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INTRODUCTION
 Ocular administration of drug is
primarily associated with the need to
treat ophthalmic diseases.

Eye is the most easily accessible site for
topical administration of a medication.

Ideal ophthalmic drug delivery must
be able to sustain the drug release and
to remain in the vicinity of front of the
eye for prolong period of time.
COMPOSITION OF EYE:

    Water - 98%, Solid -1.8%,
Organic element – Protein - 0.67%,
   sugar - 0.65%, NaCl - 0.66%
 Other mineral element sodium,
potassium and ammonia - 0.79%.
EYE AND LACRIMAL DRAINAGE
          SYSTEM
ANATOMY OF EYE:
ROUTES OF DRUG DELIVERY IN EYE
MECHANISM OF OCULAR
           ABSORPTION
Non- corneal absorption:
Penetration across sclera & conjunctiva into intra
ocular tissues.
Non productive: because penetrated drug is
absorbed by general circulation.
Corneal absorption:
Outer epithelium: rate limiting barrier, with pore
size 60a, only access to small ionic and lipophilic
molecules.
Trans cellular transport: transport between
corneal epithelium and stroma.
FACTORS AFFECTING
INTRAOCULAR BIOAVAILABILITY:
1. Inflow & outflow of lacrimal fluids.
2. Efficient naso-lacrimal drainage.
3. Interaction of drug with proteins of
lacrimal fluid.
4. dilution with tears.
5. Corneal barriers.
6. Active ion transport at cornea.
BARRIERS AVOIDING DRUG DELIVERY
                        Drug in tear fluid

                Ocular absorption



Corneal route     Conjunctival and scleral route          Systemic absorption
                                                           50-100% of dose
                                                   Major route- conjunctiva of eye, nose
                                                   Minor route- lacrimal drainage system,
                                                    pharynx, GIT, aqueous humor

Aqueous humor


                   Ocular tissue                          ELIMINATION
OPHTHALMIC DOSAGE FORM
Ophthalmic preparations are sterile
products essentially free from foreign
particles, suitably compounded and
packaged for instillation in to the eye.
 The following dosage forms have been
developed to ophthalmic drugs.
 Some are in common use, some are
merely experimental, and others are no
longer used.
SOLUTION                                                 LIPOSOMES
 SUSPENTION                                               NIOSOMES
 EMULSION                                                 DISCOMES
 OINTMENT                                                 PHARMACOSOMES
 INSERT
 GELS
                      CONVENTIONAL               VESICULAR

                            OCULAR DELIVERY
                                SYSTEMS
      IMPLANTS
     HYDROGELS
     DENDRIMERS       CONTROL RELEASE       PARTICULATE
    IONTOPORESIS                                             MICROPARTICLES
  COLLAGEN SHIELD                    ADVANCED                NANOPARTICLES
POLYMERIC SOLUTIONS
   CONTACT LENSES
                                 SCLERAL PLUGS
    CYCLODEXRIN                  GENE DELIVERY
   MICROONEEDLE                  Si RNA
  MICROEMULSIONS                 STEM CELL
 NANO SUSPENSION                 ECT
SELECTED TYPES OF
        OCDDS:
1. Aqueous eye drops
2. Oily eye drops



3. Eye ointments

4. Eye lotions
5. Paper strips

6. Ocuserts

7. Hydro gel contact lenses

8. Collagen shields

9. Ophthalmic rods
ADVANTAGES:
 They are easily administered by the nurse
 They are easily administered by the
patient himself.
 They have the quick absorption and
effect.
 less visual and systemic side effects.
 increased shelf life.
 better patient compliance.
DISADVANTAGES:
 The very short time the solution
stays at the eye surface.

 Its poor bioavailability.

 The instability of the dissolved
drug.

