Prevention of Biofilm Formation on Soft Contact Lenses by Fermented Extract (BGE) and Cannabinol Oil Extract (CBD).

Two natural mixtures, fermented extract (BGE) and cannabinol oil extract (CBD), were assessed for their ability to inhibit and remove biofilms on soft contact lenses in comparison to a multipurpose Soft Contact Lens-care solution present on the Italian market. (ATCC 9027 strain) and clinical strains isolated from ocular swabs were tested. Quantification of the biofilm was done using the microtiter plate assay and the fractional inhibitory concentration index was calculated. Both forms of generated biofilms. BGE at minimal inhibitory concentration (MIC) showed inhibition percentages higher than 55% for both strains, and CBD inhibited biofilm formation by about 70%. The care solution at MIC inhibited biofilm formation by about 50% for both strains tested. The effect of BGE on the eradication of the microbial biofilm on soft contact lenses at MIC was 45% eradication for ATCC 9027 and 36% for clinical strain. For CBD, we observed 24% biofilm eradication for both strains. For the care solution, the eradication MICs were 43% eradication for ATCC 9027 and 41% for clinical strain. It was observed that both the test soft contact lenses solution/BGE (fractional inhibitory concentration index: 0.450) and the test soft contact lenses solution/CBD (fractional inhibitory concentration index: 0.153) combinations exhibited synergistic antibiofilm activity against most of the studied bacteria. The study showed that BGE and CBD have good effect on inhibition of biofilm formation and removal of preformed biofilms, which makes them promising agents that could be exploited to develop more effective care solutions.