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Title: Navigating the Challenges of Writing an Ocular Drug Delivery Thesis

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Complete Tracking of Drugs Across the World by Dr Anthony Melvin Crasto, Worldpeacepeaker,
worlddrugtracker, PH.D (ICT), MUMBAI, INDIA, Worlddrugtracker, Helping millions, 9 million
hits on google on all websites, 2.5 lakh connections on all networks, “ALL FOR DRUGS” CATERS
TO EDUCATION GLOBALLY, No commercial exploits are done or advertisements added by me. I
am briefly summarising the remarks or conclusions of the authors (researchers). Drug-loaded soft
contact lenses are an innovative drug-delivery system to not only prolong and sustain drug release
but also enhance drug penetration across the corneal epithelium as compared with conventional eye
drops. The drug transportation from the systemic circulation via oral medication (6). The shields are
hydrated before they are placed on the eye, having been stored in a dehydrated state. Am J
Ophthalmol 1964;57:99-106. 66. Swanson AA, Jeter DJ, Tucker P. J Pharma Sci 1971;60:1039-45.
99. Mitra AK. Opthalmic drug delivery system. Ocular inserts for controlled release of antibiotics.
The sclera provides higher trans-scleral permeability than the cornea for hydrophilic compounds
diffusing through the collagen network. Applications of nanotechnology in ocular drug delivery.
Suresh PK and Sah AK ( 2014 ) Nanocarriers for ocular delivery for possible benefits in the
treatment of anterior uveitis: focus on current paradigms and future directions. Iontophoresis is the
most extensively investigated approach among these physical techniques so far, with numerous
therapeutic agents (such as low molecular weight drugs, macromolecules and nanocarriers) already
having been successfully delivered to various ocular tissues. The study resulted in no toxicity to the
ocular tissues ( Chen et al., 2015; Bisht and Rupenthal, 2018 ). Qiu et al. (2019) developed
fenofibrate PLGA nanoparticles for the management of DR and AMD. Several advantages have
been noticed by the use of PLGA based-NPs for ophthalmic drug delivery, including protection of
encapsulated drugs from rapid inactivation, maintenance of slow drug release due to polymer
degradation, and targeting of specific regions or cells by surface modification. Flow of aqueous
humor from the posterior chamber to the anterior chamber is another limiting factor. Trans-corneal
iontophoresis is unsuitable for posterior segment delivery due to the presence of barriers such as the
lens diaphragm and iris-ciliary. P.S.: The views expressed are my personal and in no-way suggest the
views of the professional body or the company that I represent. For the anterior segment of the eye,
the critical factors of drug delivery to consider, regardless of the type of polymer used, should be
nanosize, positive surface charge, and mucoadhesive properties to achieve long-term retention on the
ocular surface. Contact lenses can increase bioavailability of the drug by increasing the contact time
of the drug ( Mandal et al., 2017a ). Various soft contact lenses have been developed for antifungal
agents, which can prolong drug delivery up to 21 days ( Phan et al., 2014 ). A clinical trial was
conducted for evaluation of the safety and efficacy of drug-eluting contact lenses for the
management of glaucoma. Int J Pharma 1999;190:63- 71. 93. Monem AS, Ali FM, Ismail MW.
Journal of Theoretical and Applied Electronic Commerce Research (JTAER). J Appl Polym Sci
1979;23:2089. 79. Ozawa H, Hosaka S, Kunitomo T, Tanzawa H. The study showed a statistically (
P Sheppard et al., 2014; Tauber et al., 2015 ). The phase III results clearly established the safety and
efficacy of Cequa (0.09% cyclosporine-A ophthalmic nanomicellar formulation) in mitigating the
signs and symptoms of dry eye disease ( Mandal et al., 2019a ). There are a handful of ophthalmic
nanocarrier drugs currently being investigated in clinical trials to establish their safety and efficacy
for the treatment of ocular disorders. In order to be applied in the ophthalmic tissues these
arrangements required specific compositions to assure safety and efficacy: Proteins and lipids were
employed as well as polymers from synthetic or natural sources, amongst them chitosan, albumin,
sodium alginate, polylactic acid (PLA), poly(lactide- co -glycolide) (PLGA) or polycaprolactone.
This methodology offers the possibility of reducing irritation in the eye globe and enhancing the
effect of the drug. A Review of Potential Effect of Nanotechnology and Control Drug Delivery Syst.
