Skip to main content

Biodegradable Polymeric Implants for Retina and Posterior Segment Disease

  • Chapter
  • First Online:
Drug Delivery for the Retina and Posterior Segment Disease

Abstract

Drug delivery to the retina and posterior segment of the eye is challenging as the traditional procedures involve frequent clinical visits and administration of medications, drugs, and other injections that could potentially increase chances of infection and intraocular hazards.

Biodegradable implants are explored to overcome these limitations, and these implants are formulated from biocompatible polymers which can achieve a sustained release of therapeutic agent in ocular target site such as the retina or posterior segment of the eye with minimal side effects. These polymers are not toxic and can be broken down via enzymatic activity as well as hydrolysis within our body in months or years, and therefore, they have sufficient biocompatibility, especially when incorporated in systems for posterior eye disorders. This chapter discusses about examples of such implants, their formulation, material used, advantages, disadvantages, and possible toxicity profile as well as use of biodegradable polymeric implants in drug delivery for the retina and posterior segment of the eye.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sutariya VB, Pathak Y. Biointeractions of nanomaterials. Boca Raton: CRC Press; 2015.

    Google Scholar 

  2. Kiernan DF, Lim JI. Topical drug delivery for posterior segment disease. 2010. Retina Today. Retrieved from http://retinatoday.com/pdfs/0510RT_Feature_Lim_Mosh.pdf.

  3. Del Amo EM, Urtti A. Current and future ophthalmic drug delivery systems: a shift to the posterior segment. Drug Discov Today. 2008;13(3–4):135–43. https://doi.org/10.1016/j.drudis.2007.11.002.

    Article  CAS  PubMed  Google Scholar 

  4. Sarao V, Veritti D, Boscia F, Lanzetta P. Intravitreal steroids for the treatment of retinal diseases. Sci World J Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910383/. 2014;2014:1.

    Article  Google Scholar 

  5. Wang J, Jiang A, Joshi M, Christoforidis J. Drug delivery implants in the treatment of vitreous inflammation. Mediat Inflamm. 2013;2013:1. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804444/.

    Google Scholar 

  6. Kuno N, Fujii S. Recent advances in ocular drug delivery systems. Polymers. 2011;3(1):193–221. Retrieved from http://www.mdpi.com/2073-4360/3/1/193.

    Article  CAS  Google Scholar 

  7. Shah SS, Denham LV, Elison JR, Bhattacharjee PS, Clement C, Huq T, Hill JM. Drug delivery to the posterior segment of the eye for pharmacologic therapy. Expert Rev Ophthalmol. 2010;5(1):75–93. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839363/.

    Article  CAS  Google Scholar 

  8. Lee DJ. Intraocular implants for the treatment of autoimmune uveitis. J Funct Biomater. 2015;6(3):605–66. https://doi.org/10.3390/jfb6030650.

    Article  CAS  Google Scholar 

  9. Cebeci Z, Kir N. Role of implants in the treatment of diabetic macular edema: focus on the dexamethasone intravitreal implant. Diabetes Metab Syndr Obes. 2015;8:555–66. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655951/ (zafel).

    Article  CAS  Google Scholar 

  10. Shin JP, Park YC, Oh JH, Lee JW, Kim YM, Lim JO, Kim SY. Biodegradable intrascleral implant of triamcinolone acetonide in experimental uveitis. J Ocul Pharmacol Ther. 2009;25(3):201–8. https://doi.org/10.1089/jop.2008.0086.

    Article  CAS  PubMed  Google Scholar 

  11. Alhalafi AM. Applications of polymers in intraocular drug delivery systems. Oman J Ophthalmol. 2017;10(1):3–8. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338049/.

    Article  Google Scholar 

  12. Ulery BD, Nair LS, Laurencin CT. Biomedical applications of biodegradable polymers. J Polym Sci B Polym Phys. 2011;49(12):832–64. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136871/.

    Article  CAS  Google Scholar 

  13. Dugel PU, Bandello F, Loewenstein A. Dexamethasone intravitreal implant in the treatment of diabetic macular edema. Clin Ophthalmol. 2015;9:1321–35. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509543/.

    Article  CAS  Google Scholar 

  14. Valverde-Megías A, Cifuentes-Canorea P, Ruiz-Medrano J, Peña-García P, Megías-Fresno A, Donate-López J, García-Feijoo J. Systemic effects of repeated intraocular dexamethasone intravitreal implant in diabetic patients: a retrospective study. Diabetes Ther. 2017;8(5):1087–96. https://doi.org/10.1007/s13300-017-0307-y.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Fung AE. A novel sustained-release intravitreal drug delivery system for retinal vascular disease. 2010. Retina Today. Retrieved from http://retinatoday.com/2010/04/a-novel-sustainedrelease-intravitreal-drug-delivery-system-for-retinal-vascular-disease/.

  16. Liu Y, Peng Y, Lwin N, Venkatraman SS, Wong TT, Mehta JS. A biodegradable, sustained-released, prednisolone acetate microfilm drug delivery system effectively prolongs corneal allograft survival in the rat Keratoplasty model. PLoS. 2013;8:e70419. Retrieved from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0070419.

