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      All-printed stretchable corneal sensor on soft contact lenses for noninvasive and painless ocular electrodiagnosis

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          Abstract

          Electroretinogram examinations serve as routine clinical procedures in ophthalmology for the diagnosis and management of many ocular diseases. However, the rigid form factor of current corneal sensors produces a mismatch with the soft, curvilinear, and exceptionally sensitive human cornea, which typically requires the use of topical anesthesia and a speculum for pain management and safety. Here we report a design of an all-printed stretchable corneal sensor built on commercially-available disposable soft contact lenses that can intimately and non-invasively interface with the corneal surface of human eyes. The corneal sensor is integrated with soft contact lenses via an electrochemical anchoring mechanism in a seamless manner that ensures its mechanical and chemical reliability. Thus, the resulting device enables the high-fidelity recording of full-field electroretinogram signals in human eyes without the need of topical anesthesia or a speculum. The device, superior to clinical standards in terms of signal quality and comfortability, is expected to address unmet clinical needs in the field of ocular electrodiagnosis.

          Abstract

          Though smart contact lenses are an attractive technology for recording electroretinogram signals, existing approaches suffer from poor mechanical reliability, chemical stability and wettability. Here, the authors report an all-printed stretchable corneal sensor built on commercial soft contact lenses.

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          Most cited references46

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          An integrated design and fabrication strategy for entirely soft, autonomous robots.

          Soft robots possess many attributes that are difficult, if not impossible, to achieve with conventional robots composed of rigid materials. Yet, despite recent advances, soft robots must still be tethered to hard robotic control systems and power sources. New strategies for creating completely soft robots, including soft analogues of these crucial components, are needed to realize their full potential. Here we report the untethered operation of a robot composed solely of soft materials. The robot is controlled with microfluidic logic that autonomously regulates fluid flow and, hence, catalytic decomposition of an on-board monopropellant fuel supply. Gas generated from the fuel decomposition inflates fluidic networks downstream of the reaction sites, resulting in actuation. The body and microfluidic logic of the robot are fabricated using moulding and soft lithography, respectively, and the pneumatic actuator networks, on-board fuel reservoirs and catalytic reaction chambers needed for movement are patterned within the body via a multi-material, embedded 3D printing technique. The fluidic and elastomeric architectures required for function span several orders of magnitude from the microscale to the macroscale. Our integrated design and rapid fabrication approach enables the programmable assembly of multiple materials within this architecture, laying the foundation for completely soft, autonomous robots.
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            Skin electronics from scalable fabrication of an intrinsically stretchable transistor array

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              ISCEV Standard for full-field clinical electroretinography (2015 update).

              This document, from the International Society for Clinical Electrophysiology of Vision (ISCEV), presents an updated and revised ISCEV Standard for full-field clinical electroretinography (ffERG or simply ERG). The parameters for Standard flash stimuli have been revised to accommodate a variety of light sources including gas discharge lamps and light emitting diodes. This ISCEV Standard for clinical ERGs specifies six responses based on the adaptation state of the eye and the flash strength: (1) Dark-adapted 0.01 ERG (rod ERG); (2) Dark-adapted 3 ERG (combined rod-cone standard flash ERG); (3) Dark-adapted 3 oscillatory potentials; (4) Dark-adapted 10 ERG (strong flash ERG); (5) Light-adapted 3 ERG (standard flash "cone" ERG); and (6) Light-adapted 30 Hz flicker ERG. ISCEV encourages the use of additional ERG protocols for testing beyond this minimum standard for clinical ERGs.
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                Author and article information

                Contributors
                bx4c@virginia.edu
                kollbaum@indiana.edu
                boudouris@purdue.edu
                lee2270@purdue.edu
                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group UK (London )
                2041-1723
                9 March 2021
                9 March 2021
                2021
                : 12
                : 1544
                Affiliations
                [1 ]GRID grid.169077.e, ISNI 0000 0004 1937 2197, Weldon School of Biomedical Engineering, , Purdue University, ; West Lafayette, IN USA
                [2 ]GRID grid.169077.e, ISNI 0000 0004 1937 2197, Charles D. Davidson School of Chemical Engineering, , Purdue University, ; West Lafayette, IN USA
                [3 ]GRID grid.27755.32, ISNI 0000 0000 9136 933X, Department of Mechanical and Aerospace Engineering, , University of Virginia, ; Charlottesville, VA USA
                [4 ]GRID grid.169077.e, ISNI 0000 0004 1937 2197, School of Mechanical Engineering, , Purdue University, ; West Lafayette, IN USA
                [5 ]GRID grid.411377.7, ISNI 0000 0001 0790 959X, School of Optometry, , Indiana University, ; Bloomington, IN USA
                [6 ]GRID grid.169077.e, ISNI 0000 0004 1937 2197, Department of Chemistry, , Purdue University, ; West Lafayette, IN USA
                [7 ]GRID grid.169077.e, ISNI 0000 0004 1937 2197, School of Materials Engineering, , Purdue University, ; West Lafayette, IN USA
                Author information
                http://orcid.org/0000-0002-1799-3104
                http://orcid.org/0000-0002-2576-5793
                http://orcid.org/0000-0002-2591-8737
                http://orcid.org/0000-0001-9568-2064
                http://orcid.org/0000-0003-0428-631X
                http://orcid.org/0000-0002-4868-7054
                Article
                21916
                10.1038/s41467-021-21916-8
                7943761
                33750806
                73d19fd7-17fe-4663-b950-20050efd3d56
                © The Author(s) 2021

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 3 June 2020
                : 17 December 2020
                Funding
                Funded by: FundRef https://doi.org/10.13039/100000147, NSF | ENG/OAD | Division of Civil, Mechanical and Manufacturing Innovation (CMMI);
                Award ID: CMMI-1928788
                Award ID: CMMI-1928784
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/100000181, United States Department of Defense | United States Air Force | AFMC | Air Force Office of Scientific Research (AF Office of Scientific Research);
                Award ID: FA9550-19-1-0271
                Award Recipient :
                Categories
                Article
                Custom metadata
                © The Author(s) 2021

                Uncategorized
                neurophysiology,physical examination,electronic devices,electronic properties and materials,nanoparticles

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