The necessity of using preservative.
IDEAL CHARACTERISTICS OF
         OCDDS:
Sterility
Isotonicity-e.g.:
1.9% boric acid, 0.9% NaCl
Buffer/pH adjustment
Less drainage tendency
Minimum protein binding
FORMULATION OF OCULAR DRUG
        DELIVERY SYSTEM:
Dosage       Advantages                     Disadvantages
Form

solutions    convenience                    Rapid precorneal elimination,
                                            non sustained action

suspension   Patient compliance, best for   Drug properties decide
             drug with slow dissolution     performance loss of both
                                            solutions and suspended
                                            particles
emulsion     Prolonged release of drug      Blurred vision, patient non
             from vehicle                   compliance

ointment     Flexibility in drug choice,    Sticking of eyes lids, blurred
             improved drug stability        vision, poor patient
                                            compliance
RECENT FORMULATION TRENDS IN OCDDS:
1. CONVENTIONAL DELIVERY
   SYSTEMS:
Eye Drops:
Drugs which are active at eye or eye surface are widely administered in
the form of Solutions, Emulsion and Suspension.
Various properties of eye drops like hydrogen ion concentration,
osmolality, viscosity and instilled volume can influence retention of a
solution in the eye.
 Less than 5 % of the dose is absorbed after topical administration into
the eye.
The dose is mostly absorbed to the systemic blood circulation via the
conjunctival and nasal blood vessels.
Ointment and Gels:
 Prolongation of drug contact time
with the external ocular surface can
be achieved using ophthalmic
ointment vehicle but, the major
drawback of this dosage form like,
blurring of vision & matting of eyelids
can limit its use.
Ocuserts and Lacrisert:
 Ocular insert (Ocusert) are sterile preparation that
prolong residence time of drug with a controlled release
manner and negligible or less affected by nasolacrimal
damage.
 Inserts are available in different varieties depending
upon their composition and applications.
 Lacrisert is a sterile rod shaped device for the
treatment of dry eye syndrome and keratitis sicca.
They act by imbibing water from the cornea and
conjunctiva and form a hydrophilic film which lubricates
the cornea.
2) VESICULAR SYSTEM:
 Liposomes:

 Liposomes are biocompatible and
 biodegradable lipid vesicles made
 up of natural lipids and about
 25–10 000 nm in diameter.
  They are having an intimate contact with the corneal
 and conjunctival surfaces which is desirable for drugs that
 are poorly absorbed, the drugs with low partition
 coefficient, poor solubility or those with medium to high
 molecular weights and thus increases the probability of
 ocular drug absorption.
Niosomes and Discomes:
The major limitations of liposomes are chemical instability, oxidative
degradation of phospholipids, cost and purity of natural phospholipids.
 To avoid this niosomes are developed as they are chemically stable as
compared to liposomes and can entrap both hydrophobic and hydrophilic
drugs.
They are non toxic and do not require special handling techniques.
  Niosomes are nonionic surfactant vesicles that have potential applications in
the delivery of hydrophobic or amphiphilic drugs.
  Discomes may act as potential drug delivery carriers as they released drug in
a sustained manner at the ocular site.
Discosomes are giant niosomes (about 20 um size) containing poly-24- oxy
ethylene cholesteryl ether or otherwise known as Solulan 24.
  Pharmacosomes: This term is used for pure drug vesicles formed by the
amphiphilic drugs.
The amphiphilic prodrug is converted to pharmacosomes on dilution with water.
NIOSOME                          Vs                    LIPOSOME
                          Non ionic surface active agent


