Acanthamoeba spp.: Efficacy of Bioclen FR One Step®, a povidone-iodine based system for the disinfection of contact lenses

Pathogenic strains of Acanthamoeba are causative agents of a serious sight-threatening infection of the eye known as Acanthamoeba keratitis. The prevalence of this infection has risen in the past 20 years, mainly due to the increase in number of contact lens wearers. Bioclen FR One Step® (Ophtecs Corporation) is the only available povidone-iodine based system for the disinfection of silicone hydrogel lenses and soft contact lenses on the market. Bioclen FR has been proven to be highly effective against bacteria and fungi that can cause problems for contact lens users. In this study, Bioclen FR One Step® was tested against three clinical Acanthamoeba isolates from contact lens cases. The results demonstrated that the tested Acanthamoeba clinical strains were sensitive to Bioclen FR One Step®.     

Longitudinal analysis of taurine induced effects on the tear proteome of contact lens wearers and dry eye patients using a RP-RP-Capillary-HPLC-MALDI TOF/TOF MS approach

Tear proteomic studies revealed distinct similarities between contact lens wearers and dry eye patients. AMO Complete® multipurpose contact lens cleaning solutions containing taurine seem to have a beneficial effect regarding contact lens induced dry eye. To illuminate the effect of taurine on the tear proteome of contact lens wearers and sicca patients we developed a gel-based RP-RP capillary HPLC–MALDI TOF/TOF MS strategy. Two contact lens wearer groups, one using eye drops containing 0.05% taurine; the other for control physiological NaCl solution were monitored. Also, a third group of sicca patients using taurine solution was studied (N = 4 individuals/group). Tear pools of each group at six time points over 5 weeks were analyzed. In summary 267 tear proteins were identified. We found a protein subset showing a linear taurine response with R² values ≥ 0.5. Taurine effects were detected predominantly in the contact lens group demonstrated by distinct level decreases. Most protein candidates were related to inflammation. Since levels of these proteins differentiate from those of a healthy non-contact lens wearer reference they are supposed to be involved in contact lens induced dry eye and should be focused on in further studies.     

Evaluation of microbial flora of the eye during wear of soft contact lenses.

The microflora of the eye has been monitored in 21 patients during a 6-month period to study changes resulting from wear of soft contact lenses. A minimum of 20 cul-de-sac cultures were taken from each patient. Fifty-one percent of cultures taken prior to lens wear were positive for microbial growth, whereas, after lens wear, positive cultures ranged from 14.3% to 30.9" over the 6-month period. Staphylococcus epidermidis was the most frequently isolated organism, followed by Micrococcus spp., diphtheroids, and Bacillus spp. Nonfermentative, gram-negative rods and fungi were isolated spordically. Bacterial growth was sparse from all specimens, but individual differences were found. The microflora of the eye appears to resemble that of the skin, suggesting that the eye has no real flora of its own, but has a transient flora supplied from the skin, possibly the eyelid.     

花背蟾蜍眼早期形态发生中其主要部分空间联系的研究

本文用扫描电镜研究了花背蟾蜍眼早期形态发生中视泡和预定晶状体、晶状体和预定角膜上皮间的紧密接触,此后在接触处出现间隙,其中存在呈网状的原纤维(fibril),这些原纤维的数量随两侧相连组织的分化,表现出增多、减少和逐渐消失的规律性变化,据此推测其成分属细胞外基质,对促进相连组织的分化起重要作用。     

Evaluation of microbial flora of the eye during wear of soft contact lenses.

The microflora of the eye has been monitored in 21 patients during a 6-month period to study changes resulting from wear of soft contact lenses. A minimum of 20 cul-de-sac cultures were taken from each patient. Fifty-one percent of cultures taken prior to lens wear were positive for microbial growth, whereas, after lens wear, positive cultures ranged from 14.3% to 30.9" over the 6-month period. Staphylococcus epidermidis was the most frequently isolated organism, followed by Micrococcus spp., diphtheroids, and Bacillus spp. Nonfermentative, gram-negative rods and fungi were isolated spordically. Bacterial growth was sparse from all specimens, but individual differences were found. The microflora of the eye appears to resemble that of the skin, suggesting that the eye has no real flora of its own, but has a transient flora supplied from the skin, possibly the eyelid.     

