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1




  ADVANCES IN OCULAR
DRUG DELIVERY SYSTEM
2


             CONTENTS
Objectives
Introduction
Anatomy Of Eye
Barriers In Ocular Absorption
Ocular Absorption
Use of Mucoadhesives in Ocular Drug Delivery
Nanoparticulate Dug Delivery
Ocular Inserts
Liposomes In Ocular Drug Delivery
Future trends
Conclusion
References
3



         OBJECTIVES

To study the ocular drug delivery system
 in detail.

To explore the success, limitations and
 future trends of ocular drug delivery
 system.
4


     INTRODUCTION
• A drug delivery to circumvent ailments of
  eye.
• A challenge to formulator is to avoid
  protective barrier of eye
• Importance of cornea.
• Conventional ocular drug delivery system
• Need of a successful design
5
6




OCULAR
ANATOMY
AND
PHYSIOLOGY
ANATOMY OF   7


EYE
8

           BARRIERS IN OCULAR
              ABSORPTION
Precorneal Constraints      Corneal constraints
It include –
• Solution drainage         • Cornea as rate limiting barrier
• Lacrimation               • Anatomy of cornea
• Tear dilution                 1.Outer-Epithelium(lipophilic),
• Tear turnover                 2.Middle-Stroma(hydrophilic),
• Conjunctival absorption       3.Inner-Endothelium(lipophilic
9

OCULAR ABSORPTION
10
GENERAL PATHWAY
  FOR OCULAR
  ABSORPTION
11




ADVANCED OCULAR
 DRUG DELIVERY
    SYSTEMS
12
USE OF MUCOADHESIVES
   IN OCULAR DRUG
      DELIVERY
•   Mucoadhesives contain the dosage form which
    remains adhered to cornea until the polymer is
    degraded or mucus replaces itself.

• Types-
1. Naturally Occurring Mucoadhesives- Lectins,
   Fibronectins
2. Synthetic Mucoadhesives-PVA,Carbopol, carboxy
   methyl cellulose, cross-linked polyacrylic acid

•   Drugs incarporated in to this are pilocarpine,
    lidocaine, benzocaine and prednisolone acetate.
13


Mechanism of mucoadhesion
                 • The      polymer     undergoes
                   swelling in water,
                 • Entanglement of the polymer
                   chains with mucin on the
                   epithelial surface.
                 • The un-ionized carboxylic acid
                   residues on the polymer form
                   hydrogen bonds with the
                   mucin.
                 • The water-swellable yet water-
                   insoluble systems are preferred
14

NANOPARTICULATE
 DRUG DELIVERY
15

Advantages of nanoparticles
• Sustained drug release and prolonged therapeutic
  activity
• Site-specific targeting
• Higher cellular permeability
• Protect the drug from chemical or enzymatic
  hydrolysis
• Efficient in crossing membrane barriers -blood retinal
  barrier
• Act as an inert carrier for ophthalmic drugs
16


Preparation of Nanoparticles
   Solvent evaporation method
17
18


      OCULAR INSERTS
• Sterile preparations, with a thin, multilayered, drug-
  impregnated, solid or semisolid consistency devices
  placed into cul-de-sac or conjunctival sac.

Advantages
• Increasing contact time and thus improving
  bioavailability.
• Providing a prolong drug release and thus a better
  efficacy.
• Reduction of systemic side effects and thus reduced
  adverse effects.
• Reduction of the number of administrations and thus
  better patient compliance.
19



 Desired criteria for ocular inserts
* Ease of handling and insertion
* Lack of expulsion during wear
* Reproducibility of release kinetics (Zero-order
  drug delivery)
* Applicability to variety of drugs
* Non-interference with vision and oxygen
  permeability.
* Sterility.
* Ease of manufacture
20
21

