Role of novel drug delivery systems in overcoming the challenges associated with intraocular delivery of drugs: an overview

Publisher:
Elsevier
Publication Type:
Chapter
Citation:
Multifunctional Nanocarriers, 2022, pp. 401-418
Issue Date:
2022-01-01
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The topical route is the most common route for delivery of the drug to the eyes because of its high patient compliance and noninvasive technique. Mostly, the drug is not able to cross the barriers and is unable to reach the posterior eye segment. Success of any treatment of ocular disease depends on the targeting of the drug to the posterior segment of eye, i.e., retina by crossing or bypassing ocular barriers for the management of ocular diseases. In particular, ocular diseases have been treated by two primary modalities, i.e., topical drops and intravitreal injections. But they can cause serious complications of eyes like impaired wound healing, retinal detachment, endophthalmitis, hypertension, proteinuria, and increased risk of cardiovascular diseases. Ocular conventional systems include ophthalmic drops, eye suspensions, eye emulsions, and eye ointments are not considered most advantageous for treatment of ocular diseases as they primarily target the anterior section of eye but systemic doses boost the treatment of posterior section of eye. Mostly topically applied drug entities are removed and washed off from the eyeball by mechanism of lacrimation, tear dilution, and tear turnover ultimately causing little bioavailability of drugs. The challenges of the aforementioned existing conventional dosage forms suggest to rethink on the need for noninvasive, effective, and economical delivery systems, i.e., novel drug delivery systems. They can deliver the drug effectively to retina overcoming the challenges associated with conventional approaches.
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