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Vitamin E loaded into contact lenses may treat glaucoma | Contact lenses containing vitamin E can keep glaucoma medicine near the eye where it can treat the common disease- almost 100 times longer than possible with current commercial lenses, scientists claim. In a presentation at the 239th National Meeting of the
American Chemical Society (ACS), researchers described use of vitamin E to develop
contact lenses that may deliver more medication for glaucoma and perhaps other
diseases to the eye. Anuj Chauhan, Ph.D., who headed the research team, explained
that glaucoma is second only to cataracts as the leading cause of vision loss
and blindness in the world. Eye drops that relieve the abnormal build-up of pressure
inside the eye that occurs in glaucoma, are a mainstay treatment. "The problem
is within about two to five minutes of putting drops in the eye, tears carry the
drug away and it doesn't reach the targeted tissue," said Chauhan, who is with
the University of Florida in Gainesville. "Much of the medicine gets absorbed
into the bloodstream, which carries it throughout the body where it could cause
side effects. Only about one to five percent of drugs in eye drops actually reach
the cornea of the eye." Chauhan and colleagues have developed a new extended-release
delivery approach incorporating vitamin E into contact lenses. The invisible clusters,
or aggregates, of vitamin E molecules form what Chauhan describes as "transport
barriers" that slow down the elusion of the glaucoma medication from the lens
into the eye. The drug released from the lens into the eye stays in the tears
far longer than the 2-5 minutes with eye drops, leading to more effective therapy.
"These vitamin structures are like 'nano-bricks'," Chauhan said. "The drug molecules
can't go through the vitamin E. They must go around it. Because the nanobricks
are so much bigger than the drug molecules - we believe about a few hundred times
bigger - the molecules get diverted and must travel a longer path. This increases
the duration of the drug release from the lenses." In research with laboratory
animals, the lenses containing vitamin E nanobricks administered drugs up to 100
times longer than most commercial lenses. The lenses could be designed for continuous
wear for up to a month, Chauhan said. In addition to treating glaucoma, the contacts
could help other eye conditions, such as cataract and dry eye. Cataract is a clouding
of the lens of the eye, and dry eye involves decreased production of tears.
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