Table 3.
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] |