Baeyens V, Felt-Baeyens O, Rougier S, Pheulpin S, Boisramé B, Gurny R
School of Pharmacy, University of Geneva, CH-1211 Geneva 4, Switzerland.
J Control Release. 2002 Dec 13;85(1-3):163-8. doi: 10.1016/s0168-3659(02)00284-5.
In the case of external ocular diseases such as conjunctivitis, keratoconjunctivitis sicca (KCS) and superficial corneal ulcers, topical administration of eyedrops containing an antibacterial agent is often prescribed. Numerous daily instillations of eyedrops over several days are required for successful treatment, often leading to bad compliance. In addition, the reflex lachrymation following instillation promotes rapid elimination of the drug from the corneal surface. To overcome the disadvantage of repeated instillations, a soluble bioadhesive ophthalmic drug insert (BODI) to be placed in the lower cul de sac of the eye was developed. The clinical efficacy, after deposition of one insert and a classical eyedrop treatment (Tiacil), Virbac Laboratories), was investigated in dogs presenting conjunctivitis, superficial corneal ulcer or keratoconjunctivitis sicca (KCS). Similar total clinical recovery results were obtained after 3 and 7 days for both treatments. BODI can therefore advantageously be prescribed for the treatment of external ophthalmic diseases, by reducing the treatment to a single application and therefore improving compliance compared to classical eyedrop treatment.
对于诸如结膜炎、干眼症(KCS)和浅层角膜溃疡等外眼疾病,通常会开具含有抗菌剂的眼药水进行局部给药。为了成功治疗,需要在数天内每天多次滴眼药水,这常常导致依从性差。此外,滴眼药水后反射性流泪会促使药物从角膜表面迅速消除。为了克服重复滴药的缺点,研发了一种可溶解的生物粘附性眼科药物插入物(BODI),将其放置在眼的下穹窿部。在患有结膜炎、浅层角膜溃疡或干眼症(KCS)的犬中,研究了放置一个插入物后的临床疗效以及经典眼药水治疗(Tiacil,威隆实验室)的疗效。两种治疗在3天和7天后均获得了相似的完全临床恢复结果。因此,与经典眼药水治疗相比,BODI通过将治疗简化为单次应用,从而提高依从性,可有效地用于外眼疾病的治疗。