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Ocular Drug Delivery System
Human eye consist of :-
                             1. Sclera,


                           2. Choroids,
                                              • Outer-
                                                Epithelium(lipophilic),
                             3. Cornea,       • Middle-
                                                Stroma(hydrophilic),
                                              • Inner-
                          4. Cilliary Body-     Endothelium(lipophilic).
                          Secretion of aq.
                               humor,

                              5. Lens,


                             6. Retina,


                           7. Conjuctiva,


                           8. Vitreous
                          Compartment,

                            9. Lacrimal
                               gland.
Mechanism of Ocular
Absorption
       • Penetration across Sclera & Conjuctiva
         into Intra Ocular tissues
       • Non-Productive: because penetrated drug
         is absorbed by general circulation



       • Outer Epithelium: rate limiting barrier, with
         pore size 60 å,
       • Only access to small ionic & lipohilic
         molecules
       • Trans cellular transport: transport between
         corneal epithelium & stroma.
General Pathway For Ocular Absorption
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.

Role Of Polymer In ODDS.
     Solution Viscosity         Solution Drainage.
 Polymereric mucoadhesive vehicle: Retained in the eye
  due to non-covalent bonding with conjuctival mucine.
 Mucine is capable of picking of 40-80 times of weight of
  water.
Classification Of Ophthalmic Dosage Form:

  A) Based on Root                  B) Based on
  of Administration                Physical Form
• 1.Topical Soln: Multiple    • 1. Aqueous Soln.
  Dose container With
  Preservatives.              • 2. Suspension.
• 2. Intra-ocular Soln: For
  Surgery, Single dose,       • 3. Ointments.
  Without preservative.       • 4. Gels.
• 3.Ophthalmic Soln
  Injections: Intra-ocular    • 5. Eye Lotions.
  injection, given in eye
  tissues, without            • 6. Solid Inserts.
  preservative.
Ocular indication of controlled-release systems
Indication                               Drug & Disease
1. Short, topical ocular half-life       Heparin for Ligneous disease
2. Small, topical ocular, therapeutic    Pilocarpine for chronic open-angle
index                                    Glaucoma

3. Systemic side effects                 Timolol for Glaucoma and cyclosporin A
                                         for graft rejection

4. Need for combination therapy          Cromoglycate and corticosteroid for
                                         Asthma and Allergies

5. Drug delivery over a prolonged period Acute corneal infections, Corneal Graft
                                         rejection episodes

6. Long-continued low dosage for         Prevention of Corneal Graft Rejection or
therapy or prophylaxis                   Herpetic diseases,
Ocular Control Release System: Ophthalmic Inserts
Definition:- Solid or Semisolid in nature,
              - Placed in lower Fornix
              - Composed of Polymeric vehicle containing drug.
Desired Criteria For Control Release Ocular Inserts.




                              Reproducibility
                   Ease of
    Comfort                     of release      Sterility   Stability   Ease of mfg.
                   handling
                                 kinetics
Advantages
1. Accurate dosing.
                                     Limitations
2. Absence of preservative.        • 1. Perceived by patient as foreign body.
3. Increase in shelf life due to   • 2. Movement around the eye.
absence of water.                  • 3. Occasional loss during sleep or
                                     while rubbing eyes.
                                   • 4. Interference with vision.
                                   • 5. Difficulty in placement & removal.
Types Of Ocular Control Release System
A) Non-Erodible :
1.Ocusert:
 Developed by Alza Corporation,
 Oval flexible ocular insert,
 Release Rate:20-40mg/hr
                for 7day
 Consist of-
    Part                      Material
    Drug Reservoir           Pilocarpine
    Carrier material         Alginic acid
    Rate controller          Ethylene vinyl acetate copolymer
    Energy Source            Conc. Of Pilocarpine
    Delivery Portal          Copolymer membrane

 Annular ring : Impregnated with Ti02 : For Visibility
2) Contact Lens :
 Presoaked Hydrophilic lens.
 Drug Release : within 1st 30 Min.
 Alternate approach : incorporate drug either as soln or suspension
  of solid monomer mixture.
 Release rate is up to : 180 hr.
  3) Diffusional Inserts :
 Central reservoir of drug enclosed in Semi permeable or micro
  porous membrane for diffusion of drug.
 Diffusion is controlled by Lacrimal Fluid penetrating through it.
 It prevents continues decrease in release rate due to barrier.
 Release follows : Zero Order Kinetics.
B) Erodible Inserts
1.Lacrisert:
• Sterile, Rod Shaped device.
• Composition: HPC without preservative.
• Weight:5mg,
• Dimension:Diameter:12.5mm, Length:3.5mm
• Use:-Dry eye treatment, Keratitis Sica.
2.SODI: Soluble Ocular Drug Insert.
• Small water soluble developed for Cosmonauts who could not use
    their eye drop in liquid condition.
•   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 & Trachoma.
    3)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 pre polymer.
   Hydrophilic or Hydrophobic.
   Drug release from 170 hr.
C) Nanoparticle:
    For water soluble drugs.

