Jóhannesson Gauti, Stefánsson Einar, Loftsson Thorsteinn
Dev Ophthalmol. 2016;55:93-103. doi: 10.1159/000434693. Epub 2015 Oct 26.
Ocular drug delivery to the posterior segment of the eye can be accomplished by invasive drug injections into different tissues of the eye and noninvasive topical treatment. Invasive treatment involves the risks of surgical trauma and infection, and conventional topical treatments are ineffective in delivering drugs to the posterior segment of the eye. In recent years, nanotechnology has become an ever-increasing part of ocular drug delivery. In the following, we briefly review microspheres and nanotechnology for drug delivery to the eye, including different forms of nanotechnology such as nanoparticles, microparticles, liposomes, microemulsions and micromachines. The permeation barriers and anatomical considerations linked to ocular drug delivery are discussed and a theoretical overview on drug delivery through biological membranes is given. Finally, in vitro, in vivo and human studies of x03B3;-cyclodextrin nanoparticle eyedrop suspensions are discussed as an example of nanotechnology used for drug delivery to the eye.
眼部药物递送至眼后段可通过向眼的不同组织进行侵入性药物注射以及非侵入性局部治疗来实现。侵入性治疗存在手术创伤和感染的风险,而传统的局部治疗在将药物递送至眼后段方面效果不佳。近年来,纳米技术在眼部药物递送中所占的比重日益增加。在下文中,我们简要回顾用于眼部药物递送的微球和纳米技术,包括纳米颗粒、微粒、脂质体、微乳剂和微机器等不同形式的纳米技术。讨论了与眼部药物递送相关的渗透屏障和解剖学因素,并给出了药物透过生物膜递送的理论概述。最后,作为纳米技术用于眼部药物递送的一个例子,讨论了β-环糊精纳米颗粒滴眼液悬浮液的体外、体内和人体研究。