                                            phospholipid


                           Hydrophilic drugs in aqueous
                           region encapsulated

                            Lipophilic drugs located in
                            the hydrophobic lamella

Niosomes are microscopic lamellar structures, which are formed on the
admixture of non-ionic surfactant of the alkyl or dialkyl polyglycerol ether
class and cholesterol with subsequent hydration in aqueous media.
Structurally, niosomes are similar to liposomes, in that they are also made
up of a bilayer. However, the bilayer in the case of niosomes is made up of
non-ionic surface active agents rather than phospholipids as seen in the case
of liposomes.
3) CONTROL DELIVERY
1. Implants:   SYSTEMS:
For chronic ocular diseases like cytomegalovirus (CMV) retinitis, implants
are effective drug delivery system. Earlier non biodegradable polymers
were used but they needed surgical procedures for insertion and removal.
 Presently biodegradable polymers such as Poly Lactic Acid (PLA) are
safe and effective to deliver drugs in the vitreous cavity and show no toxic
signs.
2. Iontophoresis:
In Iontophoresis direct current drives ions into cells or tissues. For
iontophoresis the ions of importance should be charged molecules of the
drug.
Positively charged of drug are driven into the tissues at the anode and
vice versa.
 Ocular iontophoresis delivery is not only fast, painless and safe but it
can also deliver high concentration of the drug to a specific site.
3. Dendrimer:
 Dendrimers can successfully used for different routes of drug
administration and have better water-solubility, bioavailability and
biocompatibility.
4. Microemulsion:
   Microemulsion is dispersion of water and oil stabilized using
surfactant and co- surfactant to reduce interfacial tension and
usually characterized by small droplet size (100 nm), higher
thermodynamic stability and clear appearance.
   Selection of aqueous phase, organic phase and surfactant/co-
surfactant systems are critical parameters which can affect
stability of the system.
5. Nanosuspensions:
  Nanosuspensions have emerged as a promising strategy for the
efficient delivery of hydrophobic drugs because they enhanced
not only the rate and extent of ophthalmic drug absorption but
also the intensity of drug action with significant extended
duration of drug effect.
  For commercial preparation of nanosuspensions, techniques
like media milling and high-pressure homogenization have been
used.
6. Microneedle:
   Microneedle had shown prominent in vitro penetration
into sclera and rapid dissolution of coating solution after
insertion while in vivo drug level was found to be
significantly higher than the level observed following topical
drug administration like pilocarpine.
7. Mucoadhesive Polymers:
  They are basically macromolecular hydrocolloids with
plentiful hydrophilic functional groups, such as hydroxyl,
carboxyl, amide and sulphate having capability for
establishing electrostatic interactions
  A mucoadhesive drug formulation for the treatment of
glaucoma was developed using a highly potent beta blocker
drug, levobetaxolol (LB) hydrochloride and partially
neutralized poly acrylic acid (PAA).
4) PARTICULATES
     (NANOPARTICLES AND
       MICROPARTICLES):
The maximum size limit for microparticles
for ophthalmic administration is about
5-10 mm above which a scratching feeling in
the eye can result upon ocular instillation.
 That is why microspheres and nanoparticles
are promising drug carriers for ophthalmic
application.
 Nanoparticles are prepared using
bioadhesive polymers to provide sustained
effect to the entrapped drugs.
INSERTS
CLASSIFICATION :