Contact Lens Related Corneal Infections

This article describes microbial keratitis, infection of the cornea by micro-organisms. Contact lens wear is a predisposing factor for the development of microbial keratitis. Micro-organisms probably adhere to the contact lens, transfer from the contact lens to a damaged or compromised corneal epithelial surface, penetrate into the deeper layers of the cornea and produce corneal damage. Host responses to the invading micro-organisms, while designed to protect the eye, can often exacerbate the situation and the resulting microbial keratitis can lead to permanent blindness. The microbial, biochemical and immunological aspects of MK will be described in detail.     

Erythropoietin level in tear and blood plasma of people with myopia including those who wear soft contact lens

Erythropoietin level was evaluated in tear film and blood plasma of 63 people with emmetropia (30 people) and myopia (33 people). 17 myopic volunteers wear soft contact lens. There were no statistically significant differences between erythropoietin level in tear samples of emmetropic people, myopic people, and people who wear soft contact lens. Physiological level of erythropoietin in tear of myopic volunteers wearing soft contact lens was established.     

A passive pressure sensor for continuously measuring the intraocular pressure in glaucomatous patients

ObjectiveThe main risk factor for the development of glaucoma, a retinal disease leading to blindness, is an increase in the intraocular pressure (IOP). Reducing this IOP can be obtained by eye drops but unfortunately the disease can still progress because IOP increases are painless, can fluctuate and, thus remain undetected during a visit to an ophthalmologist. The “MATEO” ANR project aims to develop sensors embedded in a contact lens for continuously IOP monitoring.Materials and methodsPressure sensors were produced by MEMS technology and tested with pig eyes obtained at a local slaughterhouse. Solution was injected by 50 μL steps in the eye with a Hamilton syringe while IOP was monitored in parallel with a TonoVET system and an industrial pressure transducer inserted in the injection tubing system.ResultsOur first pressure sensor prototypes were generated and inserted in a lens compatible with eye application. A wireless system was developed to excite the sensor. At same time, it was recorded the data in components inserted into spectacles and a pocket recorder. In parallel, we showed that injecting a solution in the eye anterior chamber triggered an IOP increase smaller and more stable than injections in the posterior chamber. Finally, a direct correlation was observed between IOP measured on the corneal surface with the TonoVET and the pressure transducer placed close to eye injection point.DiscussionOur results indicate that our in vitro model on pig eyes is adequate to test our new lens sensor. Finally, the pressure sensor was successfully inserted in contact lens opening the way for their in vitro and in vivo preclinical validation.     

The influence of operator position,height and body orientation on eye lens dose in interventional radiology and cardiology: Monte Carlo simulations versus realistic clinical measurements

ObjectiveThis paper aims to provide some practical recommendations to reduce eye lens dose for workers exposed to X-rays in interventional cardiology and radiology and also to propose an eye lens correction factor when lead glasses are used.MethodsMonte Carlo simulations are used to study the variation of eye lens exposure with operator position, height and body orientation with respect to the patient and the X-ray tube. The paper also looks into the efficiency of wraparound lead glasses using simulations. Computation results are compared with experimental measurements performed in Spanish hospitals using eye lens dosemeters as well as with data from available literature.ResultsSimulations showed that left eye exposure is generally higher than the right eye, when the operator stands on the right side of the patient. Operator height can induce a strong dose decrease by up to a factor of 2 for the left eye for 10-cm-taller operators. Body rotation of the operator away from the tube by 45°–60° reduces eye exposure by a factor of 2. The calculation-based correction factor of 0.3 for wraparound type lead glasses was found to agree reasonably well with experimental data.ConclusionsSimple precautions, such as the positioning of the image screen away from the X-ray source, lead to a significant reduction of the eye lens dose. Measurements and simulations performed in this work also show that a general eye lens correction factor of 0.5 can be used when lead glasses are worn regardless of operator position, height and body orientation.     

