“…Restasis®from Allergan (Irvine, CA, USA) is a 0.05% CyA anionic emulsion, containing castor oil and polysorbate 80 as emulsifying agent, and was launched on the United States market before 2012, while Ikervis®(Santen Oy, Tampere, Finland), a 0.1% CyA stable cationic nanoemulsion based on Nanosorb®technology, was granted marketing authorisation by the European Commission (EC) for treatment of severe keratitis in adult patients with DED only after 2015. These commercial products result from many attempts done by using different strategies, still in continuous development, such as prodrugs [12], liposomes [13], nanoparticles [14], nanosphere [15], solid lipid nanoparticles [16][17][18], contact lenses [19], ocular inserts [20,21], implants [22] and emulgel [23]. Each of these techniques has contributed to solve various critical issues such as cytotoxicity, low precorneal residence time after ocular instillation with reduced bioavailability and low solubility.…”