Department of Medicinal Chemistry and Natural Products, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, 91120, Israel.
Pharm Res. 2010 Apr;27(4):530-43. doi: 10.1007/s11095-009-0042-9. Epub 2010 Feb 13.
Ocular drug delivery has become an increasingly important field of research especially when treating posterior segment diseases of the eye, such as age-related macular degeneration, diabetic retinopathy, posterior uveitis and retinitis. These diseases are the leading causes of vision loss in developed countries which require repeated long-term administration of therapeutic agents. New drugs for the medication of the posterior ocular segment have emerged, but most drugs are delivered by repeated intravitreal injections associated with ocular complications. Advances in ocular drug delivery system research are expected to provide new tools for the treatment of the posterior segment diseases, providing improved drug penetration, prolonged action, higher efficacy, improved safety and less invasive administration, resulting in higher patient compliance. This review provides an insight into the recent progress and trends in ocular drug delivery systems for treating posterior eye segment diseases, with an emphasis on transscleral iontophoresis.
眼用药物传递已成为一个日益重要的研究领域,特别是在治疗眼部后节疾病时,如年龄相关性黄斑变性、糖尿病性视网膜病变、后葡萄膜炎和视网膜炎。这些疾病是发达国家导致视力丧失的主要原因,需要反复长期给予治疗药物。用于治疗后眼部疾病的新药已经出现,但大多数药物是通过反复玻璃体内注射给药,这与眼部并发症有关。眼部药物传递系统研究的进展有望为后节疾病的治疗提供新的手段,提供更好的药物穿透性、延长作用时间、更高的疗效、提高安全性和减少侵入性给药,从而提高患者的顺应性。本综述着眼于经巩膜离子电渗给药,介绍了治疗后眼部疾病的眼用药物传递系统的最新进展和趋势。