Abstract
Treatment of vitreoretinal disorders often include repeated intraocular injections to achieve effective levels of the active substance in the target site. Intraocular drug delivery systems (IDDS) are considered an alternative to multiple injections as they release the encapsulated drug over long periods of time. Among them, biodegradable microparticles are very useful for intraocular administration because they can be injected as a conventional suspension without surgical procedures, to release the active substance over weeks or months. Microparticles can be loaded with different drugs useful to treat different pathologies affecting the back of the eye such as proliferative vitreoretinopathy, age-related macular degeneration, cytomegalovirus retinitis, diabetic retinopathy, endophthalmitis, glaucoma, herpes infection, macular edema, retinal vein occlusion, retinitis pigmentosa, and uveitis. Administration of microparticles can be performed by periocular, intravitreal, subretinal, or other intraocular routes to treat vitreoretinal disorders. Generally, microparticles are loaded with one active substance. Recently, biodegradable microparticles loaded with more than one drug (“combo microparticles”) are being developed. Moreover, biodegradable microspheres are potential tools for retinal repair in combination with retinal progenitor cells.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- PLA:
-
Poly(lactic) acid
- PGA:
-
Poly(glycolic) acid
- PLGA:
-
Poly(lactic-co-glycolic) acid
- GPC:
-
Gel permeation chromatography
- Mw:
-
Weight-average molecular weight
- Mn:
-
Number-average molecular weight
- PEG:
-
Polyethylene glycol
- kGy:
-
Kilo Gray
- Tg:
-
Glass transition temperature
- Tm:
-
Crystalline melting points
- Css:
-
Steady state concentration
- K0 :
-
Zero-order constant
- Vd :
-
Volume of the vitreous
- \( {K}_{e}\) :
-
Elimination rate constant
- G:
-
Gauge
- PBS:
-
Phosphate buffer solution
- BSS:
-
Buffer solution
- HA:
-
Hyaluronic acid
- HPMC:
-
Hydroxypropylmethyl cellulose
- AUC:
-
Area under the curve
- 5-FU:
-
5-fluorouracil
- VEGF:
-
Vascular Endothelial Growth Factor
- AMD:
-
Age macular degeneration (AMD)
- TA:
-
Triamcinolone acetonide
- PVR:
-
Proliferative vitreoretinopathy
- RPE:
-
Retinal pigment epithelium
- RD:
-
Retinal detachment
- RA:
-
Retinoic acid
- LPS:
-
Lipopolysaccharide
- TRD:
-
Tractional retinal detachment
- CyS:
-
Cyclosporine
- CNV:
-
Choroidal neovascularization
- ARN:
-
Acute retinal necrosis
- HSV:
-
Herpes simplex virus
- Da:
-
Daltons
- CMV:
-
Cytomegalovirus
- HCMV:
-
Human cytomegalovirus
- RGC:
-
Retinal ganglion cells (RGC)
- ECM:
-
Extracellular matrix
- MMP2:
-
Matrix metalloproteinase
- RPCs:
-
Retinal progenitor cells (RPCs)
References
Algvere P, Martini B (1979) Drainage of microspheres and rbcs from the vitreous of aphakic and phakic eyes. Arch Ophthalmol 97:1333–1336
Amrite AC, Kompella UB (2005) Size-dependent disposition of nanoparticles and microparticles following subconjunctival administration. J Pharm Pharmacol 57:1555–1563
Amrite AC, Ayalasomayajula SP, Cheruvu NPS et al (2006) Single periocular injection of Celecoxib-PLGA microparticles inhibits Diabetes-induced elevations in retinal PGE2, VEGF, and vascular leakage. Invest Ophthalmol Vis Sci 47:1149–1160
Barbosa D, Molina Martinez IT, Pastor J et al (2010) Tolerance of PLGA nano- and microparticles for juxtascleral injection (in press)
Barcia E, Herradon C, Herrero-Vanrell R (2005) Biodegradable additives modulate ganciclovir release rate from PLGA microspheres destined to intraocular administration. Lett Drug Des Discov 2:184–193
Barcia E, Herrero-Vanrell R, Diez A et al (2009) Downregulation of endotoxin-induced uveitis by intravitreal injection of polylactic-glycolic acid (PLGA) microspheres loaded with dexamethasone. Exp Eye Res 89:238–245