1 .NON ERODIBLE INSERTS
i. Ocusert
ii. Contact lens

2 .ERODIBLE INSERTS
i. Lacriserts
ii. SODI
iii. Mindisc
1) NON ERODIBLE
OCUSERT:
                 INSERTS
   The Ocusert therapeutic system is a flat, flexible, elliptical device
designed to be placed in the inferior cul-de-sac between the sclera
and the eyelid and to release Pilocarpine continuously at a steady
rate for 7 days.
   The device consists of 3 layers…..
1. Outer layer - ethylene vinyl acetate copolymer layer.
2. Inner Core - Pilocarpine gelled with alginate main polymer.
3. A retaining ring - of EVA impregnated with titanium di oxide
 (diagram)
  The ocuserts available in two forms.
Pilo - 20 :- 20 microgram/hour
Pilo – 40 :-40 micrograms/hour
ADVANTAGES:
Reduced local side effects and
toxicity.
Around the clock control of IOP.
Improved compliance.
DISADVANTAGES:
Retention in the eye for the full 7
days.
Periodical check of unit.
Replacement of contaminated unit
Expensive.
CONTACT LENSES:
 These are circular shaped structures.
 Dyes may be added during polymerization.
 Drug incorporation depends on whether their structure is
  hydrophilic or hydrophobic.
Drug release depends upon :
 Amount of drug
 Soaking time.
 Drug concentration in soaking solution.
ADVANTAGES:
 No preservation.
 Size and shape
DISADVANTAGES:
 Handling and cleaning
 Expensive
2) ERODIBLE INSERTS:
The solid inserts absorb the aqueous tear fluid
and gradually erode or disintegrate. The drug is
slowly leached from the hydrophilic matrix.
they quickly lose their solid integrity and are
squeezed out of the eye with eye movement and
blinking.
do not have to be removed at the end of their
use.
Three types :
1. LACRISERTS
2. SODI
3. MINIDISC
LACRISERTS:
Sterile rod shaped device made up of        hydroxyl
propyl cellulose without any preservative.
For the treatment of dry eye syndromes
It weighs 5 mg and measures 1.27 mm in
diameter with a length of 3.5 mm.
It is inserted into the inferior fornix.
SODI:
Soluble ocular drug inserts
Small oval wafer
Sterile thin film of oval shape
Weighs 15-16 mg
Use – glaucoma
Advantage – Single application
MINIDISC:
Countered disc with a convex front and a
concave back surface
Diameter – 4 to 5 mm
Composition:
Silicone based prepolymer-alpha-w-dis
(4-methacryloxy)-butyl poly di methyl
siloxane. (M2DX)
M-Methyl a cryloxy butyl functionalities.
D – Di methyl siloxane functionalities.
Pilocarpine, chloramphenicol
EVALUATION OF OCDDS:
THICKNESS OF THE FILM:
Measured by dial caliper at different
points and the mean value is calculated.
DRUG CONTENT UNIFORMITY:
The cast film cut at different places and
tested for drug as per monograph.
UNIFORMITY OF WEIGHT:
Here, three patches are weighed.
PERCENTAGE MOISTURE ABSORPTION:
Here ocular films are weighed and placed in
a dessicator containing 100 ml of saturated
solution of aluminium chloride and 79.5%
humidity was maintained.
After three days the ocular films are
reweighed and the percentage moisture
absorbed is calculated using the formula =
% moisture absorbed = Final weight –
initial weight/ initial weight x 100
IN – VITRO EVALUATION METHODS:
 BOTTLE METHOD:
In this, dosage forms are placed in the bottle
containing dissolution medium maintained at specified
temperature and pH.
The bottle is then shaken.
A sample of medium is taken out at appropriate
intervals and analyzed for the drug content.

DIFFUSION METHOD:
Drug solution is placed in the donor compartment and
buffer medium is placed in between donor and receptor
compartment.
Drug diffused in receptor compartment is measured at
various time intervals.
MODIFIED ROTATING BASKET METHOD:
Dosage form is placed in a basket assembly connected to a
stirrer.
The assembly is lowered into a jacketed beaker containing
buffer medium and temperature 37 degrees Centigrade.
Samples are taken at appropriate time intervals and
analyzed for drug content.

MODIFIED ROTATING PADDLE APPARATUS:
Here, dosage form is placed into a diffusion cell which is
placed in the flask of rotating paddle apparatus.
The buffer medium is placed in the flask and paddle is
rotated at 50 rpm.
The entire unit is maintained at 37 degree C.
Aliquots of sample are removed at appropriate time intervals
and analyzed for drug content.
IN- VIVO STUDY:
Here, the dosage form is applied to one eye of
animals and the other eye serves as control.

Then the dosage form is removed carefully at
regular time interval and are analyzed for drug
content.

The drug remaining is subtracted from the
initial drug content, which will give the amount
of the drug absorbed in the eye of animal at
particular time.

