RT Journal Article T1 Improved triamcinolone acetonide-eluting contact lenses based on cyclodextrins and high hydrostatic pressure assisted complexation A1 Marto Costa, Carolina A1 Toffoletto, Nadia A1 Salema-Oom, Madalena A1 Antunes, Alexandra M. M. A1 Pinto, Carlos A. A1 Saraiva, Jorge A. A1 Silva Herdade, Ana S. A1 Álvarez Lorenzo, Carmen A1 Serro, Ana Paula K1 Triamcinolone acetonide K1 Cyclodextrin K1 Drug-eluting contact lenses K1 Diabetic macular edema K1 High hydrostatic pressure sterilization AB Contact lenses (CLs) constitute an advantageous platform for the topical release of corticosteroids due to their prolonged contact with the eye. However, the lipophilic nature of corticosteroids hampers CLs' ability to release therapeutic amounts. Two approaches to improve loading and release of triamcinolone acetonide (TA) from poly(2-hydroxyethyl methacrylate)-based hydrogels were investigated: adding 2-hydroxypropyl-β-cyclodextrin (HP-β-CD) to the monomers solution before polymerization (HEMA/i-CD) and an hydrogels' post-treatment with HP-β-CD (HEMA/p-CD). The effect of HP-β-CD and sterilization by high hydrostatic pressure (HHP) on the hydrogel properties (water content, oxygen and ion permeability, roughness, transmittance, and stiffness) was evaluated. The HEMA/i-CD hydrogels had stronger affinity for TA, sustaining its release for one day. HHP sterilization promoted the formation of cyclodextrin-TA complexes within the hydrogels, improving their drug-loading capacity »60 %. Cytotoxicity and irritability tests confirmed the safety of the therapeutic CLs. TA released from the hydrogels permeated through ocular tissues ex vivo and showed anti-inflammatory activity. Finally, a previously validated mathematical model was used to estimate the ability of the TA-loaded CLs to deliver therapeutic drug concentrations to the posterior part of the eye. Overall, HP-β-CD-containing CLs are promising candidates for the topical ocular application of TA as an alternative delivery system to intraocular injections PB Elsevier SN 0144-8617 YR 2024 FD 2024 LK http://hdl.handle.net/10347/33696 UL http://hdl.handle.net/10347/33696 LA eng NO Carbohydrate Polymers, Volume 331, 2024, 121880 NO Work supported by Fundação para a Ciência e a Tecnologia (FCT) through [doi: 10.54499/UIDB/00100/2020] and [doi: 10.54499/UIDP/00100/2020] (CQE), [doi: 10.54499/UIDB/04585/2020] (CiiEM) and [doi:10.54499/PTDC/CTM-CTM/2353/2021] (SOL project), University of Aveiro and FCT/MCT through [UIDB/50006/2020 and UIDP/50006/2020] (LAQV-REQUIMTE) co-funded by the FEDER within PT2020 Partnership Agreement, and MCIN/AEI/10.13039/501100011033 Spain [PID 2020-113881RB-I00], Xunta de Galicia [ED431C 2020/17], and FEDER. The authors acknowledge SICASAL - Indústria e Comércio de Carnes, S.A. for the kind supply of porcine fresh eyes and to Dr. Nuno Taveira from the University of Lisbon for providing THP-1 human monocytes cell line. ASHLAND kindly provided Cavasol® W7 HP PHARMA (HP-β-CD) DS Minerva RD 28 abr 2026