Advances in Polysaccharide- and Synthetic Polymer-Based Vitreous Substitutes

The vitreous humour is a gel-like structure that composes the majority of each eye. It functions to provide passage of light, be a viscoelastic dampener, and hold the retina in place. Vitreous liquefaction causes retinal detachment and retinal tears requiring pars plana vitrectomy for vitreous subst...

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Main Authors: Kruti Naik (Author), Lisa C. Du Toit (Author), Naseer Ally (Author), Yahya E. Choonara (Author)
Format: Book
Published: MDPI AG, 2023-02-01T00:00:00Z.
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100 1 0 |a Kruti Naik  |e author 
700 1 0 |a Lisa C. Du Toit  |e author 
700 1 0 |a Naseer Ally  |e author 
700 1 0 |a Yahya E. Choonara  |e author 
245 0 0 |a Advances in Polysaccharide- and Synthetic Polymer-Based Vitreous Substitutes 
260 |b MDPI AG,   |c 2023-02-01T00:00:00Z. 
500 |a 10.3390/pharmaceutics15020566 
500 |a 1999-4923 
520 |a The vitreous humour is a gel-like structure that composes the majority of each eye. It functions to provide passage of light, be a viscoelastic dampener, and hold the retina in place. Vitreous liquefaction causes retinal detachment and retinal tears requiring pars plana vitrectomy for vitreous substitution. An ideal vitreous substitute should display similar mechanical, chemical, and rheological properties to the natural vitreous. Currently used vitreous substitutes such as silicone oil, perfluorocarbon liquids, and gases cannot be used long-term due to adverse effects such as poor retention time, cytotoxicity, and cataract formation. Long-term, experimental vitreous substitutes composed of natural, modified and synthetic polymers are currently being studied. This review discusses current long- and short-term vitreous substitutes and the disadvantages of these that have highlighted the need for an ideal vitreous substitute. The review subsequently focuses specifically on currently used polysaccharide- and synthetic polymer-based vitreous substitutes, which may be modified or functionalised, or employed as the derivative, and discusses experimental vitreous substitutes in these classes. The advantages and challenges associated with the use of polymeric substitutes are discussed. Innovative approaches to vitreous substitution, namely a novel foldable capsular vitreous body, are presented, as well as future perspectives related to the advancement of this field. 
546 |a EN 
690 |a retinal detachment 
690 |a vitrectomy 
690 |a vitreous substitute 
690 |a in situ hydrogel 
690 |a polysaccharide 
690 |a synthetic polymers 
690 |a Pharmacy and materia medica 
690 |a RS1-441 
655 7 |a article  |2 local 
786 0 |n Pharmaceutics, Vol 15, Iss 2, p 566 (2023) 
787 0 |n https://www.mdpi.com/1999-4923/15/2/566 
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