国际眼科纵览 ›› 2020, Vol. 44 ›› Issue (6): 402-407.doi: 10.3760/ cma.j.issn.1673-5803.2020.06.006

• 综述 • 上一篇    下一篇

角膜接触镜载药在青光眼药物治疗中的应用

吴彩清  余敏斌  杨扬帆   

  1. 中山大学中山眼科中心 眼科学国家重点实验室,广州 510623
  • 收稿日期:2020-04-17 出版日期:2020-12-22 发布日期:2020-12-29
  • 通讯作者: 杨扬帆,Email: yangyangfan@gzzoc.com
  • 基金资助:
     国家自然科学基金(81970847)

Application of drug-loaded contact lens in the treatment of glaucoma

Wu Caiqing,  Yu Minbin,  Yang Yangfan   

  1. Zhongshan Ophthalmic Center,  Sun Yat-Sen University,   State Key Laboratory of Ophthalmology,  Guangzhou 510623,  China

  • Received:2020-04-17 Online:2020-12-22 Published:2020-12-29
  • Contact: Yang Yangfan, Email: yangyangfan@gzzoc.com
  • Supported by:
    National Natural Science Foundation of China (81970847)

摘要: 角膜接触镜可通过多种方式(如浸泡法、维生素E修饰法、聚合物胶体纳米粒子载药法等)载一种以上药物形成眼部缓释系统,减少药物不良反应并增加其生物利用度。不同载药方式存在其局限性而限制其临床应用及产业化生产。浸泡法载药缓释系统药物突释明显,难以长时间达到有效的治疗水平;维生素E修饰法及聚合物薄膜载药法可更加有效延缓药物的释放,但可改变接触镜本身物理特性;聚合物胶体纳米粒子载药法可影响药物稳定性并造成大量药物浪费;环糊精及其衍生物可用于疏水性药物的缓释,也可影响接触镜本身物理特性;分子印迹法及超临界流体技术载药制作相对复杂,药物缓释效果影响因素多,难达产业化。(国际眼科纵览,2020,  44:  402-407)  

关键词: 角膜接触镜, 药物缓释系统, 青光眼, 眼压

Abstract: Contact lenses (CL) could be loaded with more than one drug through various methods (such as soaking CL in drug solution,  adding vitamin E barrier,  applying polymeric colloidal nanoparticle,  etc.) to form an ocular sustained-release system,  which could reduce side effects and increase bioavailability of drugs. Different methods had their limitations and limited their clinical application and industrial production. Drug loaded by soaking method had obvious burst release,  and it was difficult to achieve an effective concentration of drugs for a long time. Methods of adding vitamin E barrier and loading drug in polymeric film within CL can prolong retention time of drugs, however,  they can change the physical properties of the CL at the same time. Polymeric colloidal nanoparticle drug delivery system could affect stability of drugs and waste a lot of drugs. Cyclodextrin and its derivatives that can be used for the sustained release of hydrophobic drugs can also affect the physical properties of the CL. The molecular imprinting method and supercritical fluid technology were relatively complicated,  and there were many factors influence their functional time of drug,  which made it was difficult to achieve industrialization. (Int Rev Ophthalmol,  2020,  44:  402-407)


Key words: contact lenses, drug delivery system, glaucoma, intraocular pressure