A) Insoluble inserts-
                                  1. Diffusional Inserts :
                                  •Central reservoir of drug
                                  enclosed in Semi permeable or
                                  microporous        membrane for
                                  diffusion of drug.
                                  •Diffusion is controlled by
                                  Lacrimal      Fluid   penetrating
                                  through it.
                                  •Release follows : Zero Order
                                  Kinetics.

e.g. Ocusert®:
   20-40µg/hr for 7day
   Annular ring : Impregnated with Ti02 : For Visibility
22


 2) Osmotic inserts
 • A central part surrounded by a peripheral part
 • Central part-single reservoir or two distinct compartments.
 • Peripheral part- an insoluble semi permeable polymer.
 •The tear fluid diffuse and induces dissolution.
 •Solubilized deposits generate a hydrostatic pressure.
 •Drug is then released through these apertures
3) Contact Lens :
• Presoaked Hydrophilic lens.
• Drug Release : within 1st 30 Min.
• Alternate approach : incorporate drug either as soln or
  suspension .e.g. Pilocarpine.
• Release rate is up to : 180 hr.
23

B) Soluble Inserts
 1.SODI: Soluble Ocular Drug Insert.
 • Small water soluble made of soluble synthetic polymers.
 • Composition : Acryl amide, Vinyl Pyrolidone, Ethylacrylate.
 • Weight 15-16 mg.
 In 10-15 sec Softens;
 In 10-15 min. turns in Viscous Liquids;
 After 30-60min. Becomes Polymeric Solution.


 Advantages of SODI :
 •Single SODI application : replaces 4-12 eye drops Instillation, or
  3-6 application of Ointments.
 •Once a day treatment of Glaucoma.
24

2.The corneal collagen shield
• A disposable, short-term therapeutic bandage lens for the
  cornea.
• It conforms to the shape of the eye, protects the corneal
  surface, and provides lubrication as it dissolves.
• The shields are derived from bovine collagen and are 14.5 mm
  in diameter.
• Sterilized by gamma irradiation.
Disadvantages
1.It is not optically clear.
2.The collagen shield causes some discomfort.
Clinical uses
1.Wound healing.
2.Treatment of dry eye.
25

C) Biodegradable inserts
 1.Lacrisert:
 •   Sterile, Rod Shaped device.
 •   Composition: HPC.
 •   Weight:5mg,
 •   Dimension:Diameter:12.5mm, Length:3.5mm
 •   Use:-Dry eye treatment.

 2.Minidisc:
 • It is made up of counter disc with Convex front & Concave back
   surface in contact with eye ball.
 • 4-5mm in diameter.
 • Composition : Silicon based polymer.
 • Drug release upto170 hr.
26

LIPOSOMES
27
28


Preparation Of Liposomes




Reverse phase evaporation method
29

  Degradation and Drug Release Of
            Liposomes
1. Endocytosis



                    2. Fusion
30


       FUTURE TRENDS
The sustained and controlled release technologies are
 being proposed and the possible benefits of using
 liposomes, nanoparticles and inserts will be at store
 in future.

Targeted drug delivery with modifications of
 conventional, advanced and novel ocular drug
 deliveries has potential as future drug delivery for
 eye.

It is possible to the give effective ocular drug delivery
  to any part of the eye.
31

         CONCLUSION
• Very few advanced ocular drug delivery systems
  have been commercialized.
• The performance of these new products, however,
  is still far from being perfect.
• Major improvements are required in each of the
  technologies discussed in this study.
• More clinical studies are necessary to provide
  further information and insights into these
  advanced ocular drug delivery systems.
32


            REFERENCES
•   Mitra Ashim k., Opthalmic Drug Delivery System, Marcel
    Dekker Inc., 1993,1-59,83-111,199-289.
•   Jain N.K., Controlled and Novel Drug Delivery, CBS
    Publisher, 2004, 82-100.
•   Das Swarnali, K. Preeti, Drug delivery to eye: Special
    reference to nanoparticles, International Journal of Drug
    Delivery 2, 2010, 12-21.
•   Rathore K. S., R. Nema, Review on Ocular Inserts Int.J.
    PharmTech Res.2009, 1(2),164-169.