OpenUrl ? Rodrigues GA, Lutz D, Shen J, Yuan X, Shen H, Cunningham J, and Rivers HM ( 2018 )
Topical drug delivery to the posterior segment of the eye: addressing the challenge of preclinical to
clinical translation. As well, Gao and collaborators made a screening on the capacity of a gel with
thermosensitive properties, constituted by a polymeric network with a frame A-B-A, PLGA-PEG-
PLGA, to efficiently carry dexamethasone acetate into the ocular globe. McDonald M, D’Aversa G,
Perry HD, Wittpenn JR, Donnenfeld ED, and Nelinson DS ( 2009 ) Hydroxypropyl cellulose
ophthalmic inserts (lacrisert) reduce the signs and symptoms of dry eye syndrome and improve
patient quality of life. In parallel, other devices use as a strategy the capacity to sustain the release of
the carried drugs by means of erodible and non-erodible matrices.
Bezalkonium chloride is the commonly used opthalmic. The RGD peptides were used to direct GPs
to target ?v?3 integrin expressed vascular endothelial cells in CNV lesions. Previous Article in
Special Issue Increased Oral Bioavailability of Resveratrol by Its Encapsulation in Casein
Nanoparticles. Contact lenses offer the highest drug bioavailability as compared with other
noninvasive ophthalmic medications due to close proximity of the contact lens with the cornea.
Similarly, Ciolino et al. (2009) fabricated a drug-eluting contact lens using a polymer-embedded
matrix for ciprofloxacin and econazole. These highlights do not include all the information needed to
use LUCENTIS safely and effectively. European Journal of Investigation in Health, Psychology and
Education (EJIHPE). Williams et al. (2005) demonstrated that permeability enhancer sodium caprate
can enhance the delivery of antibody fragment in a rabbit model. OpenUrl ? Doukas J, Mahesh S,
Umeda N, Kachi S, Akiyama H, Yokoi K, Cao J, Chen Z, Dellamary L, Tam B, et al. ( 2008 )
Topical administration of a multi-targeted kinase inhibitor suppresses choroidal neovascularization
and retinal edema. J Pharm Sci 1983;72:1272-1279. 33. Sunkara G, Kompella UB. OpenUrl ? Huang
HS, Schoenwald RD, and Lach JL ( 1983 ) Corneal penetration behavior of beta-blocking agents III:
in vitro-in vivo correlations. Summary of common colloidal biodegradable nanoparticles in
ophthalmology. OpenUrl ? Mandal A, Pal D, and Mitra AK ( 2016a ) Circumvention of P-gp and
MRP2 mediated efflux of lopinavir by a histidine based dipeptide prodrug. After topical application
into the eyes of the rabbits, the concentrations of acyclovir were assessed after 2.5 h exhibited the
cationic liposomes in a superior concentration in the cornea tissues than anionic liposomes or
acyclovir alone. In vivo efficacy of PLGA fenofibrate NPs (Feno-NP) on vascular leakage and
vascular permeability measured with Fundus Fluorescein Angiography (FFA). Ophthalmic vehicles:
The effect of methyl cellulose on the penetration of Homatropine hydro bromide through the cornea.
In vivo studies in rats showed that the drug-loaded dendrimers enhanced the ocular permeability of
dexamethasone after subconjunctival injection as compared with the free drug ( Yavuz et al., 2016 ).
Matrix metalloproteinases-9 (MMP-9) can trigger corneal damage and result in dry eye disease. The
intraocular implants are also available in the category of biodegradable products, which are receiving
a considerable amount of attention by the medical public due to their biocompatibility and capacity
to sustain the delivery of drugs. Such pathologic conditions can cause retinal degenerative disorders
such as age-related macular degeneration (AMD) ( Yasukawa et al., 2004; Janoria et al., 2007 ).
Retinal and choroidal neovascularization (CNV), evident in back of the eye disorders, is primarily
due to overexpression of vascular endothelial growth factor (VEGF) receptor. The structure
resembles a palisade and not a pavement when compared to the corneal epithelium. The anterior
blood-eye barrier is composed of the endothelial cells in the uvea. I-vation TA (SurModics Inc.) is
also an intravitreal drug-delivery implant for triamcinolone acetonide (TA). With transferrin (Trf)
modified on the liposome surface, it exhibits high penetration and targets the RPE by topical
instillation. It offer advantages such as more residence time and avoidance of. Several emulsions
fabricated using additives of lipidic sources as soybean lecithin or stearylamine were scrutinized to
be carriers for drugs as azithromycin aiming to increase the parameters of bioavailability and
retention in the corneal tissues. This research holds promise to prevent disease-related blindness.