Beck LR, Pope VZ, Flowers CE Jr, et al (1983) Poly(DL-lactide-co-glycolide)/norethisterone microcapsules: an injectable biodegradable contraceptive. Biol Reprod 28:186–195
Bittner B, Mäder K, Kroll C, Borchert H et al (1999) Tetracycline-HCl-loaded poly (D, L-lactide-co-glycolide) microspheres prepared by a spray drying technique: influence of gamma-irradiation on radical formation and polymer degradation. J Control Release 59(1):23–32
Cardillo JA, Souza-Filho AA, Oliveira AG (2006) Intravitreal bioerudivel sustained-release triamcinolone microspheres system (RETAAC). Preliminary report of its potential usefulness for the treatment of diabetic macular edema. Arch Soc Esp Oftalmol 81:675–682
Chan IM, Tolentino FI, Refojo MF et al (1984) Vitreous substitute: experimental studies and review. Retina 41:51–59
Checa-Casalengua P, Jiang C, Bravo-Osuna I, et al (2011) Retinal ganglion cells survival in a glaucoma model by GDNF/Vit E PLGA microspheres prepared according to a novel microencapsulation procedure. J Control Release. 2011 Jun 23. [Epub ahead of print] PubMed PMID:21704662
Chowdhury DK, Mitra AK (2000) Kinetics of a model nucleoside (guanosine) release from biodegradable poly(DL-lactide-co-glycolide)microspheres: a delivery system for long-term intraocular delivery. Pharm Dev Technol 5:279–285
Colthrust MJ, Williams RL, Hiscott PS, Grierson I (2000). Biomaterials used in the posterior segment of the eye. Biomaterials 21:649–665
Conte U, Giunched PI, Puglisi G et al (1997) Biodegradable microspheres for the intravitreal administration of acyclovir: in vitro/in vivo evaluation. Eur J Pharm Sci 5:287–293
Delgado A, Evora C, Llabrés M (1996) Degradation of DL-PLA-methadone for intravitreal administration. J Control Release 99:41–52
Freitas S, Hans P, Merkle P, Gander B (2005) Microencapsulation by solvent extraction/evaporation: reviewing the state of the art of microsphere preparation process technology. J Control Release 102:313–332
Gaudio PA (2004) A review of evidence guiding the use of corticosteroids in the treatment of intraocular inflammation. Ocul Immunol Inflamm 12:169–192
Giordano GG, Refojo MF, Arroyo MH (1993) Sustained delivery of retinoic acid from microspheres of biodegradable polymer in PVR. Invest Ophthalmol Vis Sci 34:2743–2751
Giordano G, Chevez-Barrios P, Refojo MF et al (1995) Biodegradation and tissue reaction to intravitreous biodegradable poly(D, L-lactic-co-glycolic) acid microspheres. Curr Eye Res 14(9):761–768
Gomes Dos Santos AL, Bochot A, Fattal E (2005) Intraocular delivery of oligonucleotides. Curr Pharm Biotechnol 6:7–15
Gould L, Trope G, Cheng YL et al (1994) Fifty:fifty poly (dl glycolic acid-lactic acid) copolymer as a drug delivery system for 5-fluorouracilo: a histopathological evaluation. Can J Ophthalmol 29:168–171
Grizzi I, Garreau H, Li S et al (1995) Biodegradation of devices based on poly(DL-lactic acid): size-dependence. Biomaterials 16:305–311
He Y, Liu Y, Jiancheng W et al (2006) Cyclosporine-loaded microspheres for treatment of uveitis: in vitro characterization and in vivo pharmacokinetic study. Invest Ophthalmol Vis Sci 47:3983–3988
Henry K, Cantrill H, Fletcher C et al (1987) Use of intravitreal ganciclovir (dihydroxy propoxy methylguanine) for cytomegalovirus retinitis in a patient with AIDS. Am J Ophthalmol 103:17–23
Herrero R, Refojo MF (2001) Biodegradable microspheres for vitreoretinal drug delivery. Adv Drug Deliv Rev 52:5–16
Herrero-Vanrell R, Cardillo J (2010) Ocular pharmacokinetic, drug bioavailability and intraocular drug delivery systems. In: Nguyen QD, Rodrigues EB, Farah ME, Mieler WF (eds) Retinal pharmacotherapy. Sanders Elsevier, Amsterdam
Herrero-Vanrell R, Molina-Martínez IT (2007) PLA and PLGA microparticles for intravitreal drug delivery: an overview. J Drug Del Sci Tech 17:11–17
