Fischer Naomi, Narayanan Raja, Loewenstein Anat, Kuppermann Baruch D
Department of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eur J Ophthalmol. 2011;21 Suppl 6:S20-6. doi: 10.5301/EJO.2010.6051.
Drug delivery into the posterior segment of the eye is complicated by the presence of the blood-ocular barrier. Strategies for delivering drugs to the posterior segment include systemic administration, modification of the blood-eye barrier, and local drug delivery. Recently, new topical treatments have emerged for the treatment of posterior eye disease. Iontophoretic, juxtascleral, and intravitreal routes can be used to achieve therapeutic levels in the posterior segment. Extended-release intravitreal drug delivery systems can achieve sustained therapeutic levels with the goal of providing a prolonged clinical benefit.
血眼屏障的存在使得将药物递送至眼后段变得复杂。将药物递送至眼后段的策略包括全身给药、改变血眼屏障以及局部给药。近来,出现了用于治疗眼后段疾病的新型局部治疗方法。离子电渗疗法、巩膜旁给药和玻璃体内给药途径可用于在眼后段达到治疗水平。缓释玻璃体内药物递送系统能够实现持续的治疗水平,目标是提供长期的临床益处。