Zhejiang University of Technology.
Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Curr Opin Ophthalmol. 2023 Mar 1;34(2):123-128. doi: 10.1097/ICU.0000000000000933. Epub 2022 Nov 21.
Currently, glaucoma treatment drugs are facing problems such as low bioavailability, poor patient compliance, discontinuous administration affecting the efficacy of intraocular pressure (IOP) lowering and chronic damage to the eye caused by side effects of drugs. In order to solve these problems and to better meet clinical needs, various new dosage forms have been developed and applied in the clinical setting.
A number of nano formulations and extended-release gels are in successive animal trials, some tear plugs, implants and contact lenses are in clinical trials, and it is believed that more new carrier materials and formulations to improve the bioavailability of drugs are being developed.
Novel delivery systems for antiglaucoma drugs offer patients more and better therapeutic options, and ongoing or completed studies are providing clear directions for subsequent research to improve clinical applications.
目的综述:目前,青光眼治疗药物面临生物利用度低、患者顺应性差、间断给药影响降眼压疗效以及药物副作用对眼睛慢性损伤等问题。为解决这些问题,更好地满足临床需求,各种新型制剂已被开发并应用于临床。
最新发现:一些纳米制剂和缓释凝胶正在进行连续的动物试验,一些泪栓、植入物和隐形眼镜正在进行临床试验,相信有更多改善药物生物利用度的新型载体材料和制剂正在开发中。
总结:新型抗青光眼药物给药系统为患者提供了更多更好的治疗选择,正在进行或已经完成的研究为后续研究提供了明确的方向,以改善临床应用。