After one week of washed period, the
experiment was repeated for two time as before.
ACCELERATED STABILITY STUDIES:
These are carried out to predict the
breakdown that may occur over prolonged
periods of storage at normal shelf condition.
Here, the dosage form is kept at elevated
temperature or humidity or intensity of light,
or oxygen.
Then after regular intervals of time sample
is taken and analyzed for drug content.
From these results, graphical data
treatment is plotted and shelf life and expiry
date are determined.
CONCLUSION:
All approaches improve ocular drug
bioavailability by increasing ocular drug
residence time, diminish side effects due to
systemic absorption and diminishing the
necessary therapeutic amount of drug for
therapeutic response in anterior chamber.
They improve patient compliance by
reducing the frequency of dosing.
They reduce the dose and thereby reduce
the adverse effects of the drug.
ocular drug delivery systems

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ocular drug delivery systems

  • 1.
  • 2. INTRODUCTION  Ocular administration of drug is primarily associated with the need to treat ophthalmic diseases. Eye is the most easily accessible site for topical administration of a medication. Ideal ophthalmic drug delivery must be able to sustain the drug release and to remain in the vicinity of front of the eye for prolong period of time.
  • 3. COMPOSITION OF EYE: Water - 98%, Solid -1.8%, Organic element – Protein - 0.67%, sugar - 0.65%, NaCl - 0.66% Other mineral element sodium, potassium and ammonia - 0.79%.
  • 4. EYE AND LACRIMAL DRAINAGE SYSTEM
  • 6. ROUTES OF DRUG DELIVERY IN EYE
  • 7. MECHANISM OF OCULAR ABSORPTION Non- corneal absorption: Penetration across sclera & conjunctiva into intra ocular tissues. Non productive: because penetrated drug is absorbed by general circulation. Corneal absorption: Outer epithelium: rate limiting barrier, with pore size 60a, only access to small ionic and lipophilic molecules. Trans cellular transport: transport between corneal epithelium and stroma.
  • 8. FACTORS AFFECTING INTRAOCULAR BIOAVAILABILITY: 1. Inflow & outflow of lacrimal fluids. 2. Efficient naso-lacrimal drainage. 3. Interaction of drug with proteins of lacrimal fluid. 4. dilution with tears. 5. Corneal barriers. 6. Active ion transport at cornea.
  • 9. BARRIERS AVOIDING DRUG DELIVERY Drug in tear fluid Ocular absorption Corneal route Conjunctival and scleral route Systemic absorption 50-100% of dose Major route- conjunctiva of eye, nose Minor route- lacrimal drainage system, pharynx, GIT, aqueous humor Aqueous humor Ocular tissue ELIMINATION
  • 10. OPHTHALMIC DOSAGE FORM Ophthalmic preparations are sterile products essentially free from foreign particles, suitably compounded and packaged for instillation in to the eye.  The following dosage forms have been developed to ophthalmic drugs.  Some are in common use, some are merely experimental, and others are no longer used.
  • 11. SOLUTION LIPOSOMES SUSPENTION NIOSOMES EMULSION DISCOMES OINTMENT PHARMACOSOMES INSERT GELS CONVENTIONAL VESICULAR OCULAR DELIVERY SYSTEMS IMPLANTS HYDROGELS DENDRIMERS CONTROL RELEASE PARTICULATE IONTOPORESIS MICROPARTICLES COLLAGEN SHIELD ADVANCED NANOPARTICLES POLYMERIC SOLUTIONS CONTACT LENSES SCLERAL PLUGS CYCLODEXRIN GENE DELIVERY MICROONEEDLE Si RNA MICROEMULSIONS STEM CELL NANO SUSPENSION ECT
  • 12. SELECTED TYPES OF OCDDS: 1. Aqueous eye drops 2. Oily eye drops 3. Eye ointments 4. Eye lotions
  • 13. 5. Paper strips 6. Ocuserts 7. Hydro gel contact lenses 8. Collagen shields 9. Ophthalmic rods
  • 14. ADVANTAGES:  They are easily administered by the nurse  They are easily administered by the patient himself.  They have the quick absorption and effect.  less visual and systemic side effects.  increased shelf life.  better patient compliance.
  • 15. DISADVANTAGES:  The very short time the solution stays at the eye surface.  Its poor bioavailability.  The instability of the dissolved drug. The necessity of using preservative.
  • 16. IDEAL CHARACTERISTICS OF OCDDS: Sterility Isotonicity-e.g.: 1.9% boric acid, 0.9% NaCl Buffer/pH adjustment Less drainage tendency Minimum protein binding
