Improvement of Uveal and Capsular Biocompatibility of Hydrophobic Acrylic Intraocular Lens by Surface Grafting with 2-Methacryloyloxyethyl Phosphorylcholine-Methacrylic Acid Copolymer

Sci Rep. 2017 Jan 13:7:40462. doi: 10.1038/srep40462.

Abstract

Biocompatibility of intraocular lens (IOL) is critical to vision reconstruction after cataract surgery. Foldable hydrophobic acrylic IOL is vulnerable to the adhesion of extracellular matrix proteins and cells, leading to increased incidence of postoperative inflammation and capsule opacification. To increase IOL biocompatibility, we synthesized a hydrophilic copolymer P(MPC-MAA) and grafted the copolymer onto the surface of IOL through air plasma treatment. X-ray photoelectron spectroscopy, atomic force microscopy and static water contact angle were used to characterize chemical changes, topography and hydrophilicity of the IOL surface, respectively. Quartz crystal microbalance with dissipation (QCM-D) showed that P(MPC-MAA) modified IOLs were resistant to protein adsorption. Moreover, P(MPC-MAA) modification inhibited adhesion and proliferation of lens epithelial cells (LECs) in vitro. To analyze uveal and capsular biocompatibility in vivo, we implanted the P(MPC-MAA) modified IOLs into rabbits after phacoemulsification. P(MPC-MAA) modification significantly reduced postoperative inflammation and anterior capsule opacification (ACO), and did not affect posterior capsule opacification (PCO). Collectively, our study suggests that surface modification by P(MPC-MAA) can significantly improve uveal and capsular biocompatibility of hydrophobic acrylic IOL, which could potentially benefit patients with blood-aqueous barrier damage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adsorption
  • Animals
  • Anterior Capsule of the Lens / drug effects
  • Anterior Capsule of the Lens / physiology*
  • Biocompatible Materials / pharmacology*
  • Cataract / pathology
  • Cataract Extraction / adverse effects
  • Cell Adhesion / drug effects
  • Cell Proliferation / drug effects
  • Epithelial Cells / cytology
  • Epithelial Cells / drug effects
  • Humans
  • Hydrophobic and Hydrophilic Interactions*
  • Inflammation / etiology
  • Lenses, Intraocular*
  • Materials Testing*
  • Methacrylates / pharmacology*
  • Microscopy, Atomic Force
  • Phosphorylcholine / analogs & derivatives*
  • Phosphorylcholine / pharmacology
  • Posterior Capsule of the Lens / drug effects
  • Postoperative Complications / etiology
  • Rabbits
  • Surface Properties
  • Uvea / drug effects
  • Uvea / physiology*

Substances

  • Biocompatible Materials
  • Methacrylates
  • Phosphorylcholine
  • methacrylic acid
  • 2-methacryloyloxyethyl phosphorylcholine