Deshpande A A, Heller J, Gurny R
School of Pharmacy, University of Geneva, Switzerland.
Crit Rev Ther Drug Carrier Syst. 1998;15(4):381-420.
Development of ophthalmic drug-delivery systems has always been challenging. The commonly used route for drug delivery to the anterior segment of the eye has been the conjunctival cul-de-sac. Because of drawbacks associated with this route, new approaches have been investigated for delivery of drugs to the eye by means of polymeric delivery systems. Development of controlled drug-release devices has been a major step forward in this respect. Bioerodible polymers have been at the forefront of such systems. They are very important because they eliminate the need for removing the implant after complete drug release. Bioerodible polymers have been divided into three classes based on their mechanism of hydrolysis: Type I--hydrolysis of crosslinked hydrogels; Type II--solubilization by ionization or hydrolysis of linear polymers; and Type III--biodegradation by backbone cleavage. Polymers from all three classes are discussed in detail in this review.
眼科药物递送系统的开发一直具有挑战性。将药物递送至眼前节的常用途径是结膜穹窿。由于该途径存在缺点,人们已经研究了通过聚合物递送系统将药物递送至眼部的新方法。在这方面,控释药物装置的开发是一个重大进展。可生物降解聚合物一直处于此类系统的前沿。它们非常重要,因为在药物完全释放后无需取出植入物。可生物降解聚合物根据其水解机制可分为三类:I型——交联水凝胶的水解;II型——线性聚合物通过离子化或水解溶解;III型——通过主链断裂进行生物降解。本综述详细讨论了所有这三类聚合物。