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. 2023 Mar 9;15(6):1373. doi: 10.3390/polym15061373

Table 3.

Advanced DDS for glaucoma surgery postoperative care.

DDS Drug Advantages and Considerations Administration Route Stage Reference
Polymer implants
Ocular implant Bimatoprost -Effective in lowering IOP post-SLT
-Sustained release
-Small sample size
Intracameral injection Preclinical- in vivo [136]
Collagen matrix implant Bevacizumab and sodium hyaluronate -Anti-scarring and wound healing post-SLT
-Did not improve tissue repair clinically
-DDS release requires further research
Intrableb administration Preclinical- in vivo [137]
Gel-based polymers
Chitosan and Hyaluronic Acid-based hydrogel 5-fluorouracil (5-FU) and mitomycin C (MMC) -Anti-scarring post-SLT
-MMC had prolonged release compared to 5-FU
-Cytotoxic study further required
Topical Preclinical- in vitro [138,139]
HECTS-AZ Hydrogel Heparin
Gelatin-based hydrogel siRNA (siSparc) -Reduced subconjunctival scarring post-SLT
-Non-cytotoxic
-Dose optimizing required
Subconjunctival injection Preclinical- in vitro and in vivo [140]
Nanoparticles
DexNP γ-cyclodextrin Nanoparticles Dexamethsaone -Anti-inflammatory and anti-fibrotic post-SLT
-Non-inferior to standard MMC treatment
-Small sample size
Topical Randomized clinical trial (single-masked) [142]
LbL Nanoparticles siRNA (siSparc) -Anti-fibrotic post-SLT
-Targeted delivery
-Low toxicity
Subconjunctival injection Preclinical- in vivo [141]
Other
PLGA film 5-fluorouracil and mitomycin C -Anti-fibrotic post-SLT
-Sustained effective release with lower doses
-Long-term efficacy studies required
Subconjunctival route Preclinical- in vivo [143]