Cited by 671Advanced Sensor and Energy Harvesting MaterialsNanomaterials and Printing TechnologiesNeuroscience and Neural Engineering

Soft, smart contact lenses with integrations of wireless circuits, glucose sensors, and displays

Open access
Park, Jihun, Kim, Joohee, Kim, So-Yun, Cheong, Woon Hyung, Jang, Jiuk, Park, Young-Geun, Na, Kyungmin, Kim, Yun-Tae +5 more·2018·Science Advances

Abstract

This study presents a soft, smart contact lens that provides real-time sensing for diabetes through a wireless display.

AI snapshot

Written from the paper’s full text.

TL;DR

A soft, smart contact lens integrates a transparent/stretchable antenna, rectifier, glucose sensor, and LED pixel to wirelessly detect tear glucose and display threshold status. In a live rabbit, glucose above 0.9 mM turned off the LED, with stable operation and no significant heating.

Key findings

  • The hybrid substrate matched refractive indices (Δn = ~0.003), giving ~93% transmittance and ~1.6% haze at 550 nm, with oxygen permeability Dk of 340.0 U and >96.7% elastic area.
  • Electrospun Ag nanofiber electrodes achieved ~0.3 ohm/sq at 72% transmittance or ~1.3 ohm/sq at 90%, with ~30% stretchability; the antenna showed 21.5% power transfer efficiency at 50 MHz and 5 mm.
  • The graphene glucose sensor with GOD/CAT had a response time of ~1.3 s, sensitivity of ~−22.72%/mM, SNR of 23.87 at 0.1 mM, and minimum detectable concentration of ~12.57 μM; it remained stable after 48 hours and 5000 stretch cycles at 30% strain.
  • In vivo rabbit testing showed the LED turned off when tear glucose exceeded 0.9 mM; lens temperature stayed ~37°C, and simulated maximum SAR was 1.399 W/kg versus the 10 W/kg regulation value.

Methods

  • Fabrication used a hybrid substrate with photocurable optical polymer reinforced islands embedded in silicone elastomer (elastofilcon A), a Cu sacrificial layer, electrospun AgNF antenna/interconnects, Si-diode/capacitor rectifier, LED pixel, and a graphene glucose sensor functionalized with glucose oxidase and catalase.
  • Characterization included stretching tests, optical transmittance/haze measurements, electrical and rectifier tests, glucose response in buffered and artificial tear solutions, and stability tests over 48 hours and 5000 cycles.
  • In vivo testing used a male New Zealand white rabbit under UNIST IACUC approval (UNISTIACUC-16-19), with wireless operation and infrared temperature monitoring.

Limitations

  • Stated: the LED turns off when high glucose is detected, which the authors call counterintuitive and suggest future design improvements for more intuitive status display.
  • Evident from the text: in vivo validation was limited to one rabbit, with no human trials reported; stability was tested only up to 48 hours and 5000 cycles.
  • Evident from the text: operation required an external transmitting coil at short range (5 mm in tests; transmission distance <9 mm), and the threshold was fixed at 0.9 mM in the circuit, though the authors note it can be tuned by changing sensor resistance.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1126/sciadv.aap9841

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 33 cited sources checked · 0 supported · 0 flagged

  • Findingnone given

    The planar, mesh-like structures of the device components and their interconnects enable high stretchability for the curved soft lens with no buckling.

    “The planar, mesh-like structures of the components of the device and their interconnects enable high stretchability for the curved soft lens with no buckling.”
    Quote in the paperNot a substantial claim
  • Findingreasoning

    These lenses provide superb reliability because they can undergo the mechanical deformations required to fit them into the soft lens without damage.

    “In addition, these lenses provide superb reliability because they can undergo the mechanical deformations required to fit them into the soft lens without damage.”
    Quote in the paperSubstantial claim
  • Findingnone given

    A soft, smart contact lens can provide real-time sensing for diabetes through a wireless display.

    “This study presents a soft, smart contact lens that provides real-time sensing for diabetes through a wireless display.”
    Quote in the paperNot a substantial claim
  • Findingnone given

    The hybrid substrate is composed of heterogeneous materials with negligible deviations in the refractive indices of the reinforced parts and the elastomer (Δn = ~0.003).