    Article  CAS  Google Scholar 

  17. Liu Y, Ng AH, Ng XW, Yan P, Venkatraman SS, Mehta JS, Wong TT. Evaluation of a sustained-release prednisolone acetate biodegradable subconjunctival implant in a non-human primate model. Transl Vis Sci Technol. 2017;6(5):9. https://doi.org/10.1167/tvst.6.5.9.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Ang M, Ng X, Wong C, Yan P, Chee S, Venkatraman SS, Wong TT. Evaluation of a prednisolone acetate-loaded subconjunctival implant for the treatment of recurrent uveitis in a rabbit model. PLoS One. 2014;9(8):9. https://doi.org/10.1371/journal.pone.0105658.

    Article  CAS  Google Scholar 

  19. Ng XW, Liu KL, Veluchamy AB, Lwin NC, Wong TT, Venkatraman SS. A biodegradable ocular implant for long-term suppression of intraocular pressure. Drug Deliv Transl Res. 2015;5(5):469–79. https://doi.org/10.1007/s13346-015-0240-4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Meireles A, Goldsmith C, El-Ghrably I, Erginay A, Habib M, Pessoa B, Coelho J, Patel T, Tadayoni R, Massin P, Atorf J, Augustin AJ. Efficacy of 0.2 μg/day fluocinolone acetonide implant (ILUVIEN) in eyes with diabetic macular edema and prior vitrectomy. Eye. 2017;31(5):684–90. https://doi.org/10.1038/eye.2016.303.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Lewis RA, Christie WC, Day DG, Craven ER, Walters T, Bejanian M, Lee SS, Goodkin ML, Zhang J, Whitcup SM, Robinson MR, Bimatoprost SR Study Group. Bimatoprost sustained-release implants for Glaucoma therapy: 6-month results from a phase I/II clinical trial. Am J Ophthalmol. 2017;175:137–47. https://doi.org/10.1016/j.ajo.2016.11.020.

    Article  CAS  PubMed  Google Scholar 

  22. Mahapatrol A, Singh D. Biodegradable nanoparticles are excellent vehicle for site directed in-vivo delivery of drugs and vaccines. J Nanobiotechnol. 2011;9:55. https://doi.org/10.1186/1477-3155-9-55.

    Article  CAS  Google Scholar 

  23. Sabzevari A, Adibkia K, Hashemi H, Geest BG, Mohsenzadeh N, Atyabi F, Ghahremani MH, Khoshayand MR, Dinarvand R. Improved anti-inflammatory effects in rabbit eye model using biodegradable poly beta-amino ester nanoparticles of triamcinolone acetonide. Invest Ophthalmol Vis Sci. 2013;54(8):5520. https://doi.org/10.1167/iovs.13-12296.

    Article  CAS  PubMed  Google Scholar 

  24. Tahara K, Karasawa K, Onodera R, Takeuchi H. Feasibility of drug delivery to the eyes posterior segment by topical instillation of PLGA nanoparticles. Asian J Pharm Sci. 2017;12(4):394–9. https://doi.org/10.1016/j.ajps.2017.03.002.

    Article  Google Scholar 

  25. Chang E, McClellan AJ, Farley WJ, Li DQ, Pflugfelder SC, De Paiva CS. Biodegradable PLGA-based drug delivery systems for modulating ocular surface disease under experimental murine dry eye. J Clin Exp Ophthalmol, 2011;2(11). https://doi.org/10.4172/2155-9570.1000191.

  26. Christoforidis JB, Chang S, Jiang A, Wang J, Cebulla CM. Intravitreal devices for the treatment of vitreous inflammation. Mediat Inflamm. 2012;2012:126463. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3441042/.

    Google Scholar 

  27. Jampel HD, Leong KW, Dunkelburger GR, Qulgley HA. Glaucoma filtration surgery in monkeys using 5-fluorouridine in polyanhydride disks. Arch Ophthalmol. 1990;108:430. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/2106872

    Article  CAS  Google Scholar 

  28. Lee DA, Leong KW, Panek WC, Eng CT, Glasgow BJ. The use of bioerodible polymers and 5-fluorouracil in glaucoma filtration surgery. Invest Ophthalmol Vis Sci. 1988;29(11):1692. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/3053529.

    CAS  PubMed  Google Scholar 

  29. Thrimawithana TR, Young S, Bunt CR, Green C, Alany RG. Drug delivery to the posterior segment of the eye. Drug Discov Today. 2011;16(5–6):270–7. https://doi.org/10.1016/j.drudis.2010.12.004.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yashwant V. Pathak .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pandhare, A., Bhatt, P., Saluja, H.S., Pathak, Y.V. (2018). Biodegradable Polymeric Implants for Retina and Posterior Segment Disease. In: Patel, J., Sutariya, V., Kanwar, J., Pathak, Y. (eds) Drug Delivery for the Retina and Posterior Segment Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-95807-1_15

Download citation

Publish with us

Policies and ethics