Conjunctival impression cytology in contact lens wearers

The upper tarsal conjunctiva is in constant friction with the surface of the contact lens. The conjunctival surfaces of 80 soft and gas-permeable contact lens wearers (40 each) and 20 controls were studied using biomicroscopy and impression cytology. A filter dissolution technique was used to process the conjunctival imprints. Biomicroscopic and cytologic grading of the conjunctivae was performed using four-tier grading systems. Impression cytology is a non-invasive, painless procedure. The altered technique of processing yielded better cellularity and excellent cellular detail. On biomicroscopy and cytology, all controls showed Grade 1 appearances. Soft lens wearers who were symptomatic were found to have a significant increase in both biomicroscopic and cytologic grades, when compared with their asymptomatic counterparts. No correlation was found between duration of lens use and biomicroscopic or cytologic grades. All changes were found to be more severe in soft lens wearers.     

人眼波前像差数值表示及测量方法的研究

人眼离焦和散光两个缺陷可以通过佩戴框架眼镜、角膜接触镜、激光屈光手术得到矫正。但是,即使矫正后的眼睛屈光处于最佳状态,但仍不能获得最佳视觉敏锐度。这是因为人眼存在着光学像差。从人眼像差的测量方法和数值表示法来进行分析,并引入Zern ike多项式来表示波前像差,为用准分子激光进行眼球像差矫正提供理论依据。     

The distribution of pressure behind a soft contact lens

We determine the pressure distribution behind a soft contact lens that is necessary to keep the lens in conformity with an axisymmetric substrate. The substrate consists of two regions: a central portion, the cornea, supposed to be an ellipsoid; and a peripheral region, the sclera, taken to be a sphere. The pressure is obtained as part of a numerical solution of the axisymmetric equilibrium equations for an initially curved, linearly elastic membrane. The relaxed shape of the lens is assumed to be an axisymmetric ellipsoid with a central curvature and a shape factor different from those of the cornea. The variation in the thickness of the lens from its center to edge is approximated by a polynomial. Pressure distributions are obtained for several typical soft contact lens fittings.     

Changes in Cell and Organ Shape during Early Development of the Ocular Lens

It is currently fashionable to attribute changes in organ shapeduring development to the actions of microtubules and microfilamentson individual cells of the organ in question. In the case ofthe eye lens it has been proposed that cellular elongation underthe influence of microtubules and/or apical contraction by microfilamentsare responsible for the remodeling of the originally low cuboidalectoderm into the tall and wedge-shaped presumptive lens cells.Invagination of the lens is thought to follow automatically.These ideas cannot account for certain observations on lensmorphogenesis, such as the relatively fixed diameter of theorgan rudiment during early development, which is incompatiblewith the supposed contraction of the rudiment. We found that the area of contact between presumptive lens andoptic cup does become fixed after a few hours of "induction."There is a remarkable correlation in time between this fixation,and the process of lens cell elongation and increase in lenscell density. We calculated that the latter two can, in fact,be accounted for by population pressure caused by continuedcell division within the defined area of the lens rudiment.A mathematical model along these lines was developed, whichexplains lens invagination on the basis of cell number and size,extent of the area of contact between ectoderm and optic cup,and cell population doubling times. We hypothesize that the prevention of lateral cell spreadingwithin the lens territory, after the contact area becomes fixed,is a function of the build-up in extracellular materials inthis area during the "induction period." Both lens rudimentand presumptive retina contribute to this extracellular matrix.     

