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Full Version: OCULAR DRUG DELIVERY
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OCULAR DRUG DELIVERY

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INRODUCTION:

Ocular drug delivery systems are developed to treat eye locally, whereas past formulations are targeted to reach systemic circulation and these are designed to overcome all the disadvantages of conventional dosage forms such as ophthalmic solutions [1]. The main problem with conventional dosage forms is eye irritation (due to drug particle size and shape) which induces lacrimation i.e. overflow on to lids, tear turn over, and due to pharmacokinetic responses like metabolism, non-specific binding and different mechanisms like diffusion, dissolution and erosion the conventional dosage forms are less advantageous [2] .



PHYSIOLOGY OF EYE:

The eye consists of transparent cornea, lens, and vitreous body without blood vessels. The oxygen and nutrients are transported to this non-vascular tissue by aqueous humor which is having high oxygen and same osmotic pressure as blood. The aqueous humor in human is having volume of 300 μl that fills the anterior chamber of the eye which is in front of lens.


OCULAR DRUG DELIVERY SYSTEMS:


The necessary characters of Ideal control release ocular drug delivery system are: It should not induce a foreign-body sensation or long lasting blurring. It should possess more local activity than systemic-effects. It must deliver the drug to the right place, i.e. in targeting the ciliary body. It should be easy to self-administer.



Non-erodible ocular insert:

The Non-erodible ocular inserts include Ocusert, and Contact lens. Ocusert was one of the earlier ocular inserts in use. The technology used in this is an insoluble delicate sandwich technology [13]. In ocusert the drug reservoir is a thin disc of pilocarpine-alginate complex sandwiched between two transparent discs of micro porous membrane fabricated from ethylene-vinyl acetate copolymer [15]. The micro porous membranes permit the tear fluid to penetrate into the drug reservoir compartment to dissolve drug from the complex.
Ocular Drug Delivery System

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Factors Affecting Intraocular Bioavailability:

Spillage of drug by over flow.
Dilution with tears.
Inflow & Outflow of Lacrimal fluids.
Naso-lacrimal drainage.
Conjunctival absorption.
Enzymatic metabolism.
Interaction of drug with proteins of Lacrimal fluid.

Approaches to Improve ocular delivery of drugs

Prolonged contact time of drug with corneal surface
Approaches to enhance corneal permeability either by mild structural alteration of corneal epithelium or by modification of chemical structure of drug molecules

Recent formulation trends

Polymeric solutions e.g: MC, PVA, HPC& PVP
Phase transition systems : Gelrite (gellan gum)
e.g: Lutrol FC-127& Polaxomer 407 viscosity increases when its temperature raised to 37oC
e.g: CAP pH sensitive
Mucoadhesive/Bioadhesive dosage forms
Hydrophilic colloids with hydrophilic functional groups
e.g: Polycarbophil(acrylic acid based polymer)
Collagen shields, Collasomes (Collagen protein from bones, ligaments, tendons, skin)
e.g: antibiotic impregnated soft contact lenses
Polymeric colloidal dispersions (o/w type emulsion)
Ocular penetration enhancers: surfactants, bile salts, chelators, organic compounds, actin filament inhibitors
Ocular Iontophoresis: Direct current derives ions into cells/tissues

Implantable silicone rubber devices

Drug delivery device for hydrophobic drugs
e.g.:-BCNU(1,3-bis(2-chloro ethyl)-1-nitroso urea)---- an intraocular malignancy agent
The device consists of two sheets of silicone rubber glued together only at the edges with silicone adhesive
A tube of the same material extends from device
The device released BCNU at a constant rate about 200-400mcg/hr

Advantages of vesicular systems

No difficulty of insertion as in the case of ocular inserts
No tissue irritation and damage as caused by penetration enhancers
Provide patient compliance as there is no difficulty of insertion as observed in the case of inserts
The vesicular carriers are biocompatable and have minimum side effects
Degradation products formed after the release of drugs are biocompatible
They prevent the metabolism of drugs from the enzymes present at tear/corneal epithelium interface
Provide a prolong and sustained release of drug