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Related Concept Videos

Ophthalmic Drug Delivery Systems01:23

Ophthalmic Drug Delivery Systems

Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
Adhesion01:14

Adhesion

Adhesion occurs when one type of molecule is attracted to a different molecule. Water exhibits adhesive properties in the presence of polar surfaces, such as glass or cellulose in plants. For instance, when water is poured into a glass, the positively charged hydrogen molecules of water are more attracted to the negatively charged oxygen molecules in the silica than to the oxygen in neighboring water molecules.
Capillary action is a result of water’s adhesive tendencies. When a narrow glass...

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Tissue adhesive in ophthalmology.

Chittaranjan Shaw1, M Nazarul Islam, Soumen Chakroborty

  • 1Department of Ophthalmology, Bankura Sammilani Medical College, Bankura 722102.

Journal of the Indian Medical Association
|January 1, 2011
PubMed
Summary
This summary is machine-generated.

Ophthalmic tissue adhesives like butyl-2-cyanoacrylate are used for superficial corneal wounds. However, this synthetic adhesive can impede healing if it penetrates wound margins.

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Area of Science:

  • Ophthalmology
  • Biomaterials Science
  • Wound Healing Research

Background:

  • Tissue adhesives are utilized in ophthalmology, primarily for superficial corneal wound closure.
  • Butyl-2-cyanoacrylate is the sole synthetic adhesive currently available for ophthalmic applications.
  • A significant limitation of butyl-2-cyanoacrylate is its potential to inhibit corneal wound healing.

Purpose of the Study:

  • To investigate the impact of butyl-2-cyanoacrylate on corneal wound healing.
  • To understand the mechanism by which this synthetic adhesive affects tissue repair.
  • To highlight the limitations of current synthetic tissue adhesives in ophthalmic surgery.

Main Methods:

  • Review of existing literature on ophthalmic tissue adhesives.
  • Analysis of the chemical properties of butyl-2-cyanoacrylate.
  • Examination of the biological response to synthetic adhesives at wound margins.

Main Results:

  • Butyl-2-cyanoacrylate forms an impervious barrier when it interfaces with wound margins.
  • This barrier formation by the synthetic adhesive inhibits normal wound healing processes.
  • The efficacy of butyl-2-cyanoacrylate is restricted to superficial wound closure due to this limitation.

Conclusions:

  • The use of butyl-2-cyanoacrylate in ophthalmology is limited by its adverse effects on wound healing.
  • Further research is needed to develop advanced synthetic adhesives without inhibitory properties.
  • Optimizing tissue adhesive application is crucial to prevent complications and ensure successful corneal repair.