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Updated: Feb 3, 2026

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Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid
Published on: June 17, 2025
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Pathology-responsive light-triggered conjunctival adhesive implantable hydrogels for effective anti-scarring after
Xianmin Shi1, Zijun Lin1, Danni Xiao1
1School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, PR China.
Summary
A novel light-activated hydrogel prevents scarring after glaucoma surgery by reducing inflammation and promoting healing. This innovation improves bleb survival and lowers eye pressure, offering a promising strategy for glaucoma filtration surgery success.
Area of Science:
- Biomaterials Science
- Ophthalmology
- Drug Delivery
Background:
- Glaucoma filtration surgery (GFS) success is limited by subconjunctival scarring.
- Postoperative inflammation, oxidative stress, and myofibroblast activation drive this scarring.
- Current treatments lack effective scar inhibition strategies.
Purpose of the Study:
- To develop a light-triggered hydrogel for GFS to inhibit scarring.
- To enhance conjunctival adhesion, provide bleb support, and enable smart drug delivery.
- To investigate the hydrogel's efficacy in reducing postoperative fibrosis.
Main Methods:
- Fabrication of a PNE hydrogel from functionalized carboxymethyl chitosan and epigallocatechin gallate (EGCG).
- In-situ activation via ultraviolet (UV) light for crosslinking and tissue adhesion (PNE-UV hydrogel).
- Evaluation of hydrogel properties (adhesion, mechanical strength, drug release) and in vivo performance in rabbit GFS models.
Main Results:
- PNE-UV hydrogel demonstrated rapid crosslinking, strong conjunctival adhesion, and mechanical support.
- Light-triggered EGCG release over 17 days effectively scavenged reactive oxygen species (ROS) and modulated macrophage polarization.
- The hydrogel significantly reduced GFS scarring, prolonged bleb survival, lowered intraocular pressure, and decreased collagen deposition in rabbit models.
Conclusions:
- The interfacial adhesion and immunomodulation hydrogel (PNE-UV) effectively prevents scarring after GFS.
- This smart hydrogel offers a clinically translatable strategy to improve surgical outcomes.
- Targeted drug delivery and anti-inflammatory properties are key to mitigating fibrosis and enhancing bleb function.
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