    “Thus, our hybrid substrate is composed of heterogeneous materials with negligible deviations in the refractive indices of the reinforced parts and the elastomer (Δn = ~0.003).”
    Quote in the paperSubstantial claim
  • Findingreasoning

    The power transfer circuit can wirelessly receive power with ac signals using the transparent and stretchable inductive antenna.

    “This power transfer circuit can wirelessly receive the power with ac signals using this antenna.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 7
  • May combine two claims. 21
  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    Display pixels integrated in the smart contact lens allow access to real-time sensing data to eliminate the need for additional measurement equipment.

    “In addition, display pixels integrated in the smart contact lens allow access to real-time sensing data to eliminate the need for additional measurement equipment.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingreasoning

    Charge transport occurs along the 1D metallic pathways, and their ultralong length facilitates reduction of sheet resistance by minimizing the number of junctions between the metal fibers.

    “Charge transport occurs along these 1D metallic pathways, and their ultralong length facilitates the reduction of sheet resistance (Rs) by minimizing the number of junctions between the metal fibers.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Findingnone given

    Wireless operations of this smart contact lens can maintain the eye temperature stably without abrupt heating, ensuring the safety of the wearer's eyes.

    “In addition, wireless operations of this smart contact lens can maintain the eye temperature stably without abrupt heating, ensuring the safety of the wearer’s eyes.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The hybrid substrate exhibited superb optical transmittance (~93% at 550 nm) and low haze (~1.6% at 550 nm).

    “Figure 2F shows that this hybrid substrate exhibited superb optical transmittance (~93% at 550 nm) and low haze (~1.6% at 550 nm).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Although the hybrid film was stretched up to 30% in tensile strain, negligible strain (~0%) was applied on the reinforced islands, and the elastic region was mainly stretched because of the significant difference in Young's modulus.

    “Although this hybrid film was stretched up to 30% in tensile strain, negligible strain (~0%) was applied on the reinforced islands, and the elastic region was mainly stretched because of the significant difference in Young’s modulus (24, 27, 28).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [24] Graz I. M., Cotton D. P. J., Robinson A., Lacour S. P., Silicone substrate with in situ strain relief for stretchable thin-film transistors. Appl. Phys. Lett. 98, 124101 (2011). source

      Not checked in the free run.

    • cites [27] Romeo A., Liu Q., Suo Z., Lacour S. P., Elastomeric substrates with embedded stiff platforms for stretchable electronics. Appl. Phys. Lett. 102, 131904 (2013). source

      Not checked in the free run.

    • cites [28] Ji S., Hyun B. G., Kim K., Lee S. Y., Kim S.-H., Kim J.-Y., Song M. H., Park J.-U., Photo-patternable and transparent films using cellulose nanofibers for stretchable origami electronics. NPG Asia Mater. 8, e299 (2016). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    In this wireless circuit system, tear fluids with glucose concentration above the threshold will turn off the LED pixel.

    “For example, in this wireless circuit system, tear fluids with glucose concentration above the threshold will turn off the LED pixel.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingreasoning

    The index-matching approach provides the wearer with outstanding transparency (93% in the visible light regime) and low haze (1.6% in the visible light regime).

    “This index-matching approach can provide the wearer with a clear view, that is, outstanding transparency (93% in the visible light regime) and low haze (1.6% in the visible light regime).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    The rectified dc power turns on the LED pixel and glucose sensor.

    “The rectified dc power turns on the LED pixel and glucose sensor.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The root-mean-square surface roughness of the entire regime and the height difference at the interface were less than 3 and 5 nm, respectively.

    “The root-mean-square (rms) surface roughness of the entire regime and the height difference at this interface were measured and found to be less than 3 and 5 nm, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    The reduction in sensor resistance decreases the resistance of the parallel circuit of the LED and sensor, whereas the resistance of other components (antenna and rectifier) in the system is constant.

    “This reduction in the sensor resistance decreases the resistance of the parallel circuit of the LED and sensor, whereas the resistance of other components (antenna and rectifier) in the system is constant.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The wireless display was integrated with a glucose sensor to produce a soft, smart contact lens that can respond to changes in glucose level and simultaneously display the sensing information through the LED pixel.

    “The wireless display was subsequently integrated with a glucose sensor to produce a soft, smart contact lens that can respond to the changes in glucose level and simultaneously display the sensing information through the LED pixel (Fig. 1C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Wireless power transfer from the transmitting coil to the lens increased the temperature of the transmitting coil to ~42°C, but the coil did not touch the rabbit's eye or eyelid due to a gap of ~5 mm.