Oxygen tension in thein vivo cornea

The steady state distribution of oxygen tension in thein vivo cornea is estimated in the present study by using a nonlinear oxygen consumption rate equation of the Michaelis-Menten type. Such a rate expression is more accurate than the previous simplified versions in predicting the oxygen consumption rate. It is found that for an open eye with or without contact lens, the oxygen tensions predicted previously are in good agreement with these predicted in the present work. However, for a closed eye with or without contact lens, the previous predictions underestimate the oxygen tension.     

Corneal Cell Adhesion to Contact Lens Hydrogel Materials Enhanced via Tear Film Protein Deposition

Tear film protein deposition on contact lens hydrogels has been well characterized from the perspective of bacterial adhesion and viability. However, the effect of protein deposition on lens interactions with the corneal epithelium remains largely unexplored. The current study employs a live cell rheometer to quantify human corneal epithelial cell adhesion to soft contact lenses fouled with the tear film protein lysozyme. PureVision balafilcon A and AirOptix lotrafilcon B lenses were soaked for five days in either phosphate buffered saline (PBS), borate buffered saline (BBS), or Sensitive Eyes Plus Saline Solution (Sensitive Eyes), either pure or in the presence of lysozyme. Treated contact lenses were then contacted to a live monolayer of corneal epithelial cells for two hours, after which the contact lens was sheared laterally. The apparent cell monolayer relaxation modulus was then used to quantify the extent of cell adhesion to the contact lens surface. For both lens types, lysozyme increased corneal cell adhesion to the contact lens, with the apparent cell monolayer relaxation modulus increasing up to an order of magnitude in the presence of protein. The magnitude of this increase depended on the identity of the soaking solution: lenses soaked in borate-buffered solutions (BBS, Sensitive Eyes) exhibited a much greater increase in cell attachment upon protein addition than those soaked in PBS. Significantly, all measurements were conducted while subjecting the cells to moderate surface pressures and shear rates, similar to those experienced by corneal cells in vivo.     

Plasmonic Lens with Multiple-Turn Spiral Nano-Structures

In this paper, we investigate the focusing properties of a plasmonic lens with multiple-turn spiral nano-structures, and analyze its field enhancement effect based on the phase matching theory and finite-difference time-domain simulation. The simulation result demonstrates that a left-hand spiral plasmonic lens can concentrate an incident right-hand circular polarization light into a focal spot with a high focal depth. The intensity of the focal spot could be controlled by altering the number of turns, the radius and the width of the spiral slot. And the focal spot is smaller and has a higher intensity compared to the incident linearly polarized light. This design can also eliminate the requirement of centering the incident beam to the plasmonic lens, making it possible to be used in plasmonic lens array, optical data storage, detection, and other applications.     

Characterization of human tear proteome using multiple proteomic analysis techniques

Tear proteome profiling may generate useful information for the understanding of the interaction between an eye and its contacting objects, such as a contact lens or a lens implant. This is important for designing improved eye-care devices and maintaining the health of an eye. Proteome profiles of tear fluids may also be used for disease diagnosis and prognosis. However, only a small volume of tear fluid (<5 microL) can be collected in a clinical laboratory under normal operational conditions, which makes proteome profiling a challenge. In this work we apply several proteomic analysis techniques, including gel-based and solution-based approaches with LC-ESI and LC-MALDI MS and MS/MS to gauge the relative merits of producing proteome profiles and to generate as broad a coverage of the tear proteome as possible from this small amount of sample. It is shown that a total of 54 proteins can be confidently identified using less than 5 microL of tear fluid. Of these, 44 proteins can be detected by LC-MALDI MS alone with a consumption of 2 microL of tear fluid. Furthermore, LC-MALDI can be used to determine post-translational modifications (PTMs), such as glycosylation and phosphorylation, without any sample enrichment or treatment. This work represents one of the most extensive proteome profiles (i.e., proteins identified and PTMs characterized) generated from tear fluids using clinically relevant amounts of sample.     