  • 17. FORMULATION OF OCULAR DRUG DELIVERY SYSTEM: Dosage Advantages Disadvantages Form solutions convenience Rapid precorneal elimination, non sustained action suspension Patient compliance, best for Drug properties decide drug with slow dissolution performance loss of both solutions and suspended particles emulsion Prolonged release of drug Blurred vision, patient non from vehicle compliance ointment Flexibility in drug choice, Sticking of eyes lids, blurred improved drug stability vision, poor patient compliance
  • 18. RECENT FORMULATION TRENDS IN OCDDS: 1. CONVENTIONAL DELIVERY SYSTEMS: Eye Drops: Drugs which are active at eye or eye surface are widely administered in the form of Solutions, Emulsion and Suspension. Various properties of eye drops like hydrogen ion concentration, osmolality, viscosity and instilled volume can influence retention of a solution in the eye.  Less than 5 % of the dose is absorbed after topical administration into the eye. The dose is mostly absorbed to the systemic blood circulation via the conjunctival and nasal blood vessels.
  • 19. Ointment and Gels:  Prolongation of drug contact time with the external ocular surface can be achieved using ophthalmic ointment vehicle but, the major drawback of this dosage form like, blurring of vision & matting of eyelids can limit its use.
  • 20. Ocuserts and Lacrisert:  Ocular insert (Ocusert) are sterile preparation that prolong residence time of drug with a controlled release manner and negligible or less affected by nasolacrimal damage.  Inserts are available in different varieties depending upon their composition and applications.  Lacrisert is a sterile rod shaped device for the treatment of dry eye syndrome and keratitis sicca. They act by imbibing water from the cornea and conjunctiva and form a hydrophilic film which lubricates the cornea.
  • 21. 2) VESICULAR SYSTEM: Liposomes: Liposomes are biocompatible and biodegradable lipid vesicles made up of natural lipids and about 25–10 000 nm in diameter.  They are having an intimate contact with the corneal and conjunctival surfaces which is desirable for drugs that are poorly absorbed, the drugs with low partition coefficient, poor solubility or those with medium to high molecular weights and thus increases the probability of ocular drug absorption.
  • 22. Niosomes and Discomes: The major limitations of liposomes are chemical instability, oxidative degradation of phospholipids, cost and purity of natural phospholipids.  To avoid this niosomes are developed as they are chemically stable as compared to liposomes and can entrap both hydrophobic and hydrophilic drugs. They are non toxic and do not require special handling techniques. Niosomes are nonionic surfactant vesicles that have potential applications in the delivery of hydrophobic or amphiphilic drugs. Discomes may act as potential drug delivery carriers as they released drug in a sustained manner at the ocular site. Discosomes are giant niosomes (about 20 um size) containing poly-24- oxy ethylene cholesteryl ether or otherwise known as Solulan 24. Pharmacosomes: This term is used for pure drug vesicles formed by the amphiphilic drugs. The amphiphilic prodrug is converted to pharmacosomes on dilution with water.
  • 23. NIOSOME Vs LIPOSOME Non ionic surface active agent phospholipid Hydrophilic drugs in aqueous region encapsulated Lipophilic drugs located in the hydrophobic lamella Niosomes are microscopic lamellar structures, which are formed on the admixture of non-ionic surfactant of the alkyl or dialkyl polyglycerol ether class and cholesterol with subsequent hydration in aqueous media. Structurally, niosomes are similar to liposomes, in that they are also made up of a bilayer. However, the bilayer in the case of niosomes is made up of non-ionic surface active agents rather than phospholipids as seen in the case of liposomes.
