Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, 200011, China.
J Nanobiotechnology. 2023 Jul 22;21(1):232. doi: 10.1186/s12951-023-01992-2.
Ocular drug delivery has constantly challenged ophthalmologists and drug delivery scientists due to various anatomical and physiological barriers. Static and dynamic ocular barriers prevent the entry of exogenous substances and impede therapeutic agents' active absorption. This review elaborates on the anatomy of the eye and the associated constraints. Followed by an illustration of some common ocular diseases, including glaucoma and their current clinical therapies, emphasizing the significance of drug therapy in treating ocular diseases. Subsequently, advances in ocular drug delivery modalities, especially nanotechnology-based ocular drug delivery systems, are recommended, and some typical research is highlighted. Based on the related research, systematic and comprehensive characterizations of the nanocarriers are summarized, hoping to assist with future research. Besides, we summarize the nanotechnology-based ophthalmic drugs currently on the market or still in clinical trials and the recent patents of nanocarriers. Finally, inspired by current trends and therapeutic concepts, we provide an insight into the challenges faced by novel ocular drug delivery systems and further put forward directions for future research. We hope this review can provide inspiration and motivation for better design and development of novel ophthalmic formulations.
由于各种解剖学和生理学屏障的存在,眼部药物输送一直是眼科医生和药物输送科学家面临的挑战。静态和动态的眼部屏障会阻止外源性物质的进入,并阻碍治疗剂的主动吸收。本文详细阐述了眼睛的解剖结构及其相关限制。接着介绍了一些常见的眼部疾病,包括青光眼及其目前的临床治疗方法,强调了药物治疗在眼部疾病治疗中的重要性。随后,推荐了眼部药物输送方式的进展,特别是基于纳米技术的眼部药物输送系统,并强调了一些典型的研究。基于相关研究,对纳米载体进行了系统和全面的表征,希望能为未来的研究提供帮助。此外,我们还总结了目前市场上或仍处于临床试验阶段的基于纳米技术的眼科药物以及纳米载体的最新专利。最后,受当前趋势和治疗理念的启发,我们探讨了新型眼部药物输送系统面临的挑战,并进一步提出了未来研究的方向。我们希望本综述能为新型眼科制剂的更好设计和开发提供灵感和动力。