PMID- 36715956 OWN - NLM STAT- MEDLINE DCOM- 20230703 LR - 20230703 IS - 1573-2630 (Electronic) IS - 0165-5701 (Linking) VI - 43 IP - 7 DP - 2023 Jul TI - Implantable sustained-release drug delivery systems: a revolution for ocular therapeutics. PG - 2575-2588 LID - 10.1007/s10792-023-02637-x [doi] AB - PURPOSE: Due to the inimitable anatomical structure of the eyeball and various physiological barriers, conventional ocular local administration is often complicated by apparent shortcomings, such as limited bioavailability and short drug retention. Thus, developing methods for sustainable, safe and efficient drug delivery to ocular target sites has long been an urgent need. This study briefly summarizes the barriers to ocular drug administration and various ocular drug delivery routes and highlights recent progress in ocular implantable sustained-release drug delivery systems (DDSs) to provide literature evidence for developing novel ocular implants for sustained drug delivery. METHODS: We conducted a comprehensive search of studies on ocular implantable sustained-release DDSs in PubMed and Web of Science using the following keywords: ocular, implantable and drug delivery system. More than 400 papers were extracted. Publications focused on sustained and controlled drug release were primarily considered. Experimental articles involving DDSs that cannot be implanted into the eye through surgeries and cannot be inserted into ocular tissues in solid form were excluded. Approximately 143 publications were reviewed to summarize the most current information on the subject. RESULTS: In recent years, numerous ocular sustained-release DDSs using lipids, nanoparticles and hydrogels as carriers have emerged. With unique properties and systematic design, ocular implantable sustained-release DDSs are able to continuously maintain drug release, effectively sustain the therapeutic concentration in target tissues, and substantially enhance the therapeutic efficacy. Nevertheless, few ocular implantable sustained-release DDSs have been available in clinical use. CONCLUSIONS: Ocular implantable sustained-release DDSs have become a new focus in the field of ocular drug development through unique designs and improvements in the materials of drug carriers, administration methods and dosage forms. With more ocular implantable sustained-release DDSs being commercialized, ocular therapeutics may be revolutionized. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature B.V. FAU - Cong, Yun-Yi AU - Cong YY AD - Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, 130000, China. FAU - Fan, Bin AU - Fan B AD - Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, 130000, China. FAU - Zhang, Zi-Yuan AU - Zhang ZY AD - Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, 130000, China. FAU - Li, Guang-Yu AU - Li GY AD - Department of Ophthalmology, The Second Hospital of Jilin University, Changchun, 130000, China. liguangyu@aliyun.com. LA - eng GR - 82171053/the National Natural Science Foundation of China/ GR - 20200801043GH/he Natural Science Foundation of Jilin Province/ GR - 20190201083JC/the Natural Science Foundation of Jilin Province/ PT - Journal Article PT - Review DEP - 20230130 PL - Netherlands TA - Int Ophthalmol JT - International ophthalmology JID - 7904294 RN - 0 (Delayed-Action Preparations) RN - 0 (Drug Carriers) SB - IM MH - Humans MH - Delayed-Action Preparations/pharmacology/therapeutic use MH - *Eye MH - *Drug Delivery Systems MH - Drug Carriers/chemistry/pharmacology MH - Administration, Ophthalmic OTO - NOTNLM OT - Drug delivery system OT - Implant OT - Ocular barrier OT - Sustained-release EDAT- 2023/01/31 06:00 MHDA- 2023/07/03 06:41 CRDT- 2023/01/30 11:27 PHST- 2022/09/13 00:00 [received] PHST- 2023/01/10 00:00 [accepted] PHST- 2023/07/03 06:41 [medline] PHST- 2023/01/31 06:00 [pubmed] PHST- 2023/01/30 11:27 [entrez] AID - 10.1007/s10792-023-02637-x [pii] AID - 10.1007/s10792-023-02637-x [doi] PST - ppublish SO - Int Ophthalmol. 2023 Jul;43(7):2575-2588. doi: 10.1007/s10792-023-02637-x. Epub 2023 Jan 30.