SYNOPSISTwo kinds of water-insoluble PVA-MA hydrogel films were prepared from PVA-MA, an esterification product of poly(viny1 alcohol) and maleic anhydride, by heat treatment and a crosslinking reaction, respectively. Both films changed their dimensions upon environmental pH changes. The crosslinked gel expanded to approximately 230% of its original length, with most changes occurring in the pH range of 2-7. The heat-treated PVA-MA film swelled stepwisely, with about 45% of the total expansion occurring a t pH 2-7 and the remaining 55% at p H 9-12. Results from IR spectra analysis and acid-base titration suggest that the ionization of carboxylic acid accounts for the pH-induced gel swelling irrespective of the differences in the swelling behavior of these two gels. The pK, values of the heat-treated PVA-MA gel increased from 4 to 10 while the degree of dissociation varied from 0 to 80%, whereas that of the crosslinked PVA-MA film is limited in a range of 3.3-4.2. The permeability of glucose across the crosslinked PVA-MA film increased when pH was raised from 2 to 7. No significant change of permeability was noticed between pH 7 and 12. For the heat-treated PVA-MA film, glucose permeability increased when pH was changed from 2 to 7 and from 7 to 1 2 . 0 1996 John Wiley & Sons, Inc.
An aqueous humor draining device, with size comparable to that of the Krupin tube, was constructed by using poly-HEMA material. Deposits were found on the surface of poly-HEMA when contacted in vitro with the aqueous humor of the rabbit's eye. A fibrous structure, probably composed of proteins and other macromolecules, developed on poly-HEMA surface in 15 days after the draining device was implanted into the rabbit's eye. The draining device was still in function 250 days after its implantation. SEM analysis of the retrieved poly-HEMA draining device indicated that the poly-HEMA tube opening was not blocked by any substance. These results suggest that poly-HEMA could be used as a biomaterial for construction of the aqueous humor draining device to relieve the intraocular pressure of glaucoma patients. Its long-term application awaits further investigation.
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