    “Although the wireless power transfer from the transmitting coil to the lens increased the temperature of this transmitting coil to ~42°C, which was slightly higher than the temperature of the surroundings, its wireless function prevented this coil from touching the rabbit’s eye or eyelid with a gap of ~5 mm.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The rabbit eye is a valid model for the human eye for in vivo testing of the smart contact lens.
  • May combine two claims.

    Findingown data

    The rabbit showed no signs of abnormal behavior, and the smart lens remained stable during repeated eye blinks.

    “The rabbit showed no signs of abnormal behavior, and this smart lens remained stable during repeated eye blinks.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The rabbit eye is a valid model for the human eye for in vivo testing of the smart contact lens.
  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisecitation

    A smart contact lens is a promising wearable health monitoring device.

    “Given this background, a smart contact lens is a promising example of a wearable, health monitoring device (13, 14).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [13] Farandos N. M., Yetisen A. K., Monteiro M. J., Lowe C. R., Yun S. H., Contact lens sensors in ocular diagnostics. Adv. Healthc. Mater. 4, 792– 810 (2015). 25400274 source

      Not checked in the free run.

    • cites [14] Kim J., Kim M., Lee M.-S., Kim K., Ji S., Kim Y.-T., Park J., Na K., Bae K.-H., Kim H. K., Bien F., Lee C. Y., Park J.-U., Wearable smart sensor systems integrated on soft contact lenses for wireless ocular diagnostics. Nat. Commun. 8, 14997 (2017). 28447604 PMC5414034 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The wearer's view will not be obstructed because the contact lenses are made of transparent nanomaterials.

    “For example, the wearer’s view will not be obstructed because the contact lenses are made of transparent nanomaterials.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    By considering the correlation between tear glucose level and blood glucose level, a glucose sensor fitted on a contact lens can provide noninvasive monitoring of a user's glucose levels from tear fluids, with a lag time between tear glucose and blood glucose in the range of 10 to 20 min.

    “By considering the correlation between the tear glucose level and blood glucose level (15), a glucose sensor fitted on a contact lens can provide the noninvasive monitoring of user’s glucose levels from tear fluids with a consideration of the lag time between tear glucose level and blood glucose level in the range of 10 to 20 min (13–16).”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [15] Chu M. X., Miyajima K., Takahashi D., Arakawa T., Sano K., Sawada S.-i., Kudo H., Iwasaki Y., Akiyoshi K., Mochizuki M., Mitsubayashi K., Soft contact lens biosensor for in situ monitoring of tear glucose as non-invasive blood sugar assessment. Talanta 83, 960– 965 (2011). 21147344 source

      Not checked in the free run.

    • cites [13] Farandos N. M., Yetisen A. K., Monteiro M. J., Lowe C. R., Yun S. H., Contact lens sensors in ocular diagnostics. Adv. Healthc. Mater. 4, 792– 810 (2015). 25400274 source

      Not checked in the free run.

    • cites [14] Kim J., Kim M., Lee M.-S., Kim K., Ji S., Kim Y.-T., Park J., Na K., Bae K.-H., Kim H. K., Bien F., Lee C. Y., Park J.-U., Wearable smart sensor systems integrated on soft contact lenses for wireless ocular diagnostics. Nat. Commun. 8, 14997 (2017). 28447604 PMC5414034 source

      Not checked in the free run.

    • cites [16] Yao H., Shum A. J., Cowan M., Lähdesmäki I., Parviz B. A., A contact lens with embedded sensor for monitoring tear glucose level. Biosens. Bioelectron. 26, 3290– 3296 (2011). 21257302 PMC3043144 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    This soft, smart contact lens provides a platform for wireless, continuous, and noninvasive monitoring of physiological conditions, as well as the detection of biomarkers associated with ocular and other diseases.

    “Therefore, this soft, smart contact lens provides a platform for wireless, continuous, and noninvasive monitoring of physiological conditions, as well as the detection of biomarkers associated with ocular and other diseases.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The live rabbit is a representative model for the human eye for safety and reliable operation of the smart contact lens.
    • Rests on an assumption: The glucose threshold for LED switching corresponds to a clinically relevant glucose level for screening prediabetes and monitoring glucose daily.
  • May combine two claims.