Web Searched:
• http://www.google/images/eye/anatomy& physiology
33




The eyes are the mirror of the soul…

         Take care of your eyes with gentleness.

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Ocular drug delivery system advancement

  • 1. 1 ADVANCES IN OCULAR DRUG DELIVERY SYSTEM
  • 2. 2 CONTENTS Objectives Introduction Anatomy Of Eye Barriers In Ocular Absorption Ocular Absorption Use of Mucoadhesives in Ocular Drug Delivery Nanoparticulate Dug Delivery Ocular Inserts Liposomes In Ocular Drug Delivery Future trends Conclusion References
  • 3. 3 OBJECTIVES To study the ocular drug delivery system in detail. To explore the success, limitations and future trends of ocular drug delivery system.
  • 4. 4 INTRODUCTION • A drug delivery to circumvent ailments of eye. • A challenge to formulator is to avoid protective barrier of eye • Importance of cornea. • Conventional ocular drug delivery system • Need of a successful design
  • 5. 5
  • 7. ANATOMY OF 7 EYE
  • 8. 8 BARRIERS IN OCULAR ABSORPTION Precorneal Constraints Corneal constraints It include – • Solution drainage • Cornea as rate limiting barrier • Lacrimation • Anatomy of cornea • Tear dilution 1.Outer-Epithelium(lipophilic), • Tear turnover 2.Middle-Stroma(hydrophilic), • Conjunctival absorption 3.Inner-Endothelium(lipophilic
  • 10. 10 GENERAL PATHWAY FOR OCULAR ABSORPTION
  • 11. 11 ADVANCED OCULAR DRUG DELIVERY SYSTEMS
  • 12. 12 USE OF MUCOADHESIVES IN OCULAR DRUG DELIVERY • Mucoadhesives contain the dosage form which remains adhered to cornea until the polymer is degraded or mucus replaces itself. • Types- 1. Naturally Occurring Mucoadhesives- Lectins, Fibronectins 2. Synthetic Mucoadhesives-PVA,Carbopol, carboxy methyl cellulose, cross-linked polyacrylic acid • Drugs incarporated in to this are pilocarpine, lidocaine, benzocaine and prednisolone acetate.
  • 13. 13 Mechanism of mucoadhesion • The polymer undergoes swelling in water, • Entanglement of the polymer chains with mucin on the epithelial surface. • The un-ionized carboxylic acid residues on the polymer form hydrogen bonds with the mucin. • The water-swellable yet water- insoluble systems are preferred
  • 15. 15 Advantages of nanoparticles • Sustained drug release and prolonged therapeutic activity • Site-specific targeting • Higher cellular permeability • Protect the drug from chemical or enzymatic hydrolysis • Efficient in crossing membrane barriers -blood retinal barrier • Act as an inert carrier for ophthalmic drugs
  • 16. 16 Preparation of Nanoparticles Solvent evaporation method
  • 17. 17
  • 18. 18 OCULAR INSERTS • Sterile preparations, with a thin, multilayered, drug- impregnated, solid or semisolid consistency devices placed into cul-de-sac or conjunctival sac. Advantages • Increasing contact time and thus improving bioavailability. • Providing a prolong drug release and thus a better efficacy. • Reduction of systemic side effects and thus reduced adverse effects. • Reduction of the number of administrations and thus better patient compliance.
  • 19. 19 Desired criteria for ocular inserts * Ease of handling and insertion * Lack of expulsion during wear * Reproducibility of release kinetics (Zero-order drug delivery) * Applicability to variety of drugs * Non-interference with vision and oxygen permeability. * Sterility. * Ease of manufacture
  • 20. 20
  • 21. 21 A) Insoluble inserts- 1. Diffusional Inserts : •Central reservoir of drug enclosed in Semi permeable or microporous membrane for diffusion of drug. •Diffusion is controlled by Lacrimal Fluid penetrating through it. •Release follows : Zero Order Kinetics. e.g. Ocusert®:  20-40µg/hr for 7day  Annular ring : Impregnated with Ti02 : For Visibility
