2013
DOI: 10.1097/icl.0b013e31827dbb00
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Biocompatibility in the Development of Silicone-Hydrogel Lenses

Abstract: In response to patient demands for extended contact lens wearing times, the contact lens industry has developed novel silicone-hydrogel (SiHy) lens materials that combine the enhanced oxygen permeability of silicone polymers with the water-based comfort of conventional hydrogels. In the past 12 years since the successful launch of these SiHy lenses, much has been learned about their ability to provide the biocompatibility necessary to sustain ocular health and comfort. A review of the unique physiologic requir… Show more

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Cited by 40 publications
(23 citation statements)
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“…The degree of epithelium adhesion against material surfaces influences the material design for many biomedical devices. In the ocular environment, a strong adhesion of the corneal epithelium against contact lenses can induce end-of-day discomfort, [1][2][3][4] and a diminution of comfort during time of wear of soft contact lenses (SCLs) is the most common reason for contact lens discontinuation. 5,6 To develop contact lenses with improved wearer experience, it is both clinically and industrially important to correlate SCL material properties with the wearer comfort.…”
Section: Introductionmentioning
confidence: 99%
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“…The degree of epithelium adhesion against material surfaces influences the material design for many biomedical devices. In the ocular environment, a strong adhesion of the corneal epithelium against contact lenses can induce end-of-day discomfort, [1][2][3][4] and a diminution of comfort during time of wear of soft contact lenses (SCLs) is the most common reason for contact lens discontinuation. 5,6 To develop contact lenses with improved wearer experience, it is both clinically and industrially important to correlate SCL material properties with the wearer comfort.…”
Section: Introductionmentioning
confidence: 99%
“…Extensive literature has reported on the coefficient of friction (CoF) measurements of SCLs as a candidate material property that can link to subject comfort. [1][2][3][4]6 However, CoF measurement results greatly depend on the testing conditions, which can make the replication and interpretation of results difficult. 6,7 In addition, kinetic friction force does not reflect the adhesion force between two surfaces, which fundamentally distinguishes the CoF measurement from the adhesive strength measurement of cornea epithelium against SCLs.…”
Section: Introductionmentioning
confidence: 99%
“…The three Hy CLs and comfilcon A (SiHy) showed a HI ≥ 40% at t = 1000 s. Among all Hy CLs evaluated, the hilafilcon A material presented the lowest dehydration rate, i.e., the highest HI in this range; the ionic character did not seem to influence the dehydration process. In the case of SiHy materials, comfilcon A reached the highest HI values up to 2000 s, which corresponds to its inherent wettability as a third generation SiHy CL [10]. The remaining SiHy materials showed HI < 40% at t = 1000 s. The ionic material balafilcon A exhibited the slowest dehydration rate, even though its dehydration behaviour is very similar to that of lotrafilcon B, both belonging to the first generation of SiHy CLs.…”
Section: Dehydration Evaluation Of Different CL Materials Preconditiomentioning
confidence: 90%
“…The increased equilibrium WC of the hydrogel polymeric matrix has led to the development of new PHEMA-based hydrogel materials with higher Dk [9]. On the other hand, the first generation of silicone hydrogel biomaterials for CLs was formulated by block polymerization of tris(trimethylsiloxy)silylpropylmethacrylate (TRIS), polydimethylsiloxane (PDMS) and dimethylacrylamide macromers [10] that resulted in higher Dk values than conventional hydrogel CLs. However, the hydrophobic character of the polymeric surface requires treatment to ensure wettability.…”
Section: Introductionmentioning
confidence: 99%
“…Vice versa, the tear and corneal metabolism affected by SCL wear may also affect the lenses and cause changes in lens parameters such as water content and lens surface [ 6 ]. Therefore, new materials of SCL with higher Dk above 150 units [10 −11 cm 2 /s (mL O 2 /mL × mmHg)] have been developed to reduce the hypoxic condition of the cornea [ 7 , 8 ]. The Dk value provided by the manufacturers represents that of packaged SCL, applicable to the specific temperature, pH, osmolarity, and buffer solution.…”
Section: Introductionmentioning
confidence: 99%