Extended Latanoprost Release from Commercial Contact Lenses: In Vitro Studies Using Corneal Models

In this study, we compared, for the first time, the release of a 432 kDa prostaglandin analogue drug, Latanoprost, from commercially available contact lenses using in vitro models with corneal epithelial cells. Conventional polyHEMA-based and silicone hydrogel soft contact lenses were soaked in drug solution ( solution in phosphate buffered saline). The drug release from the contact lens material and its diffusion through three in vitro models was studied. The three in vitro models consisted of a polyethylene terephthalate (PET) membrane without corneal epithelial cells, a PET membrane with a monolayer of human corneal epithelial cells (HCEC), and a PET membrane with stratified HCEC. In the cell-based in vitro corneal epithelium models, a zero order release was obtained with the silicone hydrogel materials (linear for the duration of the experiment) whereby, after 48 hours, between 4 to 6 of latanoprost (an amount well within the range of the prescribed daily dose for glaucoma patients) was released. In the absence of cells, a significantly lower amount of drug, between 0.3 to 0.5 , was released, (). The difference observed in release from the hydrogel lens materials in the presence and absence of cells emphasizes the importance of using an in vitro corneal model that is more representative of the physiological conditions in the eye to more adequately characterize ophthalmic drug delivery materials. Our results demonstrate how in vitro models with corneal epithelial cells may allow better prediction of in vivo release. It also highlights the potential of drug-soaked silicone hydrogel contact lens materials for drug delivery purposes.     

Ocular Surface Displacement with and without Contact Lenses during Non-Contact Tonometry

Purpose

To evaluate the displacement of the central ocular surface during non-contact tonometry with and without soft contact lenses and determine the factors associated with the displacement of the central ocular surface and intraocular pressure (IOP) reading changes caused by wearing soft contact lenses (CLs).

Methods

One eye each in 21 subjects was studied. The cornea was photographed using a high-speed camera at 5,000 frames/sec during non-contact tonometry without contact lenses (NCL), with -5.0 diopters (D), -0.5 D and +5.0 D CL. The displacement of the ocular surface and the factors affecting displacement at the IOP reading and maximum displacement time were investigated.

Results

The IOP readings while wearing +5 D CL were significantly higher than those obtained while wearing -5 D CL. The ocular surface displacement between +5 D CL and other groups were significantly different. A significant positive correlation was found between the ocular surface displacement of subjects at the IOP reading time and the IOP obtained with the non-contact tonometer. A significant negative correlation was found between the ocular surface curvature and the IOP obtained using the non-contact tonometer. The radius of curvature of the ocular surface affected the displacement during the IOP reading and maximum displacement time.

Conclusions

Our results indicate that soft contact lens use changes the ocular surface behavior and IOP readings during non-contact tonometry. The radius of curvature of the eye affects the ocular surface displacement and IOP readings in this situation.     

The fine structure of the pallial eyes of Laternula truncata (Bivalvia: Anomalodesmata: Pandoracea)

The structure of the pallial eyes of Laternula truncata (Lamarck 1818) has been studied using the light and electron microscopes. The eye is complex and can be- considered to be- the most advanced yet described for a bivalve mollusc. The cornea consists of modified flattened epithelial cells with an external border of microvilli. The cornea covers a large, circular, multinucleate lens. The lens comprises (1) centrally located translucent lens cells, (2) laterally located supporting cells from which cell processes interdigitate with processes from the lens cells. The retina is two layered and inverted. The proximal and distal retinae are made up of concentrically arranged laminae derived from the membranes of ciliary basal bodies. The cilia comprise a base and feet, but no root system and have a 9+0 arrangement of filaments.
The pigment cup or tapetum is bounded by a sclerotic coat and is three layered, each layer possessing characteristic pigment granules. From the base of the eye arises a large optic nerve.
The eye possesses an eye appendage, the epithelium of which is invaginated on its internal border to form a groove within which are found some 28 cilia. The cilia, it is thought, make contact with the microvilli of the epithelium when the appendage is touched. Such an action serves to protect the delicate eye from damage.
The structure of the eye is compared with that of other molluscs, particularly members of the Bivalvia.