  • 22. 22 2) Osmotic inserts • A central part surrounded by a peripheral part • Central part-single reservoir or two distinct compartments. • Peripheral part- an insoluble semi permeable polymer. •The tear fluid diffuse and induces dissolution. •Solubilized deposits generate a hydrostatic pressure. •Drug is then released through these apertures 3) Contact Lens : • Presoaked Hydrophilic lens. • Drug Release : within 1st 30 Min. • Alternate approach : incorporate drug either as soln or suspension .e.g. Pilocarpine. • Release rate is up to : 180 hr.
  • 23. 23 B) Soluble Inserts 1.SODI: Soluble Ocular Drug Insert. • Small water soluble made of soluble synthetic polymers. • Composition : Acryl amide, Vinyl Pyrolidone, Ethylacrylate. • Weight 15-16 mg. In 10-15 sec Softens; In 10-15 min. turns in Viscous Liquids; After 30-60min. Becomes Polymeric Solution. Advantages of SODI : •Single SODI application : replaces 4-12 eye drops Instillation, or 3-6 application of Ointments. •Once a day treatment of Glaucoma.
  • 24. 24 2.The corneal collagen shield • A disposable, short-term therapeutic bandage lens for the cornea. • It conforms to the shape of the eye, protects the corneal surface, and provides lubrication as it dissolves. • The shields are derived from bovine collagen and are 14.5 mm in diameter. • Sterilized by gamma irradiation. Disadvantages 1.It is not optically clear. 2.The collagen shield causes some discomfort. Clinical uses 1.Wound healing. 2.Treatment of dry eye.
  • 25. 25 C) Biodegradable inserts 1.Lacrisert: • Sterile, Rod Shaped device. • Composition: HPC. • Weight:5mg, • Dimension:Diameter:12.5mm, Length:3.5mm • Use:-Dry eye treatment. 2.Minidisc: • It is made up of counter disc with Convex front & Concave back surface in contact with eye ball. • 4-5mm in diameter. • Composition : Silicon based polymer. • Drug release upto170 hr.
  • 27. 27
  • 28. 28 Preparation Of Liposomes Reverse phase evaporation method
  • 29. 29 Degradation and Drug Release Of Liposomes 1. Endocytosis 2. Fusion
  • 30. 30 FUTURE TRENDS The sustained and controlled release technologies are being proposed and the possible benefits of using liposomes, nanoparticles and inserts will be at store in future. Targeted drug delivery with modifications of conventional, advanced and novel ocular drug deliveries has potential as future drug delivery for eye. It is possible to the give effective ocular drug delivery to any part of the eye.
  • 31. 31 CONCLUSION • Very few advanced ocular drug delivery systems have been commercialized. • The performance of these new products, however, is still far from being perfect. • Major improvements are required in each of the technologies discussed in this study. • More clinical studies are necessary to provide further information and insights into these advanced ocular drug delivery systems.
  • 32. 32 REFERENCES • Mitra Ashim k., Opthalmic Drug Delivery System, Marcel Dekker Inc., 1993,1-59,83-111,199-289. • Jain N.K., Controlled and Novel Drug Delivery, CBS Publisher, 2004, 82-100. • Das Swarnali, K. Preeti, Drug delivery to eye: Special reference to nanoparticles, International Journal of Drug Delivery 2, 2010, 12-21. • Rathore K. S., R. Nema, Review on Ocular Inserts Int.J. PharmTech Res.2009, 1(2),164-169. Web Searched: • http://www.google/images/eye/anatomy& physiology
  • 33. 33 The eyes are the mirror of the soul… Take care of your eyes with gentleness.