Design, synthesis and pharmacological activity of a novel chemical delivery system for aadrenergic
blocking agents. Journal of Otorhinolaryngology, Hearing and Balance Medicine (JOHBM). For the
anterior segment of the eye, the critical factors of drug delivery to consider, regardless of the type of
polymer used, should be nanosize, positive surface charge, and mucoadhesive properties to achieve
long-term retention on the ocular surface. US Patent 1995;5:474-979. 76. Ding S, Olejnik O. Pharma
Res 1997;14:S41. 77. Lerman S, Davis P, Jackson WB.
They work by reversibly or permanently damaging membranes; therefore, their safety is questionable.
Here, low intensity ultrasound produces sufficient acoustic pressure to generate stable oscillating
microbubbles, resulting in microstreaming with higher intensities being required to achieve inertial
cavitation. 9 Due to the sensitivity of the ocular tissues, it is incredibly important not to sacrifice
patient safety, even if doing so could potentially achieve greater treatment efficacy. After initial
investigations, some approaches were dropped quickly, whereas others were highly successful and
led to marketed products. Journal of Low Power Electronics and Applications (JLPEA). In future an
ideal system should be able to achieve an effective drug. Collasomes show promise among drug
delivery systems to the human eye. Research has been intensely focused towards development of a
new delivery method that can be practiced as a more effective, less-invasive, and long-lasting
therapeutic alternative to conventional therapies for ocular damage. Achouri D, Alhanout K,
Piccerelle P, and Andrieu V ( 2013 ) Recent advances in ocular drug delivery. Intravitreal injections
on the other hand are invasive, can cause retinal damage but can easily bypass all ocular barriers.
Concentration was determined in ocular tissues such as superior bulbar conjunctiva (A), cornea (B),
and sclera (C). Expert Opin Biol Ther 2003;3:45-56. 39. Ahmed I, Patton TF. Importance of the
noncorneal absorption route in topical ophthalmic drug delivery. With the proper fine-tuning, the
nanoparticulated systems may assure reduced side effects with augmented bioavailability and better
capacity of absorption. OpenUrl PubMed ? Tauber J, Karpecki P, Latkany R, Luchs J, Martel J, Sall
K, Raychaudhuri A, Smith V, Semba CP, and OPUS-2 Investigators ( 2015 ) Lifitegrast ophthalmic
solution 5.0% versus placebo for treatment of dry eye disease: results of the randomized phase III
OPUS-2 study. The degradability of gelatin is due to the terminal amino residues of gelatin created
during collagen hydrolysis, these N-linked amino peptides can be cleaved into amino acid residues.
Different Export Prices of Medicinal Drugs.pdf Different Export Prices of Medicinal Drugs.pdf
Nasal Decongestants.pdf Nasal Decongestants.pdf Ocular Drug Delivery System. 1. Ocular Drug
Delivery System. Ocular barriers to topical administration (iv) of therapeutic agents to the anterior
surface of the eye and to the posterior segment are illustrated. Phan CM, Subbaraman L, and Jones
L ( 2014 ) Contact lenses for antifungal ocular drug delivery: a review. Note that from the first issue
of 2016, this journal uses article numbers instead of page numbers. The capacity of the nanoparticles
to pass from the vitreous humor to various retinal tissues is mainly due to the properties of the
nanoparticles’ surface. Collasomes were well tolerated; and because the collagen particles are
suspended in carrier vehicles, they could be instilled safely and effectively by patients in much the
same fashion as drops or ointments. The net result is a dilution of the applied medication and an
acceleration of drug loss. This is a compilation for educational purposes only. P.S.: The views
expressed are my personal and in no-way suggest the views of the professional body or the company
that I represent. SURYAKANTVERMA2 Buccal drug delivery system Buccal drug delivery system.
Topical administration of eye drops is one of the non-invasive route of administration and has
minimum side effects. Latanoprost is an ester prodrug of prostaglandin used to treat glaucoma. In
order to be human-readable, please install an RSS reader. Kaur IP and Kanwar M ( 2002 ) Ocular
preparations: the formulation approach. Drug-loaded, DC101, and diclofenac microneedle (DL-MN)
patch for synergistic effect. These desmosome-attached cells can communicate via gap junctions
through which small molecules traverse. This distribution is slow, because the lens prohibits drug
access to the vitreous.
