Abstract
Abstract: :
Purpose: To investigate the effect of structurally different lipid-like polymers and co-polymers on tear film stability of the rat. Methods: Non-crosslinked polymers of defined molecular weights were synthesised and mixed with a test solution of tears and saline and applied to the corneal surface. The performance of the tear film was measured by specular reflection microscopy. Polymers tested were: polytertiary-butylacrylate (PTBA); polymethylacrylate-co-polyacrylic acid (PMA-PAA); polystyrene PS); carboxyl terminated polystyrene (CPS); poly N-butyl acrylate (PNBA); polytertiary-butylacrylate-co-polystyrene (PTBA-PS); polyvinyl alcohol (PVA); and polyacrylic acid of three different molecular weights (PAA-2, PAA-3, PAA-5) Results: Phosphatidylcholine and phosphatidyl inositol controls gave tear break-up times similar to tears plus saline alone 90-120s. The more hydrophilic polymers (such as the PAAs), destabilised the tear film, so that tear break-up was faster than controls. Copolymers consisting of separate hydrophobic and hydrophilic regions appeared to be the best stabilisers, extending break-up time to more than 10 minutes. Conclusion: More hydrophobic polymers stabilised the tear film better than hydrophilic polymers. The copolymers PTBA-PS and PMA-PAAC were the most effective stabilisers with the more hydrophobic, PTBA-PS, giving the best performance.
Keywords: 376 cornea: tears/tear film/dry eye • 458 lipids