Herrero-Vanrell R, Ramírez L, Fernández-Carballido A et al (2000) Biodegradable PLGA microspheres loaded with ganciclovir for intraocular administration. Encapsulation technique, in vitro release profiles and sterilization process. Pharm Res 17:1323–1328
Jab DA, Enger C, Barlett JB (1989) Cytomegalovirus retinitis and acquired immunodeficiency syndrome. Arch Ophthalmol 107:75–80
Jiang C, Moore MJ, Zhang X et al (2007) Intravitreal injection of GDNF-loaded microspheres are neuroprotective in a rat model of glaucoma. Mol Vis 13:1783–1792
Khoobehi B, Stradtmann MO, Peyman GA et al (1991) Clearance of sodium fluorescein incorporated into microspheres from the vitreous after intravitreal injection. Ophthalmic Surg 22:175–180
Kompella UB, Bandi N, Ayalasomayajula SP (2003) Subconjunctival nano- and microparticles sustain retinal delivery of budesonide, a corticosteroid capable of inhibiting VEGF expression. Invest Ophthalmol Vis Sci 44:3562–3569
Kwak HW, D’Amico DJ (1992) Evaluation of the retinal toxicity and pharmacokinetics of dexamethasone after intravitreal injection. Arch Ophthalmol 110:259–266
Lee W, Park J, Yang EH (2002) Investigation of the factors influencing the release rates of cyclosporine A-loaded micro- and nanoparticles prepared by high-pressure homogenizer. J Control Rel 84:115–123
Li S (1999) Hydrolytic degradation characteristics of aliphatic polyesters derived from lactic and glycolic acids. J Biomed Mater Res B Appl Biomater 48(3):342–353
Mansoor S, Kuppermann BD, Kenney MC (2009) Intraocular sustained-release delivery systems for triamcinolone acetonide. Pharm Res 26:770–784
Martínez C, Herrero-Vanrell R, Negro S (2006) Vitamin A palmitate and aciclovir biodegradable microspheres for intraocular sustained release. Int J Pharm 326:100–106
Martinez-Sancho C, Herrero-Vanrell R, Negro S (2003a) Poly (D, L-lactide-co-glycolide) microspheres for long-term intravitreal delivery of acyclovir. Influence of fatty and non-fatty additives. J Microencapsulation 20:799–810
Martinez-Sancho C, Herrero-Vanrell R, Negro S (2003b) Optimisation of acyclovir poly (D, L lactide-co- glycolide) microspheres for intravitreal administration using a factorial design study. Int J Pharm 273:45–56
Martínez-Sancho C, Herrero-Vanrell R, Negro S (2004) Study of gamma-irradiation effects on aciclovir poly(D, L-lactic-co-glycolic) acid microspheres. J Control Rel 99:41–52
Maulding HV, Tice TR, Cowsar DR et al (1991) Preparation of poly(l-lactide) microspheres of different crystalline morphology and effect of crystalline morphology on drug release rate. J Control Rel 15(2):133–140
Maurice DM, Mishima S (1984) Ocular pharmacokinetics. In: Sears ML (ed) Handbook of experimental pharmacology. Springer, Berlin
Miller RA, Brady JM, Cutright DE (1977) Degradation rates of oral resorbable implants (polylactates and polyglycolates): rate modification with changes in PLA/PGA copolymer ratios. J Biomed Mater Res 11(5):711–719
Moritera T, Ogura Y, Honda Y et al (1991) Microspheres of biodegradable polymers as a drug-delivery system in the vitreous. Invest Ophthalmol Vis Sci 32:1785–1790
Moritera T, Ogura Y, Yoshimura N et al (1992) Biodegradable microspheres containing adriamycin in the treatment of proliferative vitreoretinopathy. Invest Ophthalmol Vis Sci 33:3125–3130
Moritera T, Ogura Y, Yoshimura N et al (1994) Feasibility of drug targeting to the retinal pigment epithelium with biodegradable microspheres. Curr Eye Res 13:171–176
Nijsen JF, van Het Schip AD, van Steenbergen MJ et al (2002) Influence of neutron irradiation on holmium acetylacetonate loaded poly (L-lactic acid) microspheres. Biomaterials 23(8):1831–1839
Paganelli F, Cardillo JA, Melo LAS Jr et al (2009) Brazilian Ocular Pharmacology and Pharmaceutical Technology Research Group (BOPP). A single intraoperative Sub-Tenon’s capsule injection of triamcinolone and ciprofloxacin in a controlled-release system for cataract surgery. Invest Ophthalmol Vis Sci 50:3041–3047
