A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses

Soft contact lenses are increasingly being explored as a vehicle for controlled delivery of ophthalmic drugs. However, traditional methods of drug-loading by soaking have limitations such as burst delivery and the release of drugs at the front side of the lens, leading to poor drug efficacy and syst...

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Main Authors: Malake Sarmout, Yutang Xiao, Xiao Hu, Aiym Rakhmetova, Leo H. Koole
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023041233
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author Malake Sarmout
Yutang Xiao
Xiao Hu
Aiym Rakhmetova
Leo H. Koole
author_facet Malake Sarmout
Yutang Xiao
Xiao Hu
Aiym Rakhmetova
Leo H. Koole
author_sort Malake Sarmout
collection DOAJ
description Soft contact lenses are increasingly being explored as a vehicle for controlled delivery of ophthalmic drugs. However, traditional methods of drug-loading by soaking have limitations such as burst delivery and the release of drugs at the front side of the lens, leading to poor drug efficacy and systemic side effects. This study introduces a new methodology, termed asymmetric drug loading, whereby the ophthalmic drug ‘Rebamipide’ is attached to and released from the post-lens (=cornea-contacting) surface exclusively. The methodology involves using polymeric microparticles that carry a lipophilic crystalline ophthalmic drug at their surface. These drug-loaded microparticles first transfer the drug to the concave surface of the contact lens, and when worn, the drug is transferred again, now from the lens to the cornea. This is achieved through the diffusion of the drug from one hydrophobic microenvironment (the silicone moieties of the contact lens polymer network) to another hydrophobic microenvironment (the corneal epithelium) over a short pathway. The second drug transfer was observed and studied in experiments using an ex vivo porcine eye model. The results show that the drug amount that was absorbed by the cornea after applying the rebamipide-loaded contact lenses is approximately 3× (10.7 ± 3.1 μg) as much as the amount of rebamipide that gets transferred after the instillation of one eye drop (1% solution (p < 0.001). The new drug-loading method offers a practical and reproducible means of delivering ophthalmic drugs to the cornea through soft contact lenses. The drug payloads achieved are comparable to dosages used during eye drop therapy.
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spelling doaj.art-1db8c5453e96444ba1fb518b8cbccaac2023-06-10T04:28:11ZengElsevierHeliyon2405-84402023-06-0196e16916A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lensesMalake Sarmout0Yutang Xiao1Xiao Hu2Aiym Rakhmetova3Leo H. Koole4Innovative Engineering Laboratory for Ocular Drug Delivery, Eye Hospital of Wenzhou Medical University, School of Ophthalmology and Optometry, Wenzhou, ChinaInnovative Engineering Laboratory for Ocular Drug Delivery, Eye Hospital of Wenzhou Medical University, School of Ophthalmology and Optometry, Wenzhou, ChinaInnovative Engineering Laboratory for Ocular Drug Delivery, Eye Hospital of Wenzhou Medical University, School of Ophthalmology and Optometry, Wenzhou, ChinaInnovative Engineering Laboratory for Ocular Drug Delivery, Eye Hospital of Wenzhou Medical University, School of Ophthalmology and Optometry, Wenzhou, ChinaCorresponding author. The Eye Hospital of Wenzhou Medical University, School of Ophthalmology &amp; Optometry, School of Biomedical Engineering, 270 Xueyuan Road, Wenzhou, Zhejiang, 325027, China.; Innovative Engineering Laboratory for Ocular Drug Delivery, Eye Hospital of Wenzhou Medical University, School of Ophthalmology and Optometry, Wenzhou, ChinaSoft contact lenses are increasingly being explored as a vehicle for controlled delivery of ophthalmic drugs. However, traditional methods of drug-loading by soaking have limitations such as burst delivery and the release of drugs at the front side of the lens, leading to poor drug efficacy and systemic side effects. This study introduces a new methodology, termed asymmetric drug loading, whereby the ophthalmic drug ‘Rebamipide’ is attached to and released from the post-lens (=cornea-contacting) surface exclusively. The methodology involves using polymeric microparticles that carry a lipophilic crystalline ophthalmic drug at their surface. These drug-loaded microparticles first transfer the drug to the concave surface of the contact lens, and when worn, the drug is transferred again, now from the lens to the cornea. This is achieved through the diffusion of the drug from one hydrophobic microenvironment (the silicone moieties of the contact lens polymer network) to another hydrophobic microenvironment (the corneal epithelium) over a short pathway. The second drug transfer was observed and studied in experiments using an ex vivo porcine eye model. The results show that the drug amount that was absorbed by the cornea after applying the rebamipide-loaded contact lenses is approximately 3× (10.7 ± 3.1 μg) as much as the amount of rebamipide that gets transferred after the instillation of one eye drop (1% solution (p < 0.001). The new drug-loading method offers a practical and reproducible means of delivering ophthalmic drugs to the cornea through soft contact lenses. The drug payloads achieved are comparable to dosages used during eye drop therapy.http://www.sciencedirect.com/science/article/pii/S2405844023041233Ocular drug deliveryContact lensDrug-eluting contact lensMicroparticlesCorneaRebamipide
spellingShingle Malake Sarmout
Yutang Xiao
Xiao Hu
Aiym Rakhmetova
Leo H. Koole
A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
Heliyon
Ocular drug delivery
Contact lens
Drug-eluting contact lens
Microparticles
Cornea
Rebamipide
title A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
title_full A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
title_fullStr A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
title_full_unstemmed A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
title_short A novel approach to achieve semi-sustained drug delivery to the eye through asymmetric loading of soft contact lenses
title_sort novel approach to achieve semi sustained drug delivery to the eye through asymmetric loading of soft contact lenses
topic Ocular drug delivery
Contact lens
Drug-eluting contact lens
Microparticles
Cornea
Rebamipide
url http://www.sciencedirect.com/science/article/pii/S2405844023041233
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