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Published on: May 31, 2024
More than Antibiotics: Latest Therapeutics in the Treatment and Prevention of Ocular Surface Infections
Ming-Cheng Chiang1, Edward Chern1,2
1niChe Lab for Stem Cell and Regenerative Medicine, Department of Biochemical Science and Technology, National Taiwan University, Taipei 10617, Taiwan.
Abstract:
Ocular surface infections have been common issues for ophthalmologists for decades. Traditional strategies for infection include antibiotics, antiviral agents, and steroids. However, multiple drug-resistant bacteria have become more common with the prevalence of antibiotic use. Furthermore, an ideal treatment for an infectious disease should not only emphasize eliminating the microorganism but also maintaining clear and satisfying visual acuity. Immunogenetic inflammation, tissue fibrosis, and corneal scarring pose serious threats to vision, and they are not attenuated or prevented by traditional antimicrobial therapeutics. Herein, we collected information about current management techniques including stem-cell therapy, probiotics, and gene therapy as well as preventive strategies related to Toll-like receptors. Finally, we will introduce the latest research findings in ocular drug-delivery systems, which may enhance the bioavailability and efficiency of ocular therapeutics. The clinical application of improved delivery systems and novel therapeutics may support people suffering from ocular surface infections.
Insights
New ocular infection treatments focus on eliminating microbes and preserving vision. Novel strategies like stem-cell therapy and advanced drug delivery combat drug resistance and prevent vision loss from scarring.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Regenerative Medicine
Background:
- Ocular surface infections are a persistent challenge for ophthalmologists.
- Traditional treatments (antibiotics, antivirals, steroids) face increasing bacterial resistance.
- Current therapies often fail to prevent vision-impairing complications like scarring and inflammation.
Purpose of the Study:
- To review current and emerging strategies for managing ocular surface infections.
- To highlight novel therapeutics and preventive approaches.
- To discuss advancements in ocular drug delivery systems.
Main Methods:
- Literature review of current management techniques.
- Exploration of stem-cell therapy, probiotics, and gene therapy.
- Analysis of preventive strategies targeting Toll-like receptors.
- Examination of recent developments in ocular drug-delivery systems.
Main Results:
- Emerging therapies show promise beyond simple microbial elimination.
- Stem-cell therapy, probiotics, and gene therapy offer new treatment avenues.
- Toll-like receptor modulation presents a potential preventive strategy.
- Advanced drug delivery systems can improve therapeutic bioavailability and efficacy.
Conclusions:
- Novel therapeutics and improved drug delivery are crucial for effective ocular infection management.
- Addressing inflammation and tissue damage is key to preserving visual acuity.
- Future clinical applications hold significant potential for patients with ocular surface infections.
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