# US 11,077,232 B2 · Methods and polymer compositions for treating retinal detachment and other ocular disorders

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- Number: US 11,077,232 B2
- Document ID: US11077232B2
- Status: Granted
- Kind: B2
- Application number: 17/191,942
- Filed: 2021-03-04
- Published: 2021-06-24
- Granted: 2021-08-03
- Earliest claimed: 2016-07-13
- Assignees: Massachusetts Eye and Ear Infirmary
- Applicants: Massachusetts Eye and Ear Infirmary
- Inventors: James Anthony Stefater, III; Tomasz Pawel Stryjewski
- Web page: https://patentgrep.com/patent/US11077232B2

## CPC

- A61L 27/52: Hydrogels or hydrocolloids
- A61L 27/26: Mixtures of macromolecular compounds
- A61L 27/58: Materials at least partially resorbable by the body
- A61P 27/02: Ophthalmic agents
- A61L 2400/06: Flowable or injectable implant compositions
- A61L 2430/16: for reconstruction of eye parts, e.g. intraocular lens, cornea
- A61L: METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES (preservation of bodies or disinfecting characterised by the agents employed A01N; preserving, e.g. sterilising, food or foodstuffs A23; preparations for medical, dental or toiletry purposes A61K)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

The invention provides methods and polymer compositions for treating retinal detachment and other ocular disorders, where the methods employ polymer compositions that can form a hydrogel in the eye of a subject. The hydrogel is formed by reaction of (i) a nucleo-functional polymer that is a biocompatible polymer containing a plurality of thio-functional groups —R1—SH wherein R1 is an ester-containing linker, such as a thiolated poly(vinyl alcohol) polymer and (ii) an electro-functional polymer that is a biocompatible polymer containing at least one thiol-reactive group, such as a poly(ethylene glycol) polymer containing alpha-beta unsaturated ester groups.

## Claims

### Claim 1

A method of forming a hydrogel in an eye of a subject, the method comprising:
a. injecting an effective amount of a nucleo-functional polymer and an electro-functional polymer into the eye; and
b. allowing the nucleo-functional polymer and the electro-functional polymer to react to form a hydrogel in the eye;
wherein the nucleo-functional polymer is a biocompatible polymer comprising poly(vinyl alcohol) containing a plurality of thio-functional groups —R1—SH, wherein R1 is an ester-containing linker, and the electro-functional polymer is a biocompatible polymer comprising poly(ethylene glycol) containing at least one thiol-reactive group.

### Claim 2 (depends on 1)

The method of claim 1, wherein the hydrogel is formed in the vitreous cavity of the eye.

### Claim 3 (depends on 1)

The method of claim 1, wherein the hydrogel is formed in the eye of a subject having a physical discontinuity in the retinal tissue, a tear in the retinal tissue, a break in the retinal tissue, or a hole in the retinal tissue.

### Claim 4 (depends on 1)

The method of claim 1, wherein the hydrogel is formed in the eye of a subject having undergone surgery for a macular hole, having undergone surgery to remove at least a portion of a epiretinal membrane, having undergone a vitrectomy, having a rhegmatogenous retinal detachment, having tractional retinal detachment, or having serous retinal detachment.

### Claim 5 (depends on 1)

The method of claim 1, wherein the nucleo-functional polymer and the electro-functional polymer are injected into the eye separately as liquid aqueous compositions or together as a single, liquid aqueous composition.

### Claim 6 (depends on 5)

The method of claim 5, wherein the nucleo-functional polymer and the electro-functional polymer are injected into the vitreous cavity of the eye.

### Claim 7 (depends on 5)

The method of claim 5, wherein the separate liquid aqueous compositions or single liquid aqueous composition has a pH in the range of about 7.2 to about 7.6.

### Claim 8 (depends on 1)

The method of claim 1, wherein the hydrogel has a refractive index in the range of from about 1.2 to about 1.5.

### Claim 9 (depends on 1)

The method of claim 1, wherein the hydrogel has a transparency of at least 90% for light in the visible spectrum when measured through a hydrogel having a thickness of 2 cm.

### Claim 10 (depends on 1)

The method of claim 1, wherein the hydrogel has a gelation time of less than about 10 minutes.

### Claim 11 (depends on 1)

The method of claim 1, wherein the hydrogel undergoes complete biodegradation from the eye of the subject within about 3 days to about 7 days, about 2 weeks to about 8 weeks, or about 4 months to about 6 months, or within 12 months or 24 months.

### Claim 12 (depends on 1)

The method of claim 1, wherein the hydrogel has a biodegradation half-life in the range of from about 1 week to about 3 weeks or from about 8 weeks to about 15 weeks when disposed within the eye.

### Claim 13 (depends on 1)

The method of claim 1, wherein the hydrogel generates a pressure within the eye of less than 25 mmHg.

### Claim 14 (depends on 1)

The method of claim 1, wherein the nucleo-functional polymer has a weight-average molecular weight in the range of from about 500 g/mol to about 1,000,000 g/mol; and the electro-functional polymer has a weight-average molecular weight in the range of from about 500 g/mol to about 1,000,000 g/mol.

### Claim 15 (depends on 1)

The method of claim 1, wherein the mole ratio of (i) thio-functional groups —R1—SH to (ii) the at least one thiol-reactive group is in the range of 10:1 to 1:10, 5:1 to 1:1, or 2:1 to 1:1.

### Claim 16 (depends on 1)

The method of claim 1, wherein R1—SH is —OC(O)—(C1-C6 alkylene)-SH.

### Claim 17 (depends on 1)

The method of claim 1, wherein the poly(ethylene glycol) is linear, branched, a dendrimer, or multi-armed.

### Claim 18 (depends on 1)

The method of claim 1, further comprising injecting a pharmaceutical composition into the eye.

### Claim 19 (depends on 18)

The method of claim 18, wherein the pharmaceutical composition is injected into the eye together with the nucleo-functional polymer, together with the electro-functional polymer, or together with both the nucleo-functional polymer and the electro-functional polymer.
