Glaucoma is the second leading cause of blindness with ∼70 million people worldwide who are blind from this disease. The currently practiced trabeculectomy surgery, the gold standard treatment used to stop the progression of vision loss, is rather draconian, traumatic to the patient and requires much surgical skill to perform. This article summarizes the more than 10‐year development path of a novel device called the InnFocus MicroShunt®, which is a minimally invasive glaucoma drainage micro‐tube used to shunt aqueous humor from the anterior chamber of the eye to a flap formed under the conjunctiva and Tenon's Capsule. The safety and clinical performance of this device approaches that of trabeculectomy. The impetus to develop this device stemmed from the invention of a new biomaterial called poly(styrene‐block‐isobutylene‐block‐styrene), or “SIBS.” SIBS is ultra‐stable with virtually no foreign body reaction in the body, which manifests in the eye as clinically insignificant inflammation and capsule formation. The quest for an easier, safer, and more effective method of treating glaucoma led to the marriage of SIBS with this glaucoma drainage micro‐tube. This article summarizes the development of SIBS and the subsequent three iterations of design and four clinical trials that drove the one‐year qualified success rate of the device from 43% to 100%. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 211–221, 2017.

For entangled linear polymer having type A dipoles and undergoing head-to-head association and dissociation reaction, viscoelastic and dielectric behavior is theoretically analyzed on the basis of the reptation dynamics combined with the reaction kinetics. Specifically, for the dissociated unimer and associated dimer (indexed with j = 1 and 2, respectively), the normalized complex modulus g j *­(ω) and the normalized complex dielectric permittivity ε̃ j *­(ω) are analytically calculated via eigenfunction expansion of the orientational anisotropy and orientational memory defined in terms of the bond vectors u of entanglement segments. The reaction activates mutual conformational transfer between the unimer and dimer. Multiple coupling occurs for the anisotropy decay modes of the unimer and dimer due to this transfer, and the viscoelastic g 1* and g 2* of the unimer and dimer, respectively, exhibit considerably retarded and accelerated relaxation compared to the pure reptation case. In contrast, the memory decay modes of the unimer and dimer are only pairwisely coupled, so that the reaction-induced acceleration and retardation for the dielectric ε̃1* and ε̃2* are much weaker than those seen for the viscoelastic g 1* and g 2*. The orientational anisotropy is the tensorial, second-moment average of u associated with no cancellation in the conformational transfer, whereas the orientational memory is the vectorial, first-moment average accompanied by partial cancellation, which results in the difference between g j * and ε̃ j *. This difference between g j * and ε̃ j * is noted also for the associating/dissociating Rouse chains. Nevertheless, the reaction-induced retardation of the viscoelastic relaxation is stronger for the reptating unimer than for the Rouse unimer, whereas the reaction-induced acceleration is similar, in magnitude, for the reptating dimer and Rouse dimer. These features of g j * of the unimer and dimer are discussed in relation to the motional coherence along the chain backbone being present and absent in the reptation and Rouse dynamics.

The InnFocus MicroShunt® is a minimally invasive glaucoma drainage microtube used to shunt aqueous humor from the anterior chamber of the eye to a flap formed under the conjunctiva and Tenon’s capsule. The safety and clinical performance of this device approaches that of trabeculectomy with mitomycin C, the current ‘gold standard’ treatment for advanced glaucoma. The invention of a new biomaterial called poly(styrene-block-isobutylene-block-styrene) or ‘SIBS’ is the enabling factor which led to the success of this product. SIBS is ultrastable with virtually no foreign body reaction in the body, which manifests as clinically insignificant inflammation and capsule formation in the eye. The lack of capsule formation enables unobstructed flow through the 70 µm lumen tube and the achievement of controlled low intraocular pressure, which is important for the management of glaucoma. This article summarizes the integration of SIBS into a glaucoma drainage device and confirms its functionality with clinical success over a 2-year period.

The synthesis of novel arborescent (arb; randomly branched, “tree‐like,” and often called “hyperbranched”) block copolymers comprised of rubbery polyisobutylene (PIB) and glassy polystyrene (PSt) blocks (arb‐PIB‐b‐PSt) is described. The syntheses were accomplished by the use of arb‐PIB macroinitiators (prepared by the use of 4‐(2‐methoxyisopropyl) styrene inimer) in conjunction with titanium tetrachloride (TiCl4). The effect of reaction conditions on blocking of St from arb‐PIB was investigated. Purified block copolymers were characterized by 1H NMR spectroscopy and Size Exclusion Chromatography (SEC). arb‐PIB‐b‐PSt with 11.7–33.8 wt % PSt and Mn = 468,800–652,900 g/mol displayed thermoplastic elastomeric properties with 3.6–8.7 MPa tensile strength and 950–1830% elongation. Samples with 26.8–33.8 wt % PSt were further characterized by Atomic Force Microscopy (AFM), which showed phase‐separated mixed spherical/cylindrical/lamellar PSt phases irregularly distributed within the continuous PIB phase. Dynamic Mechanical Thermal Analysis (DMTA) and solvent swelling of arb‐PIB‐b‐PSt revealed unique characteristics, in comparison with a semicommercial PSt‐b‐PIB‐b‐PSt block copolymer. The number of aromatic branching points of the arb‐PIB macroinitiator, determined by selective destruction of the linking sites, agreed well with that calculated from equilibrium swelling data of arb‐PIB‐b‐PSt. This method for the quantitative determination of branching sites might be generally applicable for arborescent polymers. © 2005 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem 43: 1811–1826, 2005

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