collagen type I was shown to facilitate the adhesion of corneal epithelial and fibroblast cells to the central and peripheral components of the construct, respectively.  

 
Keywords: keratoprostheses • cornea: epithelium • cornea: stroma and keratocytes 
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