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      Ophthalmic Sensors and Drug Delivery

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          Abstract

          Advances in multifunctional materials and technologies have allowed contact lenses to serve as wearable devices for continuous monitoring of physiological parameters and delivering drugs for ocular diseases. Since the tear fluids comprise a library of biomarkers, direct measurement of different parameters such as concentration of glucose, urea, proteins, nitrite, and chloride ions, intraocular pressure (IOP), corneal temperature, and pH can be carried out non-invasively using contact lens sensors. Microfluidic contact lens sensor based colorimetric sensing and liquid control mechanisms enable the wearers to perform self-examinations at home using smartphones. Furthermore, drug-laden contact lenses have emerged as delivery platforms using a low dosage of drugs with extended residence time and increased ocular bioavailability. This review provides an overview of contact lenses for ocular diagnostics and drug delivery applications. The designs, working principles, and sensing mechanisms of sensors and drug delivery systems are reviewed. The potential applications of contact lenses in point-of-care diagnostics and personalized medicine, along with the significance of integrating multiplexed sensing units together with drug delivery systems, have also been discussed.

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          Most cited references247

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          Chitin and chitosan: Properties and applications

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            Monolithic microfabricated valves and pumps by multilayer soft lithography.

            Soft lithography is an alternative to silicon-based micromachining that uses replica molding of nontraditional elastomeric materials to fabricate stamps and microfluidic channels. We describe here an extension to the soft lithography paradigm, multilayer soft lithography, with which devices consisting of multiple layers may be fabricated from soft materials. We used this technique to build active microfluidic systems containing on-off valves, switching valves, and pumps entirely out of elastomer. The softness of these materials allows the device areas to be reduced by more than two orders of magnitude compared with silicon-based devices. The other advantages of soft lithography, such as rapid prototyping, ease of fabrication, and biocompatibility, are retained.
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              The worldwide epidemiology of type 2 diabetes mellitus--present and future perspectives.

              Over the past three decades, the number of people with diabetes mellitus has more than doubled globally, making it one of the most important public health challenges to all nations. Type 2 diabetes mellitus (T2DM) and prediabetes are increasingly observed among children, adolescents and younger adults. The causes of the epidemic of T2DM are embedded in a very complex group of genetic and epigenetic systems interacting within an equally complex societal framework that determines behavior and environmental influences. This complexity is reflected in the diverse topics discussed in this Review. In the past few years considerable emphasis has been placed on the effect of the intrauterine environment in the epidemic of T2DM, particularly in the early onset of T2DM and obesity. Prevention of T2DM is a 'whole-of-life' task and requires an integrated approach operating from the origin of the disease. Future research is necessary to better understand the potential role of remaining factors, such as genetic predisposition and maternal environment, to help shape prevention programs. The potential effect on global diabetes surveillance of using HbA(1c) rather than glucose values in the diagnosis of T2DM is also discussed.
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                Author and article information

                Journal
                ACS Sens
                ACS Sens
                se
                ascefj
                ACS Sensors
                American Chemical Society
                2379-3694
                27 May 2021
                25 June 2021
                : 6
                : 6
                : 2046-2076
                Affiliations
                []Department of Mechanical Engineering, Khalifa University of Science and Technology , Abu Dhabi, United Arab Emirates
                []Department of Physics, Lahore University of Management Sciences , Lahore Cantonment 54792, Lahore, Pakistan
                [§ ]Department of Chemical Engineering, Imperial College London , London SW7 2AZ, United Kingdom
                Author notes
                [* ](A.D.S.) Email: dennysons@ 123456gmail.com .
                [* ](H.B.) Email: haider.butt@ 123456ku.ac.ae .
                Author information
                https://orcid.org/0000-0003-0896-267X
                https://orcid.org/0000-0003-2434-9525
                Article
                10.1021/acssensors.1c00370
                8294612
                34043907
                f5225cc4-3e54-4fa5-8c7e-acf2fca71635
                © 2021 The Authors. Published by American Chemical Society

                Permits the broadest form of re-use including for commercial purposes, provided that author attribution and integrity are maintained ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 20 February 2021
                : 17 May 2021
                Funding
                Funded by: Engineering and Physical Sciences Research Council, doi 10.13039/501100000266;
                Award ID: EP/T013567/1
                Funded by: KU-KAIST Joint Research Center, doi NA;
                Award ID: 8474000220-KKJRC-2019-Health1
                Funded by: Sandooq Al Watan LLC, doi NA;
                Award ID: 8434000391-EX2020-044
                Funded by: Aldar Properties, doi NA;
                Award ID: 8434000391-EX2020-044
                Funded by: Khalifa University of Science, Technology and Research, doi 10.13039/501100004070;
                Award ID: 8434000391-EX2020-044
                Categories
                Review
                Custom metadata
                se1c00370
                se1c00370

                ophthalmology,contact lenses, continuous monitoring,physiological parameters,biosensors,biomaterials,photonic crystals,bioavailability,diagnostics,personalized medicine,drug delivery

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