    Interpretationown data

    The nearly flat interface is advantageous in reducing light scattering from the interfacial surface and is in close contact with masks for photolithography.

    “This nearly flat interface is advantageous in reducing light scattering from the interfacial surface, and it is in close contact with masks for photolithography.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The hybrid substrate system can offer sufficient stretchability over the entire region, whereas brittle inorganic devices located on the reinforced islands can be protected from mechanical deformations.

    “Hence, these results indicate that our hybrid substrate system can offer sufficient stretchability over the entire region, whereas the brittle inorganic devices (LED, Si diode, and capacitor for the rectifier), which are located on the reinforced islands, can be protected from the mechanical deformations.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    This is the first approach to apply a display pixel into a soft contact lens to visualize glucose sensing, which can be used to screen for prediabetes and monitor the glucose level daily without additional bulky and expensive measurement equipment.

    “It is the first approach to apply the display pixel into a soft contact lens to visualize glucose sensing, which can be used to screen for prediabetes and monitor the glucose level daily, without the requirement of additional, bulky, and expensive measurement equipment.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The glucose threshold for LED switching corresponds to a clinically relevant glucose level for screening prediabetes and monitoring glucose daily.
  • May combine two claims.

    Premisecitation

    The average glucose level in tears is 0.2-0.6 mM for normal people and can exceed 0.9 mM for people with diabetes.

    “The average glucose levels of tears for normal people are in the range of 0.2 to 0.6 mM, but this average can exceed 0.9 mM for people with diabetes (40)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [40] Sen D. K., Sarin G. S., Tear glucose levels in normal people and in diabetic patients. Br. J. Ophthalmol. 64, 693– 695 (1980). 7426593 PMC1043796 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The LED pixel turned off because the glucose concentration was over the threshold, not because of damage to the circuit.

    “Hence, the LED pixel turned off because the glucose concentration was over the threshold, not because of damage to the circuit.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The rabbit eye is a valid model for the human eye for in vivo testing of the smart contact lens.
  • May combine two claims.

    Premisecitation

    The average glucose level of tears for fasting diabetic patients typically exceeds 0.9 mM, and for fasting people without diabetes it is below 0.6 mM.

    “Because the average glucose level of tears for fasting diabetic patients typically exceeds 0.9 mM and the concentration for fasting people without diabetes is below 0.6 mM (39)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [39] Singh S., McShane M., Enhancing the longevity of microparticle-based glucose sensors towards 1 month continuous operation. Biosens. Bioelectron. 25, 1075– 1081 (2010). 19926464 PMC2818267 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The parylene passivation layer on the AgNF-based electrodes and devices in the smart contact lens acts as a diffusional barrier that prevents leakage of AgNFs and protects the AgNFs from tear fluid.

    “The AgNF-based electrodes and devices in the resulting smart contact lens are passivated by the parylene layer such that this passivation layer of parylene, as a diffusional barrier, prevents the leakage of AgNFs and simultaneously ensures the protection of the AgNFs from tear fluid (41).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [41] Rodger D. C., Weiland J. D., Humayun M. S., Tai Y.-C., Scalable high lead-count parylene package for retinal prostheses. Sens. Actuators B Chem. 117, 107– 114 (2006). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    All in vivo studies were conducted according to the guidelines of the National Institutes of Health for care and use of laboratory animals and with approval of the Institute of Animal Care and Use Committee of UNIST (UNISTIACUC-16-19).

    “All in vivo studies were conducted according to the guidelines of the National Institutes of Health for care and use of laboratory animals and with the approval of the Institute of Animal Care and Use Committee of the Ulsan National Institute of Science and Technology (UNIST) (UNISTIACUC-16-19).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    The threshold can be tuned simply by changing the resistance of the sensor.

    “This threshold can be tuned simply by changing the resistance of the sensor.”
    Quote in the paperNot a substantial claim
26 of 26
  • The paper relies on this without support.

    The live rabbit is a representative model for the human eye for safety and reliable operation of the smart contact lens.

    “Furthermore, in vivo tests using a live rabbit demonstrated its reliable operation without noticeable adverse effects.”
  • The paper relies on this without support.

    The glucose threshold for LED switching corresponds to a clinically relevant glucose level for screening prediabetes and monitoring glucose daily.

