Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty

Keratoplasty is the gold standard treatment for visual impairment caused by corneal damage. The use of suturing as the bonding method is the source of many complications following keratoplasty. Currently available corneal adhesives do not have both adequate adhesive strength and acceptable biocompat...

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Autores principales: Xuan Zhao, Saiqun Li, Xinyue Du, Weihua Li, Qian Wang, Dalian He, Jin Yuan
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2022
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Acceso en línea:https://doaj.org/article/924cb453800e4c3f9fbfc640eb41b60d
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spelling oai:doaj.org-article:924cb453800e4c3f9fbfc640eb41b60d2021-11-04T04:36:26ZNatural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty2452-199X10.1016/j.bioactmat.2021.07.001https://doaj.org/article/924cb453800e4c3f9fbfc640eb41b60d2022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2452199X21003224https://doaj.org/toc/2452-199XKeratoplasty is the gold standard treatment for visual impairment caused by corneal damage. The use of suturing as the bonding method is the source of many complications following keratoplasty. Currently available corneal adhesives do not have both adequate adhesive strength and acceptable biocompatibility. Herein, we developed a photocurable bioadhesive hydrogel which was composed of gelatin methacryloyl and oxidized dextran for sutureless keratoplasty. The bioadhesive hydrogel exhibited high light transmittance, resistance to enzymatic degradation and excellent biocompatibility. It also had higher adhesive strength than commercial adhesives (fibrin glue). In a rabbit model of lamellar keratoplasty, donor corneal grafts could be closely bonded to the recipient corneal bed and remained attached for 56 days by using of this in situ photopolymerized bioadhesive hydrogel. The operated cornea maintained transparent and noninflamed. Sutureless keratoplasty using bioadhesive hydrogel allowed rapid graft re-epithelialization, typically within 7 days. In vivo confocal microscopic and histological evaluation of the operated cornea did not show any apparent abnormalities in terms of corneal cells and ultrastructure. Thus, this bioadhesive hydrogel is exhibited to be an appealing alternative to sutures for keratoplasty and other corneal surgeries.Xuan ZhaoSaiqun LiXinyue DuWeihua LiQian WangDalian HeJin YuanKeAi Communications Co., Ltd.articleBioadhesive hydrogelsPhotocurableCornea repairSutureless keratoplastyMaterials of engineering and construction. Mechanics of materialsTA401-492Biology (General)QH301-705.5ENBioactive Materials, Vol 8, Iss , Pp 196-209 (2022)
institution DOAJ
collection DOAJ
language EN
topic Bioadhesive hydrogels
Photocurable
Cornea repair
Sutureless keratoplasty
Materials of engineering and construction. Mechanics of materials
TA401-492
Biology (General)
QH301-705.5
spellingShingle Bioadhesive hydrogels
Photocurable
Cornea repair
Sutureless keratoplasty
Materials of engineering and construction. Mechanics of materials
TA401-492
Biology (General)
QH301-705.5
Xuan Zhao
Saiqun Li
Xinyue Du
Weihua Li
Qian Wang
Dalian He
Jin Yuan
Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
description Keratoplasty is the gold standard treatment for visual impairment caused by corneal damage. The use of suturing as the bonding method is the source of many complications following keratoplasty. Currently available corneal adhesives do not have both adequate adhesive strength and acceptable biocompatibility. Herein, we developed a photocurable bioadhesive hydrogel which was composed of gelatin methacryloyl and oxidized dextran for sutureless keratoplasty. The bioadhesive hydrogel exhibited high light transmittance, resistance to enzymatic degradation and excellent biocompatibility. It also had higher adhesive strength than commercial adhesives (fibrin glue). In a rabbit model of lamellar keratoplasty, donor corneal grafts could be closely bonded to the recipient corneal bed and remained attached for 56 days by using of this in situ photopolymerized bioadhesive hydrogel. The operated cornea maintained transparent and noninflamed. Sutureless keratoplasty using bioadhesive hydrogel allowed rapid graft re-epithelialization, typically within 7 days. In vivo confocal microscopic and histological evaluation of the operated cornea did not show any apparent abnormalities in terms of corneal cells and ultrastructure. Thus, this bioadhesive hydrogel is exhibited to be an appealing alternative to sutures for keratoplasty and other corneal surgeries.
format article
author Xuan Zhao
Saiqun Li
Xinyue Du
Weihua Li
Qian Wang
Dalian He
Jin Yuan
author_facet Xuan Zhao
Saiqun Li
Xinyue Du
Weihua Li
Qian Wang
Dalian He
Jin Yuan
author_sort Xuan Zhao
title Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
title_short Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
title_full Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
title_fullStr Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
title_full_unstemmed Natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
title_sort natural polymer-derived photocurable bioadhesive hydrogels for sutureless keratoplasty
publisher KeAi Communications Co., Ltd.
publishDate 2022
url https://doaj.org/article/924cb453800e4c3f9fbfc640eb41b60d
work_keys_str_mv AT xuanzhao naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT saiqunli naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT xinyuedu naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT weihuali naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT qianwang naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT dalianhe naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
AT jinyuan naturalpolymerderivedphotocurablebioadhesivehydrogelsforsuturelesskeratoplasty
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