RT Journal Article T1 Contact lens-based atropine delivery systems for myopia management: design and in vitro-in vivo evaluation A1 García del Valle, Inés Ángela A1 Vivero López, María A1 Concheiro Nine, Ángel Joaquín A1 Álvarez Lorenzo, Carmen K1 Myopia K1 Atropine K1 Medicated contact lenses K1 Controlled release K1 Ocular biodistribution K1 IVIV Levy plot AB The prevalence of myopia is increasing exponentially, particularly among children. Alongside other interventions, atropine can slow or even reverse myopia progression; however, topical eye drops produce short-lived concentration peaks that may cause systemic side effects while failing to ensure sustained ocular exposure. Existing contact lens (CL)-based delivery approaches present important limitations, including excessively rapid release, overly prolonged release, or low drug loading. This study aimed to address these shortcomings by designing CLs tailored for atropine delivery during day/night wearing. Hydrogels were synthesized by combining the anionic monomers methacrylic acid (MAA) and 2-acrylamido-2-methyl-1-propanesulfonic acid (AMPSA) with the hydrophobic monomer benzyl methacrylate (BzMA) in specific ratios to modulate affinity for atropine. The resulting materials exhibited suitable solvent uptake, light transmittance, mechanical properties, and oxygen permeability. Anionic monomers enhanced atropine loading, while hydrophobic domains enabled more controlled release. In vivo testing showed that optimized formulations provided sustained drug levels in tear fluid and higher ocular tissue concentrations compared with eye drops. Ocular compatibility was confirmed both in ovo (HET-CAM test) and in vivo. For comparison, atropine loading and release from multifocal CLs designed for myopia control were also evaluated, and in vitro and in vivo correlations were investigated. Overall, these customized CLs represent a promising approach to integrate optical correction with sustained atropine delivery for myopia management. PB Elsevier SN 0014-3057 YR 2025 FD 2025-11-07 LK https://hdl.handle.net/10347/43861 UL https://hdl.handle.net/10347/43861 LA eng NO García-del-Valle, I., Vivero-Lopez, M., Concheiro, A., & Alvarez-Lorenzo, C. (2025). Contact lens-based atropine delivery systems for myopia management: design and in vitro-in vivo evaluation. European Polymer Journal, 239, 114293. 10.1016/j.eurpolymj.2025.114293 NO The work was supported by Spain Ministerio de Ciencia, Innovación y Universidades MICIU/AEI/ https://doi.org/10.13039/501100011033 [PID2023-150422OB-I00], ERDF A way of making Europe, cofunded by the European Union, and Xunta de Galicia [ED431C 2024/09]. NO The authors thank Prof. Mabel Loza and Dr. Cristina Val García from BioFarma Research Group (USC GI-1685) for their help with UPLC ex- periments, Prof. Gonzalo Carracedo from Ocupharm Research Group at Complutense University of Madrid for his help with in vivo experiments, and Coren Centro Tecnolóxico de Incubación (Ourense, Spain) for the kind supply of fertilized eggs. DS Minerva RD 24 abr 2026