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Recent advances in nanotechnology for the treatment of fungal keratitis
Fang Zhang1,2, Jingjing Zhang3, Weifen Zhang1,2
1College of Pharmacy, Weifang Medical University, Weifang, Shandong, PR China.
Abstract:
Fungal keratitis (FK) is a serious pathogenic disease usually associated with serious ocular complications. The current mainstay of treatment for FK is topical eye drops; however, poor corneal penetration, low bioavailability of the drug and the need to administer high and frequent doses due to the presence of an effective clearance mechanism in the eye result in poor patient compliance. Nanocarriers can extend the duration of drug action through sustained and controlled release of the drug, protect the drug from ocular enzymes and help overcome ocular barriers. In this review, we discussed the mechanisms of action of antifungal drugs, the theoretical basis for the treatment of FK, and recent advances in the clinical treatment of FK. We have summarized the results of research into the most promising nanocarriers for ocular drug delivery and highlight their efficacy and safety in the therapy.
Insights
Fungal keratitis (FK) treatment faces challenges with topical eye drops. Nanocarriers offer improved ocular drug delivery, enhancing antifungal therapy efficacy and patient compliance for serious eye infections.
Area of Science:
- Ophthalmology
- Pharmacology
- Nanotechnology
Background:
- Fungal keratitis (FK) is a severe ocular infection with limited treatment options.
- Current topical antifungal eye drops suffer from poor corneal penetration, low bioavailability, and necessitate frequent dosing, leading to poor patient compliance.
- Nanocarriers present a promising strategy to overcome these limitations in ocular drug delivery.
Purpose of the Study:
- To review the mechanisms of action of antifungal drugs for FK.
- To discuss the theoretical basis and recent advances in FK clinical treatment.
- To summarize research on nanocarriers for ocular antifungal drug delivery, evaluating their efficacy and safety.
Main Methods:
- Literature review of antifungal drug mechanisms.
- Analysis of theoretical approaches to FK treatment.
- Synthesis of research findings on nanocarrier-based ocular drug delivery systems for FK.
Main Results:
- Nanocarriers can improve drug penetration and bioavailability in the cornea.
- Sustained and controlled release from nanocarriers enhances drug duration and efficacy.
- Nanocarriers protect antifungal drugs from ocular degradation and clearance mechanisms.
Conclusions:
- Nanocarriers show significant potential for improving the treatment of fungal keratitis.
- Optimized nanocarrier formulations can enhance drug delivery, efficacy, and patient compliance.
- Further research into nanocarrier safety and efficacy is crucial for clinical translation in FK therapy.
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