Park H, Park K (1996) Biocompatibility issues of implantable drug delivery systems. Pharm Res 13(12):1770–1776
Pastor JC (1998) Proliferative vitreoretinopathy: an overview. Surv Ophthalmol 43:3–18
Peyman GA, Conway M, Khoobehi B et al (1992) Clearance of microsphere-entrapped 5-fluorouracil and cytosine arabinoside from the vitreous of primates. Int Ophthalmol 16:109–113
Ranta UP, Urtti A (2006) Transcleral drug delivery to the posterior eye. Prospect of pharmacokinetic modeling. Adv Drug Deliv Rev 58:1164–1178
Rincon AC, Molina-Martinez I T, de las Heras B et al (2005) Biocompatibility of elastin-like polymers poly (VPAVG) microparticles: in vitro and in vivo studies. J Biomed Mat Res A 78:343–351
Robinson J C (1993) Ophthalmic drug delivery systems. In: Mitra AK (eds). Marcel Dekker, New York, p. 29
Rodríguez A, Calonge M, Pedroza-Seres M et al (1996) Referral patterns of uveitis in a tertiary eye care center. Arch Ophthalmol 114:593–599
Saishin Y, Siva RL, Callahan K et al (2003) Periocular injection of microspheres containing PKC412 inhibits choroidal neovascularization in a porcine model. Invest Ophthalmol Vis Sci 44(11):4989–4993
Sintzel MB, Schwach-Abdellaoui K, Mäder K et al (1998) Influence of irradiation sterilization on a semi-solid poly (ortho ester). Int J Pharm 175:165–176
Smith JR (2004) Management of uveitis. Clin Ex Med 4:21–29
Staniforth J (2002) Particle size analysis. In: Aulton ME (ed) Pharmaceutics. The science of dosage form design, 2nd edn. Churchill Livingstone, London
Thomas X, Bardet L, de Béchillon I et al (1993) Nouveaux polymères à usage pharmaceutique et biomédical, évaluation et qualification. Rapport d´une commission SFSTP. STP Pharma Pratiques 3(4):237–252
Tolentino I F, Cajita V N, Refojo M F (1989) Ophthalmology annual. In: Reinecke DR (ed). Raven Press, New York, p 337
Urata T, Arimori K, Nakano M (1999) Modification of release rates of cyclosporine form poly (L-lactic acid) microspheres by fatty acid esters and in-vivo evaluation of the microspheres. J Control Rel 58:133–141
Urtti A (2006) Challenges and obstacles of ocular pharmacokinetics and drug delivery. Adv Drug Deliv Rev 58:1131–1135
Veloso AAA, Zhu Q, Herrero-Vanrell R et al (1997) Ganciclovir-loaded polymer microspheres in rabbit eyes inoculated with human cytomegalovirus. Invest Ophthalmol Vis Sci 38:665–675
Visscher GE, Robinson RL, Maulding HV et al (1985) Biodegradation of and tissue reaction to 50:50 poly(DL-lactide-co-glycolide) microcapsules. J Biomed Mater Res 19(3):349–365
Yao J, Tucker B, Zhang X, Checa-Caslengua P, Herrero-Vanrell R, Young MJ (2011) Robust cell integration from co-transplantation of biodegradable MMP2- PLGA microspheres with retinal progenitor cells. Biomaterials 32:1041–1050
Yasukawa T, Ogura Y, Tabata Y et al (2004) Drug delivery systems for vitreoretinal diseases. Prog Retin Eye Res 23:253–281
Zimmer A, Kreuter J (1995) Microspheres and nanoparticles used in ocular delivery systems. Adv Drug Deliver Rev 16:61–73
Acknowledgments
The author thanks Vanessa Andres and Patricia Checa for their technical assistance. MAT 2010–6528, RETICS RD07/0062, and Research Group 920415 (CG/10) are acknowledged for financial support.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 American Association of Pharmaceutical Scientists
About this chapter
Cite this chapter
Herrero-Vanrell, R. (2011). Microparticles as Drug Delivery Systems for the Back of the Eye. In: Kompella, U., Edelhauser, H. (eds) Drug Product Development for the Back of the Eye. AAPS Advances in the Pharmaceutical Sciences Series, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-9920-7_10
Download citation
DOI: https://doi.org/10.1007/978-1-4419-9920-7_10
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4419-9919-1
Online ISBN: 978-1-4419-9920-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)