Advances in ophthalmic drug delivery technology for postoperative management after cataract surgery

Expert Opin Drug Deliv. 2022 Aug;19(8):945-964. doi: 10.1080/17425247.2022.2109624. Epub 2022 Aug 9.

Abstract

Introduction: Cataract surgery is becoming more common due to an aging world population. Intraocular lenses and surgical technique have developed remarkably recently, but the development of postoperative medication to prevent postsurgery complications has been relatively delayed. We still largely depend on eye drops for the management of post-cataract-surgery patients. Mental and physical problems that often occur in elderly cataract patients make it difficult for patients to apply eye drops by themselves. It is necessary to develop new effective drug delivery methods.

Areas covered: This updated review article provides a brief review of why drug management is needed following cataract surgery and an overview of current developments in new drug delivery methods for ophthalmic treatment. In particular, various novel drug delivery methods that can be used for post-cataract-surgery management and their current development stages are extensively reviewed.

Expert opinion: Rapidly developing technologies, such as intraocular and external ophthalmic implants, polymers, and nanotechnology, are being actively applied to develop novel drug delivery systems for safe and effective management after cataract surgery. Their goal is to achieve sufficient drug release for the desired duration with a single application. These will largely replace the inconvenience of eye drops for elderly patients in the future.

Keywords: Antibiotic; cataract; drug; implant; nanotechnology; polymer; steroid; surgery.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cataract Extraction* / adverse effects
  • Cataract* / drug therapy
  • Cataract* / prevention & control
  • Drug Delivery Systems
  • Humans
  • Ophthalmic Solutions
  • Postoperative Complications / drug therapy
  • Technology

Substances

  • Ophthalmic Solutions