Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
J Pharm Pharmacol. 2014 Apr;66(4):490-506. doi: 10.1111/jphp.12131. Epub 2013 Aug 25.
The human eye is a unique and intricate structure which has made drug delivery to the eye a formidable undertaking. Anterior-segment eye diseases are ubiquitous, especially among elderly patients, and conventional eye drops, although a first-choice dosage form, are not always an efficient treatment option. The development of novel drug delivery systems for improved treatment is therefore imperative.
In an attempt to circumvent the obstacles presented by the structure of the eye, advanced systems such as ocular mini-tablets have been developed. In this review, a concerted effort has been made to provide a detailed overview of topically administered ocular mini-tablets and other solid devices for drug delivery to the anterior segment of the eye. These mini-tablets have been shown in vitro and in vivo to have significant advantages in comparison with liquid preparations. This is a step toward attaining better patient convenience and compliance, which are critical factors.
Solid ophthalmic dosage forms have several advantages that can contribute to assisting with patient compliance and, ultimately, effective disease treatment. In addition to the challenges associated with topical ocular drug delivery, the shortcomings of conventional eye drops, advantages of mini-tablets, and improvements to date to these systems are discussed. The requirement for further advancements in the ocular field is also emphasized.
人眼是一种独特而复杂的结构,这使得将药物递送到眼睛成为一项艰巨的任务。前节眼病普遍存在,尤其是老年患者,尽管常规眼药水是首选的剂型,但并不总是一种有效的治疗选择。因此,开发新型药物递送系统以改善治疗是当务之急。
为了克服眼睛结构带来的障碍,已经开发出了先进的系统,如眼部微型片剂。在本综述中,我们努力详细概述局部应用的眼部微型片剂和其他用于前节眼部药物递送的固体装置。这些微型片剂在体外和体内均显示出与液体制剂相比具有显著优势。这是朝着提高患者便利性和顺应性迈出的一步,这是至关重要的因素。
固体眼科剂型具有许多优势,有助于帮助患者顺应治疗,最终有效治疗疾病。除了与局部眼部药物递送相关的挑战外,还讨论了常规眼药水的缺点、微型片剂的优势以及迄今为止对这些系统的改进。还强调了在眼部领域进一步发展的必要性。