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. 2023 Jul 14;15(7):1952. doi: 10.3390/pharmaceutics15071952

Table 4.

Biodegradable implants for uveitis.

Disease Drug Advantages and Considerations Administration Route Stage Reference
Non-infectious uveitis Dexamethasone (DEX)
  • Improved best-correct visual acuity, central retinal thickness, and vitreous haze.

  • After 2< inserts, 75% of eyes underwent cataract surgery.

  • Similar safety profile to other studies.

  • Clinicians should consider an individualized plan for their specific needs.

Intravitreal implant (Ozurdex) Clinical [41]
Non-infectious uveitis Dexamethasone
  • Similar outcomes with single DEX or multiple DEX injections.

  • Does not affect systemic immunomodulatory therapy.

Intravitreal implant (Ozurdex) Clinical [42]
Non-infectious uveitis Dexamethasone
  • None suffered from postoperative macular edema.

  • No severe anterior chamber reactions.

  • Postoperative visual acuity improved to varying degrees.

Intravitreal implant (Ozurdex) Clinical trial [43]
Posterior uveitis Dexamethasone
  • Immediate improvement in vision-related functioning post implantation.

  • Need for reimplantation every 6 months.

  • Not permanent treatment due to adverse effects and disease progression (e.g., cataract progression).

  • Small cohort size n = 3.

Intravitreal implant (Ozurdex) Clinical trial [44]
Posterior uveitis Dexamethasone
  • Improved visual acuity and lower central retinal thickness maintained at 6 months.

  • Did not worsen cataract development.

  • Caused mild increase in intraocular pressure.

Intravitreal implant (Ozurdex) Clinical trial [45]
Posterior uveitis Dexamethasone
  • Good safety profile.

  • No systemic side effects.

  • Ocular hypertension in 28% of subjects.

  • Cataract surgery <1 year post-initial injection in 40% phakic subjects.

Intravitreal implant (Ozurdex) Clinical [46]
Infectious posterior uveitis Dexamethasone
  • Effective in patients with contraindications for systemic corticosteroids.

Intravitreal implant (Ozurdex) Clinical trial [47]
Infectious posterior uveitis Dexamethasone
  • Treat with appropriate anti-tuberculosis treatment and anti-inflammatory therapy.

  • DEX-implant is safe and potent.

Intravitreal implant (Ozurdex) Case-report [48]
Infectious intermediate uveitis Dexamethasone
  • Safe and efficacious.

  • No recurrences or need for multiple injections.

Intravitreal implant (Ozurdex) Clinical trial [49]
Infectious intermediate and posterior uveitis Dexamethasone
  • No worsening of the primary disease, emergence of a new choroiditis lesion, or retinal detachments.

  • Improved visual acuity at 3 and 6 months.

  • Risk of developing cataracts and glaucoma.

  • Effective and relatively safe.

Intravitreal implant (Ozurdex) Clinical trial [50]
Intermediate and posterior uveitis Dexamethasone
  • Increase intraocular pressure and cataract formation.

  • Provides localized corticosteroid treatment.

  • Adequate alternative to oral prednisone.

Intravitreal implant (Ozurdex) Clinical trial [51]
Noninfectious intermediate or posterior uveitis Dexamethasone
  • Implant effectiveness comparable to systemic corticosteroid.

  • Safe.

Intravitreal implant (Ozurdex) Clinical trial [52]
Intermediate and posterior uveitis Dexamethasone
  • Cataracts and increased intraocular pressure side effects.

  • No new safety concerns arise from the use of multiple implants.

Intravitreal implant (Ozurdex) Clinical trial [53]
Posterior and panuveitis Dexamethasone
  • No serious ocular or systemic side effects.

  • Improved case-corrected visual acuity, reduced macular edema, and reduced central foveal thickness.

Intravitreal implant (Ozurdex) Clinical trial [54]
Postoperative uveitis Dexamethasone
  • Less postoperative inflammation and cystoid macular edema.

  • Minimal adverse effects.

  • Small sample size.

  • Non-documentation of preoperative CME.

Intravitreal implant (Ozurdex) Clinical trial [55]
Postoperative refractory panuveitis Dexamethasone
  • Significant improvement in best-corrected visual acuity.

  • No improvement in central retinal thickness or grade of anterior chamber cells.

  • Only n = 7.

Intravitreal implant (Ozurdex) Clinical trial [56]