Pei Kun, Georgi Maria, Hill Daniel, Lam Chun Fung Jeffrey, Wei Wei, Cordeiro Maria Francesca
UCL Institute of Ophthalmology, London EC1V 9EL, UK.
St Mary's Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, UK.
Pharmaceuticals (Basel). 2024 Sep 10;17(9):1190. doi: 10.3390/ph17091190.
Glaucoma stands as a primary cause of irreversible blindness globally, characterized by the progressive dysfunction and loss of retinal ganglion cells (RGCs). While current treatments primarily focus on controlling intraocular pressure (IOP), many patients continue to experience vision loss. Therefore, the research focus has shifted to therapeutic targets aimed at preventing or delaying RGC death and optic nerve degeneration to slow or halt disease progression. Traditional ocular drug administration, such as eye drops or oral medications, face significant challenges due to the eye's unique structural and physiological barriers, which limit effective drug delivery. Invasive methods like intravitreal injections can cause side effects such as bleeding, inflammation, and infection, making non-invasive delivery methods with high bioavailability very desirable. Nanotechnology presents a promising approach to addressing these limitations in glaucoma treatment. This review summarizes current approaches involving neuroprotective drugs combined with nanocarriers, and their impact for future use.
青光眼是全球不可逆失明的主要原因,其特征是视网膜神经节细胞(RGCs)进行性功能障碍和丧失。虽然目前的治疗主要集中在控制眼压(IOP),但许多患者仍继续出现视力丧失。因此,研究重点已转向旨在预防或延缓RGC死亡和视神经变性以减缓或阻止疾病进展的治疗靶点。传统的眼部给药方式,如眼药水或口服药物,由于眼睛独特的结构和生理屏障而面临重大挑战,这限制了药物的有效递送。玻璃体内注射等侵入性方法会引起出血、炎症和感染等副作用,因此非常需要具有高生物利用度的非侵入性递送方法。纳米技术为解决青光眼治疗中的这些局限性提供了一种有前景的方法。本综述总结了目前涉及神经保护药物与纳米载体结合的方法及其对未来应用的影响。