    Size:10-1000nm

    Drug is Dispersed, Encapsulated, or Absorbed

    Produced by Emulsion Polymerization

    Polymerization is carried out by :
    • Chemical initiation, Gamma irradiation, Visible light.

    Emulsifier stabilizes polymer particle

    Polymer used are Biodegradable.

    E.g. :- Nanoparticle of Pilocarpine enhances
    Mitotic response by 20-23%.
D) Liposome

Biodegradable, Non-toxic in nature.


Vesicle composed of lipid membrane enclosed in an
aqueous volume.

Formed when matrix of phospholipids is agitated in
aqueous medium to disperse two phase.
Phospholipids used are : Phophotidylcholine, Phophotidic
acid,
                        Sphingomyline,
Phosphotidyleserine,
 • .                                Cardiolipine
Advances in ocular drug delivery
1. Ophthalmic gel for pilocarpine
 Poloxamer 407 (low viscosity, optical clarity, mucomimetic
  property)
2. Ophthalmic prodrug
 Dipivalyl epinephrine (Dipivefrin)
 Lipophilic  increase in corneal absorption
 Esterase within cornea and aqueous humor
3. Continuous delivery system based upon the osmotic
  property
 Thin flat layer, contoured three-dimensional unit
 Conform to the space of the upper cul-de-sac
 Delivery of diethyl carbamazine in ocular onchocerciasis
4.Gel delivery system
 Biodegradable polyisobutyl-cyano acrylate (PIBCA) colloidal
  particulate system of pilocarpine to incorporate it into a
  Pluronic F127 (PF 127)-based gel delivery system.
5)Mucoadhesive Polymer.
 mucoadhesive polymer, the tamarind seed polysaccharide, as
 a delivery system for the ocular administration of hydrophilic
 and hydrophobic antibiotics.
Reference:
 N.K.Jain, Advances in Controlled & Novel Drug Delivery,
  CBS Publication, & distributor, New Delhi, pg No.219-223.
 Remington & Gennaro ; The Science & Practice Of
  Pharmacy. Mack Publication Company. Easton, Pennsylvania.
  Pg. No. 1563-1567.
Web Sites:
 www.vision-care-guide.com
 www.google/images/eye/anatomy& physiology
Creativity is allowing one
 self to make mistakes.
Art is knowing which one to
 keep.