    “For example, in this wireless circuit system, tear fluids with glucose concentration above the threshold will turn off the LED pixel.”
    “It is the first approach to apply the display pixel into a soft contact lens to visualize glucose sensing, which can be used to screen for prediabetes and monitor the glucose level daily, without the requirement of additional, bulky, and expensive measurement equipment.”
  • The paper relies on this without support.

    Continuous formation of H2O2 degrades the enzymatic activity of GOD, lowering the sensitivity of the glucose sensor.

    “However, the continuous formation of H2O2 can degrade the enzymatic activity of GOD, lowering the sensitivity of this glucose sensor.”
  • The paper relies on this without support.

    Human tears contain various species besides glucose.

    “Because human tears contain various species besides glucose, the selectivity of this sensor to glucose was tested using (i) a buffered solution and (ii) a solution of artificial tears.”
  • The paper relies on this without support.

    Artificial tear solution is a valid proxy for human tears for testing the smart contact lens.

    “storing in an artificial tear solution for up to 48 hours”
  • The paper relies on this without support.

    The rabbit eye is a valid model for the human eye for in vivo testing of the smart contact lens.

    “Figure 5D shows a live rabbit wearing this smart contact lens for an in vivo test.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The work was further expanded for integration of wireless power transfer circuits and displays on contact lens biosensors, visualizing the in vivo rabbit tear glucose response in real-time.

    “The work was further expanded for integration of wireless power transfer circuits and displays on contact lens biosensors, visualizing the in vivo rabbit tear glucose response in real-time (Fig. 5c)118.”

    From Wearable biosensors for healthcare monitoring (2019) · cites this paper as [118]

  • The advanced contact lens device focused on ensuring wearer comfort without hindrance to vision through transparent soft materials, while integrating wireless electronics to eliminate the need for an external power source.

    “This advanced device focused on ensuring wearer comfort without hindrance to vision through the use of transparent soft materials, while integrating wireless electronics to eliminate the need for an external power source.”

    From Wearable biosensors for healthcare monitoring (2019) · cites this paper as [118]

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. IEEE IEEE standard for safety levels with respect to human exposure to radio frequency electromagnetic fields 3 kHz to 300 GHz in IEEE Std C951-2005 (Revision of IEEE Std C951-1991) (IEEE 2006) 238 pp.

Cited by

Sorted by citations

Authors
Park, J., Kim, J., Kim, S.-Y., Cheong, W. H., Jang, J., Park, Y.-G., Na, K., Kim, Y.-T., Heo, J. H., Lee, C. Y., Lee, J. H., Bien, F., & Park, J.-U.
Affiliations
  • Ulsan National Institute of Science and Technology (KR)
  • Sungkyunkwan University (KR)
Corresponding author
  • Park, Jihun
  • Kim, Joohee
  • Kim, So-Yun
  • Lee, Jung Heon
  • Bien, Franklin
  • Park, Jang-Ung
Venue
Science Advances
Published
2018-01-05
Volume
4
Issue
1
Pages
eaap9841-eaap9841
ISSN
2375-2548 (ISSN-L)
OpenAlex
W2785523439
Cited by
671
References
45
Citations by year
2026: 58 · 2025: 68 · 2024: 73 · 2023: 68 · 2022: 99 · 2021: 118 · 2020: 83 · 2019: 77 · 2018: 27
FWCI
30.48
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Science Advances (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Scholarworks@UNIST (Ulsan National Institute of Science and Technology) (submittedVersion, cc-by-nc)
Funders
  • National Research Foundation (award366518, 2016R1A2B3013592, award366519, 2016R1A5A1009926)
  • Pioneer Research Center Program (award366527, NRF-2014M3C1A3001208)
  • Nano Material Technology Development Program (award366520, 2015M3A7B4050308, award366522, 2016M3A7B4910635)
  • Convergence Technology Development Program for Bionic Arm (award366524, NRF-2017M3C1B2085316)
  • Industrial Technology Innovation Program (award366525, 10080577)
  • UNIST (award366528, 1.170009.01)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Advanced Sensor and Energy Harvesting Materials
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Nanomaterials and Printing Technologies
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
Keywords
smart contact lenses, glucose sensor, wireless power transfer, stretchable displays, transparent electronics, diabetes monitoring, wearable electronics, real-time health monitoring, refractive index matching, in vivo evaluation
MeSH terms
Contact Lenses, Glucose, Humans, Biosensing Techniques, Wireless Technology

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