2021
DOI: 10.3390/pharmaceutics13101685
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Posterior Segment Ophthalmic Drug Delivery: Role of Muco-Adhesion with a Special Focus on Chitosan

Abstract: Posterior segment eye diseases (PSEDs) including age macular degeneration (AMD) and diabetic retinopathy (DR) are amongst the major causes of irreversible blindness worldwide. Due to the numerous barriers encountered, highly invasive intravitreal (IVT) injections represent the primary route to deliver drugs to the posterior eye tissues. Thus, the potential of a more patient friendly topical route has been widely investigated. Mucoadhesive formulations can decrease precorneal clearance while prolonging precorne… Show more

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Cited by 33 publications
(20 citation statements)
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References 171 publications
(321 reference statements)
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“…Its biocompatibility, biodegradability, nontoxicity, mucoadhesivity, and hemocompatibility are ideal characteristics for designing nanocarriers with controlled delivery and sustained release of various therapeutics [10,[20][21][22][23][24][25][26][27]. Chitosan has shown great promise in nanodelivery for the treatment of cancer [28][29][30], diabetes [31][32][33], eye diseases [34][35][36], infectious diseases [37][38][39][40][41], and more, being also recently employed in the delivery of vaccines [42][43][44][45].…”
Section: Individual and Synergic Propertiesmentioning
confidence: 99%
“…Its biocompatibility, biodegradability, nontoxicity, mucoadhesivity, and hemocompatibility are ideal characteristics for designing nanocarriers with controlled delivery and sustained release of various therapeutics [10,[20][21][22][23][24][25][26][27]. Chitosan has shown great promise in nanodelivery for the treatment of cancer [28][29][30], diabetes [31][32][33], eye diseases [34][35][36], infectious diseases [37][38][39][40][41], and more, being also recently employed in the delivery of vaccines [42][43][44][45].…”
Section: Individual and Synergic Propertiesmentioning
confidence: 99%
“…Thus, retention of nanoparticles within the cul-de-sac after administration is essential for sustained drug release effect and prolonged therapeutic effect. To avoid potential non-specific interaction with non-corneal surfaces, the liposome is coated with mucoadhesive polymers [ 170 ]. To improve the targeted corneal attachment, monoclonal antibodies linked to antiviral-loaded liposomes have been developed [ 171 ].…”
Section: Nanocarriers In Ocular Drug Deliverymentioning
confidence: 99%
“…Efforts are made to design systems that have the ability to improve retention on the ocular surface. In this respect, the use of chitosan to improve the delivery of drugs into the eye tissues for its properties as a mucoadhesive agent, controlled drug release and permeation enhancer is interesting [ 24 ]. It is used in conjugation with a drug, such as in the study of Dubashynskaya et al, to improve the intravitreal delivery of dexamethasone [ 109 ].…”
Section: Fluorescent Nanosystems In Ocular Applicationmentioning
confidence: 99%
“…Nanotechnology represents a field of recent interest to overcome these issues. One potential strategy for improving drug delivery to the different eye tissues uses nanocarriers with specific size and surface properties, designed to ensure successful achievement of the drug to the target tissue, as well as the potential for a controlled release of the loaded drug, reducing the frequency of treatment and improving the retention time on the corneal surface [ 22 , 23 , 24 ]. Currently, the most widely studied nanosystems are used in the treatment of anterior eye diseases such as cataracts [ 25 ], glaucoma [ 26 ], dry eye syndrome [ 27 ], keratitis [ 28 ], conjunctivitis [ 29 ] and uveitis [ 30 ], but also posterior eye diseases such as retinitis [ 31 ], macular degeneration [ 32 ], endophthalmitis [ 33 ] and ocular tumors [ 34 ].…”
Section: Introductionmentioning
confidence: 99%
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