TABLE 1.
Routes of Administration | Advantages | Disadvantages |
---|---|---|
Topical | Easy formulation | Frequent administration |
Patient-friendly (easy to apply) | Rapid wash out | |
Efficient for anterior segment disorders | Difficulties to reach the posterior site | |
Safe to use | Poor bioavailability | |
Low retention time on the eye surface | ||
Limited volume of dosage form | ||
Restricted by corneal barrier and tear film barrier | ||
Blurred vision (ointment form) | ||
Pre-ocular | Less-invasive (in comparison with intravitreal injection) | Low bioavailability |
Minor side effects | Restricted by ocular barriers | |
Efficient for posterior segment drug delivery | Rapid wash out | |
Deliver high amount of drugs to the target site | Risk of drug degradation | |
Long duration of action | ||
Intravitreal | Directly deliver the drugs to the posterior segment | Repeated injections |
Most efficient treatment for posterior segment | Invasive | |
Numerous side effects | ||
Systemic | Effective for the treatment of both anterior and posterior segments | Systemic side effects |
Restricted by blood ocular barriers (BRB and BAB) |