As the
collagen layer weakens with increasing age or certain diseases such as
keratoconus and
myopia, the mechanical property of the
collagen layer decreases with corneal deformation. To circumvent these problems, the corneal
collagen has been crosslinked with the
photosensitizer riboflavin under UV light after de-epithelialization. However, this treatment with
riboflavin and UV light can cause notable damage to the eye. Here, the biocompatible
rose bengal (RB)
dye was conjugated to
hyaluronic acid (HA) to enhance the corneal permeability, which can be activated by safe green light with a wavelength of 530 nm. Two-photon microscopy revealed the deep tissue penetration of the HA-RB conjugate in comparison with RB.
Collagen fibrillogenesis, ex vivo tensile test, and ex vivo histological analysis confirmed the effective
collagen crosslinking by HA-RB conjugate and the light irradiation. Furthermore, we developed a smart
contact lens for on-demand HA-RB conjugate delivery from the reservoir embedded in the
contact lens. Taken together, we could envision the feasibility of a smart
contact lens for biophotonic
myopia vision correction.