  • 24. 3) CONTROL DELIVERY 1. Implants: SYSTEMS: For chronic ocular diseases like cytomegalovirus (CMV) retinitis, implants are effective drug delivery system. Earlier non biodegradable polymers were used but they needed surgical procedures for insertion and removal.  Presently biodegradable polymers such as Poly Lactic Acid (PLA) are safe and effective to deliver drugs in the vitreous cavity and show no toxic signs. 2. Iontophoresis: In Iontophoresis direct current drives ions into cells or tissues. For iontophoresis the ions of importance should be charged molecules of the drug. Positively charged of drug are driven into the tissues at the anode and vice versa.  Ocular iontophoresis delivery is not only fast, painless and safe but it can also deliver high concentration of the drug to a specific site. 3. Dendrimer:  Dendrimers can successfully used for different routes of drug administration and have better water-solubility, bioavailability and biocompatibility.
  • 25. 4. Microemulsion: Microemulsion is dispersion of water and oil stabilized using surfactant and co- surfactant to reduce interfacial tension and usually characterized by small droplet size (100 nm), higher thermodynamic stability and clear appearance. Selection of aqueous phase, organic phase and surfactant/co- surfactant systems are critical parameters which can affect stability of the system. 5. Nanosuspensions: Nanosuspensions have emerged as a promising strategy for the efficient delivery of hydrophobic drugs because they enhanced not only the rate and extent of ophthalmic drug absorption but also the intensity of drug action with significant extended duration of drug effect. For commercial preparation of nanosuspensions, techniques like media milling and high-pressure homogenization have been used.
  • 26. 6. Microneedle: Microneedle had shown prominent in vitro penetration into sclera and rapid dissolution of coating solution after insertion while in vivo drug level was found to be significantly higher than the level observed following topical drug administration like pilocarpine. 7. Mucoadhesive Polymers: They are basically macromolecular hydrocolloids with plentiful hydrophilic functional groups, such as hydroxyl, carboxyl, amide and sulphate having capability for establishing electrostatic interactions A mucoadhesive drug formulation for the treatment of glaucoma was developed using a highly potent beta blocker drug, levobetaxolol (LB) hydrochloride and partially neutralized poly acrylic acid (PAA).
  • 27. 4) PARTICULATES (NANOPARTICLES AND MICROPARTICLES): The maximum size limit for microparticles for ophthalmic administration is about 5-10 mm above which a scratching feeling in the eye can result upon ocular instillation.  That is why microspheres and nanoparticles are promising drug carriers for ophthalmic application.  Nanoparticles are prepared using bioadhesive polymers to provide sustained effect to the entrapped drugs.
  • 28. INSERTS CLASSIFICATION : 1 .NON ERODIBLE INSERTS i. Ocusert ii. Contact lens 2 .ERODIBLE INSERTS i. Lacriserts ii. SODI iii. Mindisc
  • 29. 1) NON ERODIBLE OCUSERT: INSERTS The Ocusert therapeutic system is a flat, flexible, elliptical device designed to be placed in the inferior cul-de-sac between the sclera and the eyelid and to release Pilocarpine continuously at a steady rate for 7 days. The device consists of 3 layers….. 1. Outer layer - ethylene vinyl acetate copolymer layer. 2. Inner Core - Pilocarpine gelled with alginate main polymer. 3. A retaining ring - of EVA impregnated with titanium di oxide (diagram) The ocuserts available in two forms. Pilo - 20 :- 20 microgram/hour Pilo – 40 :-40 micrograms/hour
  • 30. ADVANTAGES: Reduced local side effects and toxicity. Around the clock control of IOP. Improved compliance. DISADVANTAGES: Retention in the eye for the full 7 days. Periodical check of unit. Replacement of contaminated unit Expensive.
  • 31. CONTACT LENSES:  These are circular shaped structures.  Dyes may be added during polymerization.  Drug incorporation depends on whether their structure is hydrophilic or hydrophobic. Drug release depends upon :  Amount of drug  Soaking time.  Drug concentration in soaking solution. ADVANTAGES:  No preservation.  Size and shape DISADVANTAGES:  Handling and cleaning  Expensive
