PMID- 36770434 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230214 IS - 2079-4991 (Print) IS - 2079-4991 (Electronic) IS - 2079-4991 (Linking) VI - 13 IP - 3 DP - 2023 Jan 24 TI - Enhanced Ionic Polymer-Metal Composites with Nanocomposite Electrodes for Restoring Eyelid Movement of Patients with Ptosis. LID - 10.3390/nano13030473 [doi] LID - 473 AB - The present study aims to use enhanced ionic polymer-metal composites (IPMC) as an artificial muscle (a soft-active actuator) to restore eyelid movement of patients with ptosis. The previous eyelid movement mechanisms contained drawbacks, specifically in the lower eyelid. We used finite element analysis (FEA) to find the optimal mechanism among two different models (A and B). In addition to common electrodes of IPMC (gold and platinum), the bovine serum albumin (BSA) and microcrystalline cellulose (MCC) polymers, with optimal weight percentages of carbon nanotube (CNT) nanofiller, were also utilized as non-metallic electrodes to improve the efficiency of the IPMC actuator. In both models, IPMC with nanocomposite electrodes had higher efficiency as compared to the metallic electrodes. In model A, which moved eyelids indirectly, IPMC with MCC-CNT electrode generated a higher force (25.4%) and less stress (5.9 times) as compared to IPMC with BSA-CNT electrode. However, the use of model A (even with IPMCs) with nanocomposite electrodes can have limitations such as possible malposition issues in the eyelids (especially lower). IPMC with MCC-CNT nanocomposite electrode under model B, which moved eyelids directly, was the most efficient option to restore eyelid movement. It led to higher displacements and lower mechanical stress damage as compared to the BSA-CNT. This finding may provide surgeons with valuable data to open a window in the treatment of patients with ptosis. FAU - Hosseini, Sara Sadat AU - Hosseini SS AD - Department of Neurological Surgery, University of Chicago, Chicago, IL 60637, USA. FAU - Yamini, Bakhtiar AU - Yamini B AD - Department of Neurological Surgery, University of Chicago, Chicago, IL 60637, USA. FAU - Ichkitidze, Levan AU - Ichkitidze L AD - Institute of Biomedical Systems of National Research University of Electronic Technology (MIET), 124498 Moscow, Russia. AD - Institute of Bionic Technologies and Engineering of I.M. Sechenov First Moscow State Medical University, 119991 Moscow, Russia. FAU - Asadi, Majid AU - Asadi M AD - Northern Michigan University, Marquette, MI 49855, USA. FAU - Fernandez, Julie AU - Fernandez J AD - Department of Neurological Surgery, University of Chicago, Chicago, IL 60637, USA. FAU - Gholampour, Seifollah AU - Gholampour S AUID- ORCID: 0000-0002-4924-4239 AD - Department of Neurological Surgery, University of Chicago, Chicago, IL 60637, USA. LA - eng GR - Margaret Hackett Family Program (MHFP)/Margaret Hackett Family Program (MHFP)/ PT - Journal Article DEP - 20230124 PL - Switzerland TA - Nanomaterials (Basel) JT - Nanomaterials (Basel, Switzerland) JID - 101610216 PMC - PMC9920823 OTO - NOTNLM OT - artificial muscle OT - bovine serum albumin (BSA) OT - carbon nanotube (CNT) OT - ionic polymer-metal composites (IPMC) OT - microcrystalline cellulose (MCC) OT - ptosis COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/12 06:01 PMCR- 2023/01/24 CRDT- 2023/02/11 01:32 PHST- 2022/11/29 00:00 [received] PHST- 2023/01/11 00:00 [revised] PHST- 2023/01/19 00:00 [accepted] PHST- 2023/02/11 01:32 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/12 06:01 [medline] PHST- 2023/01/24 00:00 [pmc-release] AID - nano13030473 [pii] AID - nanomaterials-13-00473 [pii] AID - 10.3390/nano13030473 [doi] PST - epublish SO - Nanomaterials (Basel). 2023 Jan 24;13(3):473. doi: 10.3390/nano13030473.