Pharmaceutics and Pharmacokinetic Division, CSIR-Central Drug Research Institute, B.S. 10/1, Sector 10, Jankipuram Extension, Sitapur Road, Lucknow, 226031, India.
Jawaharlal Nehru University, New Delhi, 110067, India.
AAPS PharmSciTech. 2023 Oct 27;24(8):217. doi: 10.1208/s12249-023-02673-x.
The eye, an intricate organ comprising physical and physiological barriers, poses a significant challenge for ophthalmic physicians seeking to treat serious ocular diseases affecting the posterior segment, such as age-related macular degeneration (AMD) and diabetic retinopathy (DR). Despite extensive efforts, the delivery of therapeutic drugs to the rear part of the eye remains an unresolved issue. This comprehensive review delves into conventional and innovative formulation strategies for drug delivery to the posterior segment of the eye. By utilizing alternative nanoformulation approaches such as liposomes, nanoparticles, and microneedle patches, researchers and clinicians can overcome the limitations of conventional eye drops and achieve more effective drug delivery to the posterior segment of the eye. These innovative strategies offer improved drug penetration, prolonged residence time, and controlled release, enhancing therapeutic outcomes for ocular diseases. Moreover, this article explores recently approved delivery systems that leverage diverse polymer technologies, such as chitosan and hyaluronic acid, to regulate drug-controlled release over an extended period. By offering a comprehensive understanding of the available formulation strategies, this review aims to empower researchers and clinicians in their pursuit of developing highly effective treatments for posterior-segment ocular diseases.
眼睛是一个复杂的器官,包含物理和生理屏障,这对眼科医生来说是一个巨大的挑战,他们试图治疗影响后节的严重眼部疾病,如年龄相关性黄斑变性(AMD)和糖尿病性视网膜病变(DR)。尽管已经做出了广泛的努力,但将治疗药物输送到眼睛的后部仍然是一个未解决的问题。本综述深入探讨了用于眼部后节药物传递的传统和创新制剂策略。通过利用替代的纳米制剂方法,如脂质体、纳米颗粒和微针贴片,研究人员和临床医生可以克服传统眼药水的局限性,实现更有效的药物输送到眼睛的后节。这些创新策略提供了更好的药物渗透、延长的滞留时间和控制释放,从而改善眼部疾病的治疗效果。此外,本文还探讨了最近批准的利用各种聚合物技术(如壳聚糖和透明质酸)的输送系统,以在较长时间内调节药物的控制释放。通过全面了解现有的制剂策略,本综述旨在为研究人员和临床医生提供开发用于治疗后节眼部疾病的高效治疗方法的能力。