The
ocular drug discovery field has evidenced significant advancement
in the past decade. The FDA approvals of Rhopressa, Vyzulta, and Roclatan
for glaucoma, Brolucizumab for wet age-related macular degeneration
(wet AMD), Luxturna for retinitis pigmentosa, Dextenza (0.4 mg dexamethasone
intracanalicular insert) for ocular inflammation, ReSure sealant to
seal corneal incisions, and Lifitegrast for dry eye represent some
of the major developments in the field of ocular therapeutics. A literature
survey also indicates that gene therapy, stem cell therapy, and target
discovery through genomic research represent significant promise as
potential strategies to achieve tissue repair or regeneration and
to attain therapeutic benefits in ocular diseases. Overall, the emergence
of new technologies coupled with first-in-class entries in ophthalmology
are highly anticipated to restructure and boost the future trends
in the field of ophthalmic drug discovery. This perspective focuses
on various aspects of ocular drug discovery and the recent advances
therein. Recent medicinal chemistry campaigns along with a brief overview
of the structure–activity relationships of the diverse chemical
classes and developments in ocular drug delivery (ODD) are presented.