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Clinical research
 

Ocular drug delivery system & ocuserts

  • 2. Human eye consist of :- 1. Sclera, 2. Choroids, • Outer- Epithelium(lipophilic), 3. Cornea, • Middle- Stroma(hydrophilic), • Inner- 4. Cilliary Body- Endothelium(lipophilic). Secretion of aq. humor, 5. Lens, 6. Retina, 7. Conjuctiva, 8. Vitreous Compartment, 9. Lacrimal gland.
  • 3. Mechanism of Ocular Absorption • Penetration across Sclera & Conjuctiva into Intra Ocular tissues • Non-Productive: because penetrated drug is absorbed by general circulation • Outer Epithelium: rate limiting barrier, with pore size 60 å, • Only access to small ionic & lipohilic molecules • Trans cellular transport: transport between corneal epithelium & stroma.
  • 4. General Pathway For Ocular Absorption
  • 5. 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. Role Of Polymer In ODDS.  Solution Viscosity Solution Drainage.  Polymereric mucoadhesive vehicle: Retained in the eye due to non-covalent bonding with conjuctival mucine.  Mucine is capable of picking of 40-80 times of weight of water.
  • 6. Classification Of Ophthalmic Dosage Form: A) Based on Root B) Based on of Administration Physical Form • 1.Topical Soln: Multiple • 1. Aqueous Soln. Dose container With Preservatives. • 2. Suspension. • 2. Intra-ocular Soln: For Surgery, Single dose, • 3. Ointments. Without preservative. • 4. Gels. • 3.Ophthalmic Soln Injections: Intra-ocular • 5. Eye Lotions. injection, given in eye tissues, without • 6. Solid Inserts. preservative.
  • 7. Ocular indication of controlled-release systems Indication Drug & Disease 1. Short, topical ocular half-life Heparin for Ligneous disease 2. Small, topical ocular, therapeutic Pilocarpine for chronic open-angle index Glaucoma 3. Systemic side effects Timolol for Glaucoma and cyclosporin A for graft rejection 4. Need for combination therapy Cromoglycate and corticosteroid for Asthma and Allergies 5. Drug delivery over a prolonged period Acute corneal infections, Corneal Graft rejection episodes 6. Long-continued low dosage for Prevention of Corneal Graft Rejection or therapy or prophylaxis Herpetic diseases,
  • 8. Ocular Control Release System: Ophthalmic Inserts Definition:- Solid or Semisolid in nature, - Placed in lower Fornix - Composed of Polymeric vehicle containing drug. Desired Criteria For Control Release Ocular Inserts. Reproducibility Ease of Comfort of release Sterility Stability Ease of mfg. handling kinetics
  • 9. Advantages 1. Accurate dosing. Limitations 2. Absence of preservative. • 1. Perceived by patient as foreign body. 3. Increase in shelf life due to • 2. Movement around the eye. absence of water. • 3. Occasional loss during sleep or while rubbing eyes. • 4. Interference with vision. • 5. Difficulty in placement & removal.
  • 10. Types Of Ocular Control Release System
  • 11. A) Non-Erodible : 1.Ocusert:  Developed by Alza Corporation,  Oval flexible ocular insert,  Release Rate:20-40mg/hr for 7day  Consist of- Part Material Drug Reservoir Pilocarpine Carrier material Alginic acid Rate controller Ethylene vinyl acetate copolymer Energy Source Conc. Of Pilocarpine Delivery Portal Copolymer membrane  Annular ring : Impregnated with Ti02 : For Visibility
  • 12. 2) Contact Lens :  Presoaked Hydrophilic lens.  Drug Release : within 1st 30 Min.  Alternate approach : incorporate drug either as soln or suspension of solid monomer mixture.  Release rate is up to : 180 hr. 3) Diffusional Inserts :  Central reservoir of drug enclosed in Semi permeable or micro porous membrane for diffusion of drug.  Diffusion is controlled by Lacrimal Fluid penetrating through it.  It prevents continues decrease in release rate due to barrier.  Release follows : Zero Order Kinetics.
  • 13. B) Erodible Inserts 1.Lacrisert: • Sterile, Rod Shaped device. • Composition: HPC without preservative. • Weight:5mg, • Dimension:Diameter:12.5mm, Length:3.5mm • Use:-Dry eye treatment, Keratitis Sica. 2.SODI: Soluble Ocular Drug Insert. • Small water soluble developed for Cosmonauts who could not use their eye drop in liquid condition. • 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.
  • 14. Advantages of SODI  Single SODI application :replaces 4-12 eye drops Instillation,or 3-6 application of Ointments.  Once a day treatment of Glaucoma & Trachoma. 3)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 pre polymer.  Hydrophilic or Hydrophobic.  Drug release from 170 hr.
  • 15. C) Nanoparticle: For water soluble drugs. Size:10-1000nm Drug is Dispersed, Encapsulated, or Absorbed Produced by Emulsion Polymerization Polymerization is carried out by : • Chemical initiation, Gamma irradiation, Visible light. Emulsifier stabilizes polymer particle Polymer used are Biodegradable. E.g. :- Nanoparticle of Pilocarpine enhances Mitotic response by 20-23%.
  • 16. D) Liposome Biodegradable, Non-toxic in nature. Vesicle composed of lipid membrane enclosed in an aqueous volume. Formed when matrix of phospholipids is agitated in aqueous medium to disperse two phase. Phospholipids used are : Phophotidylcholine, Phophotidic acid, Sphingomyline, Phosphotidyleserine, • . Cardiolipine
  • 17. Advances in ocular drug delivery 1. Ophthalmic gel for pilocarpine  Poloxamer 407 (low viscosity, optical clarity, mucomimetic property) 2. Ophthalmic prodrug  Dipivalyl epinephrine (Dipivefrin)  Lipophilic  increase in corneal absorption  Esterase within cornea and aqueous humor 3. Continuous delivery system based upon the osmotic property  Thin flat layer, contoured three-dimensional unit  Conform to the space of the upper cul-de-sac  Delivery of diethyl carbamazine in ocular onchocerciasis
  • 18. 4.Gel delivery system  Biodegradable polyisobutyl-cyano acrylate (PIBCA) colloidal particulate system of pilocarpine to incorporate it into a Pluronic F127 (PF 127)-based gel delivery system. 5)Mucoadhesive Polymer.  mucoadhesive polymer, the tamarind seed polysaccharide, as a delivery system for the ocular administration of hydrophilic and hydrophobic antibiotics.
  • 19. Reference:  N.K.Jain, Advances in Controlled & Novel Drug Delivery, CBS Publication, & distributor, New Delhi, pg No.219-223.  Remington & Gennaro ; The Science & Practice Of Pharmacy. Mack Publication Company. Easton, Pennsylvania. Pg. No. 1563-1567. Web Sites:  www.vision-care-guide.com  www.google/images/eye/anatomy& physiology
  • 20. Creativity is allowing one self to make mistakes. Art is knowing which one to keep.