4.2 Review

Ophthalmic dosage forms for drug delivery to posterior segment

Journal

JOURNAL OF PHARMACEUTICAL INVESTIGATION
Volume 52, Issue 2, Pages 161-173

Publisher

SPRINGERNATURE
DOI: 10.1007/s40005-021-00554-8

Keywords

Posterior segment; Degenerative ocular disease; Ocular; Drug delivery

Funding

  1. Basic Science Research Program through the National Research Foundation (NRF) - Ministry of Education, Science, and Technology, Republic of Korea [NRF-2018R1D1A1B07049971]

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Degenerative ocular diseases such as macular retinopathy and retinal disorders significantly impact vision loss and quality of life. Current ophthalmic drug delivery systems face challenges due to physiological and anatomical barriers in the eye. Novel dosage forms for drug delivery to the posterior segment may shift the paradigm of chronic ocular diseases to home-based self-administration, improving therapeutic efficacy and patient quality of life.
Background Degenerative ocular diseases such as macular retinopathy and retinal disorders significantly affect vision loss and the quality of life. The prevalence of these ophthalmic diseases is increasing due to surges in the elderly population and diabetes mellitus. Ophthalmic drug delivery systems for intraocular drug delivery have been studied and developed for decades. Due to multiple barriers in the eye, including physiological and anatomic obstacles, many challenges remain for enhanced ocular drug delivery. Currently, only a few approaches are available to treat ocular diseases. Area covered This review investigated various barriers in the eye and the current ocular formulations such as intravitreal injections and intravitreal implants. In addition, different types of advanced ophthalmic drug delivery systems, including lens implants, microneedle arrays, micropumps, nano-formulations, sonophoresis, and transscleral iontophoresis, were briefly reviewed. Expert opinion Novel ophthalmic dosage forms for drug delivery to the posterior segment should be developed to achieve a safe therapeutic effect. If some achievements can be established in further studies, the paradigm of chronic ocular diseases can be shifted to home-based self-administration, thus improving the therapeutic efficacy and the patient's quality of life.

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