Permeability of ophthalmic drugs is elevated by the addition of permeation enhancers ( Achouri et
al., 2013 ). Such agents temporarily adjust the corneal and conjunctival surface to facilitate rapid
drug penetration. It is widely accepted that increasing the viscosity of a drug formulation in the
precorneal region leads to an increased bioavailability, due to slower drainage from the cornea.
OpenUrl ? Kamei M, Misono K, and Lewis H ( 1999 ) A study of the ability of tissue plasminogen
activator to diffuse into the subretinal space after intravitreal injection in rabbits. Complete Tracking
of Drugs Across the World by Dr Anthony Melvin Crasto, Worldpeacepeaker, worlddrugtracker,
PH.D (ICT), MUMBAI, INDIA, Worlddrugtracker, Helping millions, 9 million hits on google on all
websites, 2.5 lakh connections on all networks, “ALL FOR DRUGS” CATERS TO EDUCATION
GLOBALLY, No commercial exploits are done or advertisements added by me. Spectrophotometer
after appropriate dilutions against reference. Phan CM, Subbaraman L, and Jones L ( 2014 ) Contact
lenses for antifungal ocular drug delivery: a review. High oxidative stress, endoplasmic reticulum
stress, and aging can damage the retinal pigmented epithelial cells (RPE) and Bruch’s membrane in
the macular region, leading to the death of the photoreceptors. Further in vivo studies are required to
understand the contribution of dominant mechanisms, optimise device design and parameter
settings, and evaluate the feasibility and safety of repeated and long-term application of such
methods in the clinical setting. ILM: inner limiting membrane, NFL: nerve fiber layer, GCL: ganglion
cell layer, IPL: inner plexiform layer, INL: inner nuclear layer, OPL: outer plexiform layer, ONL:
outer nuclear layer, PRL: photoreceptor layer, RPE: retinal pigment epithelium. Currently this mode
of drug delivery has gained new momentum for various reasons. OpenUrl ? Doukas J, Mahesh S,
Umeda N, Kachi S, Akiyama H, Yokoi K, Cao J, Chen Z, Dellamary L, Tam B, et al. ( 2008 )
Topical administration of a multi-targeted kinase inhibitor suppresses choroidal neovascularization
and retinal edema. Therefore many ophthalmic drug delivery systems are available. Ocular release of
timolol from molecularly imprinted soft contact lenses. The majority of nanoparticles for ocular drug
delivery are evaluated for their efficacy in vivo in mice, rats, and rabbits. A proposal to explain the
results is that nanoparticles manufactured with PLGA-PEG achieved a reduced zeta potential relative
to PLGA-nanoparticles. The advantages of using chitosan drug carriers are their low production cost,
biodegradability, biocompatibility, and U.S. Food and Drug Administration (FDA) approved
biomaterial. The stroma, or substania propria, accounts for around 90% of the corneal thickness and
contains approximately 85% water and about 200-250 collagenous lamellae. Vandervoort J and
Ludwig A ( 2007 ) Ocular drug delivery: nanomedicine applications. Polymers from a liposome form
a lipid bilayer vesicle which separates the inner aqueous core from the exterior aqueous environment.
Routs of drug transportation to the back of the eye via topical administration (1 and 2),
subconjunctival injection (3), subretinal injection (4), and intravitreal injection (5). Since most eye
medications need to enter the eye for a. International Journal of Environmental Research and Public
Health (IJERPH). Dr. Tsang: Stem Cell Treatment Research and Its Possible Applicability to Ach.
Such polymers have a property known as bio adhesion. Multiple requests from the same IP address
are counted as one view. This technology offers a more effective and efficient method of ocular
therapy by providing controlled delivery of 3DNA conjugates designed to specifically target cells
that cause PCO. These highlights do not include all the information needed to use LUCENTIS
safely and effectively. Pranoprofen PLGA NPs were further demonstrated to be effective in corneal
penetration on an ex vivo bovine model as compared with the drug alone. OpenUrl ? Chang JH,
Garg NK, Lunde E, Han KY, Jain S, and Azar DT ( 2012 ) Corneal neovascularization: an anti-
VEGF therapy review. Therapeutic molecules, biological targets and potential clinical applications.

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