Sustained release ocular drug delivery systems for glaucoma therapy

INTRODUCTION: Glaucoma is a group of progressive optic neuropathies resulting in irreversible blindness. It is associated with an elevation of intraocular pressure (>21 mm Hg) and optic nerve damage. Reduction of the intraocular pressure (IOP) through the administration of ocular hypotensive eye drops is one of the most common therapeutic strategies. Patient adherence to conventional eye drops remains a major obstacle in preventing glaucoma progression. Additional problems emerge from inadequate patient education as well as local and systemic side effects associated with adminstering ocular hypotensive drugs.

AREAS COVERED: Sustained-release drug delivery systems for glaucoma treatment are classified into extraocular systems including wearable ocular surface devices or multi-use (immediate-release) eye formulations (such as aqueous solutions, gels; ocular inserts, contact lenses, periocular rings, or punctual plugs) and intraocular drug delivery systems (such as intraocular implants, and microspheres for supraciliary drug delivery).

EXPERT OPINION: Sustained release platforms for the delivery of ocular hypotensive drugs (small molecules and biologics) may improve patient adherence and prevent vision loss. Such innovations will only be widely adopted when efficacy and safety has been established through large-scale trials. Sustained release drug delivery can improve glaucoma treatment adherence and reverse/prevent vision deterioration. It is expected that these approaches will improve clinical management and prognosis of glaucoma.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Expert opinion on drug delivery - 20(2023), 7 vom: 01. Juli, Seite 905-919

Sprache:

Englisch

Beteiligte Personen:

Al-Qaysi, Zinah K [VerfasserIn]
Beadham, Ian G [VerfasserIn]
Schwikkard, Sianne L [VerfasserIn]
Bear, Joseph C [VerfasserIn]
Al-Kinani, Ali A [VerfasserIn]
Alany, Raid G [VerfasserIn]

Links:

Volltext

Themen:

Adherence
Antihypertensive Agents
Delayed-Action Preparations
Fluctuation in IOP
Glaucoma
IOP
Journal Article
Ophthalmic Solutions
Review
Sustained-release drug delivery

Anmerkungen:

Date Completed 02.11.2023

Date Revised 02.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17425247.2023.2219053

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357517148