Importancia del perfil de superficie corneal, en adaptación de lentes RGP corneales
Por: Patricia Durán Ospina. Microbióloga. | Universidad Técnica de Manabí, Ecuador.
m.optometria@utm.edu.ec
Fuente: Vásquez, Stretchable Electronic Platform for Soft and Smart Contact Lens Applications. 2017.
La tecnología en la fabricación y las aplicaciones en el uso de los lentes de contacto no se detiene. Desde hace más de dos décadas, compañías multinacionales de la telecomunicación han venido trabajando con los grandes laboratorios fabricantes de lentes de contacto en la creación de los “Smart contact lenses” o lentes inteligentes. Los cuales podrían ya reemplazar un televisor, detectar enfermedades sistémicas en el ojo mediante biosensores, incluyendo nanochips en las matrices de los polímeros, creando un desafío no solo para los profesionales en salud visual, sino también para la industria y por supuesto para los usuarios finales.
Los primeros desarrollos de los “smart contact lenses” fueron los lentes para detección del aumento de la presión intraocular en pacientes con glaucoma. A partir de este primer lente conocido como “Sensimed” se han desarrollado varias patentes para otros similares, otros para la detección de diabetes por cambio de color o vibraciones. En la actualidad, desde la aparición del grafeno, un material derivado del grafito, ha permitido el desarrollo de la nanotecnología y en medicina ha permitido producir modelos muy pequeños de dispositivos médicos como el nanomarcapasos y lentes de contacto que incorporan en su matriz nanochips que permiten la interferencia electromagnética para múltiples aplicaciones.
Fuente: Lee, S. et al. Smart Contact Lenses with Graphene Coating for Electromagnetic Interference Shielding and Dehydration Protection. ACS Nano 2019.
Aunque parezca ciencia ficción, cada vez nos acercamos más a la adaptación de estos dispositivos inteligentes, de los cuales ya empresas como Sony, LG, Panasonic han realizado sus primeros intentos de introducir lentes de contacto con antenas de televisión, y diseñar nuevas posibilidades para los “gamers” o generaciones dedicadas a los juegos virtuales. Estos nanochips se insertan en el centro de lentes fabricados en polímeros como Poli-2-hidroxietilmetacrilato (pHEMA), copolímeros de HPMA, acrilamida (AAm), silicona o con la inclusión de polietilenglicol (PEG) o quitosán y nanopartículas de dextrano y ácido láctico, los cuales tienen excelentes propiedades humectantes y permiten ser biocompatibles con los tejidos corneales.
De igual manera, el grafeno y estas tecnologías ha permitido incorporar en los lentes de contacto, moléculas que funcionan como los lentes oftálmicos con posibilidad de regular la entrada de luz, oscureciéndose y aclarándose conforme a las condiciones de luz en el ambiente y filtrando los rayos ultravioletas.
El proyecto de la creación de lentes de contacto con la posibilidad de permitir identificar los datos de las personas que el usuario ve al frente, adelantado por la agencia francesa DARPA (The Defense Advanced Research Projects Agency), será uno de los retos para la autorización de uso y privacidad de datos.
Los lentes de contacto blandos terapéuticos han sido otros lentes en los que la tecnología ha incorporado nanocompuestos que permiten liberar las partículas del fármaco de forma lenta, siendo de gran utilidad para patologías como el glaucoma o tratamiento que requieran pequeñas dosis diarias y continúas. Incluso los lentes de contacto podrían ser detectores de COVID-19, de cáncer o de enfermedades autoinmunitarias antes de que aparezcan.
La tecnología no se detiene, y los lentes de contacto seguirán considerándose uno de los mejores inventos de la humanidad. Más allá de los valiosos aportes de estos dispositivos médicos para el control de la miopía o la corrección de errores refractivos, los lentes de contacto están apuntando a brindar a los pacientes más ventajas como son detectar enfermedades mediante bionsesores antes de que aparezcan. O en un futuro muy próximo convertirse en el accesorio indispensable, cambiando el “joystick” por el “eyestick” donde con un parpadeo podemos cambiar el canal. El reto será siempre manejar el costo–beneficio para los pacientes y su seguridad.
Surgen varios interrogantes en torno a estas nuevas tecnologías: ¿Están los usuarios de lentes de contacto y los profesionales de la salud visual, preparados para estas adaptaciones basadas en inteligencia artificial y nanotecnología? Se convierte esta tecnología en un reto transversal entre diferentes actores: la necesidad de una capacitación continua en la adaptación de estos nuevos dispositivos, el reto para los laboratorios fabricantes en la creación de las campañas de marketing para establecer los nichos de mercado, el reto para los contactólogos de conocer no solo como funcionan sino como ofrecer a sus pacientes estas alternativas a sus pacientes y no menos importante, para los usuarios, no solo por adaptarse al cambio, sino también por el reto del mantenimiento de los mismos. Conocer las ventajas o desventajas es nuestra responsabilidad, los comités de ética y las organizaciones de control de dispositivos médicos, deberían estar preparándose para aceptar estos dispositivos que ya no son parte de la ciencia ficción, sino que han venido convirtiéndose tan algo indispensable como en su momento la internet y los computadores.
Gabriel Merchán de Mendoza, o un sinónimo de Optometría.
Hacer una semblanza del doctor Merchán es una oportunidad tan invitadoras...Ver mas
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Biomecánica corneal y sus métodos actuales de evaluación.
La biomecánica básicamente se refiere a la forma mecánica en que funciona nuestro cuerpo...Ver mas
Efecto sobre la presión intraocular posterior a una hora de uso, en usuarios con lentes de contacto esclerales. Una de las principales precauciones... .Ver mas
Gabriel Merchán de Mendoza, o un sinónimo de Optometría.
Hacer una semblanza del doctor Merchán es una oportunidad tan invitadoras...Ver mas
Biomecánica corneal y sus métodos actuales de evaluación.
La biomecánica básicamente se refiere a la forma mecánica en que funciona nuestro cuerpo...Ver mas
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