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Making Contact




                                            “    The  double-layer, wireless contact lens uses tiny sensors that,

                                                    when squeezed  together, produce an electrical signal  to
                                                 measure IOP and predict which  glaucoma patients may have
                                              a  faster-advancing form. When the  signal is powerful enough, a

                                                                                         mild  electrical current
                                                                                           directly initiates the
                                               Recently, scientists from Sun Yat-Sen       administration of an
                                               University in  Guangzhou,  China
             The inherent lens qualities of lens power,   created a wireless theranostic contact    anti-glaucoma
             biocompatibility, softness, transparency,   lens (WTCL) sensor for in-situ IOP   medication from a
             wettability, oxygen transmissibility, and   detection and  on-demand  delivery
             overnight wearability are all maintained   of anti-glaucoma  medications.  The    hydrogel layer within
             in Purdue’s smart soft contact lenses.   double-layer, wireless contact lens   the lens to increase

             The tonometer on the sensor makes a   uses tiny sensors that, when squeezed      aqueous humour
             wireless  recording  that  is  relayed  to  a    together, produce an electrical signal    drainage and lower
             receiver in a pair of eyeglasses. Clinicians    to measure IOP and predict which
             can receive remote access to the whole   glaucoma  patients  may  have  a                     IOP.     “
             24-hour IOP rhythm data via an     faster-advancing  form.  When  the
             encrypted server. If an IOP increase is     signal is powerful enough, a mild
             detected, the tonometer can produce    electrical  current  directly  initiates  the
             an audio signal, enabling timely    administration of an anti-glaucoma
             intervention and eliminating the need   medication from a hydrogel layer within   basis, detect fluctuations before they
             for clinic visits.                the lens to increase aqueous humour
                                               drainage and lower IOP.           have a significant impact, and predict
             To advance and bring this cutting-edge                              whether the condition will progress
             technology to  market,  BVS  Sight  Inc.   Researchers claim that because the  slowly or quickly. As a result, glaucoma
             was established as a start-up company   WTCL’s manufacturing process is   patients can stop taking their
             by Purdue University in partnership    compatible with the commercial   medication once their condition
             with  Boomerang  Ventures  Studio,    production of printed circuit boards, it  improves; this also helps to avoid
             Purdue Foundry, and the Purdue     has the potential to be produced on a  adverse effects that might come from
             Research Foundation Office of      large scale. It also boasts a lightweight,  long-term overmedication.
             Technology Commercialization. Its goal   minimally invasive, battery-free design.  Clinically, the application of these
             is to increase the availability of other     The investigators showed that the  modern smart contact lenses not only

             future healthcare technologies.   introduction of the anti-glaucoma drug,  offers clear vision, as any contact lens
                                               brimonidine, reduced the IOP in rabbits’  would, but the technology also increases
             IOP SENSING AND DRUG RELEASING
                                               eyes by nearly a third in just 30 minutes  the advantages for patients and eye
             Theranostic technology is a fascinating    with those levels maintained for a longer  doctors, who have long desired more
             advance in smart contact lenses. These   period of time than the delivery of the  affordable and pleasant ways to track
             devices are a new name for smart    same medication through an eye drop;  IOP. The only challenge may be wearing
             contact lenses that can BOTH detect   in that case the IOP quickly returned.  the smart contact lenses every day.
             and treat glaucoma. They provide a
             promising alternative for the treatment of  All in all, smart contact lenses hold great  While there is no cure for glaucoma,
             glaucoma since they can be customized   promise. By transmitting changes in  advances in smart contact lens
             to meet the unique clinical needs of each  IOP data continuously to smartphones  research will move us closer to finding a
             patient. Potentially, they may replace  or  computers  using  sensors  integrated  solution to not only delaying glaucoma

             topical ocular hypotensive medications  in the lens, similar to those used in  progression, but also slowing the

             and can be highly beneficial for patients  smartphones and other wearable devices,  progression of other chronic ocular
             who are not compliant and/or who have  smart contact lenses can help monitor  diseases that this technology can
             difficulty using drops.           accurately the absolute IOP on a daily  unobtrusively monitor and treat.     n
                                                                                                                E
             1-  Zhang, J., Kim, K., Kim, H.J. et al. Smart soft contact lenses for continuous 24-hour monitoring of intraocular pressure in glaucoma care. Nat Commun 13, 5518 (2022).
               https://doi.org/10.1038/s41467-022-33254-4
             2-   Yang, C., Wu, Q., Liu, J. et al. Intelligent wireless theranostic contact lens for electrical sensing and regulation of intraocular pressure. Nat Commun 13, 2556 (2022).

                                                                                      /   www.ENVISIONMAGAZINE.ca  /  JANUARY - FEBRUARY 2023  /  21
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