  • 32. 2) ERODIBLE INSERTS: The solid inserts absorb the aqueous tear fluid and gradually erode or disintegrate. The drug is slowly leached from the hydrophilic matrix. they quickly lose their solid integrity and are squeezed out of the eye with eye movement and blinking. do not have to be removed at the end of their use. Three types : 1. LACRISERTS 2. SODI 3. MINIDISC
  • 33. LACRISERTS: Sterile rod shaped device made up of hydroxyl propyl cellulose without any preservative. For the treatment of dry eye syndromes It weighs 5 mg and measures 1.27 mm in diameter with a length of 3.5 mm. It is inserted into the inferior fornix. SODI: Soluble ocular drug inserts Small oval wafer Sterile thin film of oval shape Weighs 15-16 mg Use – glaucoma Advantage – Single application
  • 34. MINIDISC: Countered disc with a convex front and a concave back surface Diameter – 4 to 5 mm Composition: Silicone based prepolymer-alpha-w-dis (4-methacryloxy)-butyl poly di methyl siloxane. (M2DX) M-Methyl a cryloxy butyl functionalities. D – Di methyl siloxane functionalities. Pilocarpine, chloramphenicol
  • 35. EVALUATION OF OCDDS: THICKNESS OF THE FILM: Measured by dial caliper at different points and the mean value is calculated. DRUG CONTENT UNIFORMITY: The cast film cut at different places and tested for drug as per monograph. UNIFORMITY OF WEIGHT: Here, three patches are weighed.
  • 36. PERCENTAGE MOISTURE ABSORPTION: Here ocular films are weighed and placed in a dessicator containing 100 ml of saturated solution of aluminium chloride and 79.5% humidity was maintained. After three days the ocular films are reweighed and the percentage moisture absorbed is calculated using the formula = % moisture absorbed = Final weight – initial weight/ initial weight x 100
  • 37. IN – VITRO EVALUATION METHODS: BOTTLE METHOD: In this, dosage forms are placed in the bottle containing dissolution medium maintained at specified temperature and pH. The bottle is then shaken. A sample of medium is taken out at appropriate intervals and analyzed for the drug content. DIFFUSION METHOD: Drug solution is placed in the donor compartment and buffer medium is placed in between donor and receptor compartment. Drug diffused in receptor compartment is measured at various time intervals.
  • 38. MODIFIED ROTATING BASKET METHOD: Dosage form is placed in a basket assembly connected to a stirrer. The assembly is lowered into a jacketed beaker containing buffer medium and temperature 37 degrees Centigrade. Samples are taken at appropriate time intervals and analyzed for drug content. MODIFIED ROTATING PADDLE APPARATUS: Here, dosage form is placed into a diffusion cell which is placed in the flask of rotating paddle apparatus. The buffer medium is placed in the flask and paddle is rotated at 50 rpm. The entire unit is maintained at 37 degree C. Aliquots of sample are removed at appropriate time intervals and analyzed for drug content.
  • 39. IN- VIVO STUDY: Here, the dosage form is applied to one eye of animals and the other eye serves as control. Then the dosage form is removed carefully at regular time interval and are analyzed for drug content. The drug remaining is subtracted from the initial drug content, which will give the amount of the drug absorbed in the eye of animal at particular time. After one week of washed period, the experiment was repeated for two time as before.
  • 40. ACCELERATED STABILITY STUDIES: These are carried out to predict the breakdown that may occur over prolonged periods of storage at normal shelf condition. Here, the dosage form is kept at elevated temperature or humidity or intensity of light, or oxygen. Then after regular intervals of time sample is taken and analyzed for drug content. From these results, graphical data treatment is plotted and shelf life and expiry date are determined.
  • 41. CONCLUSION: All approaches improve ocular drug bioavailability by increasing ocular drug residence time, diminish side effects due to systemic absorption and diminishing the necessary therapeutic amount of drug for therapeutic response in anterior chamber. They improve patient compliance by reducing the frequency of dosing. They reduce the dose and thereby reduce the adverse effects of the drug.