Revolutionizing age-related macular degeneration treatment: Advances and future directions in non-invasive retinal...

Age-related macular degeneration (AMD) remains a leading cause of vision loss worldwide. While anti-VEGF therapies are effective, they rely heavily on invasive intravitreal injections, which carry risks such as infection, retinal detachment, and poor patient compliance. Recent advances in nanotechnology and biomaterials have catalyzed the development of non-invasive drug delivery systems capable of targeting the retina through topical administration. This review explores the complex anatomical and physiological barriers to ocular drug delivery and highlights cutting-edge strategies-such as liposomes, solid lipid nanoparticles, polymeric carriers, micelles, and nanoemulsions-designed to overcome these challenges. Emerging technologies, including drug-eluting contact lenses, microneedle arrays, iontophoretic systems, and hydrogel-based platforms, offer promising avenues for sustained, patient-friendly retinal therapy. However, clinical translation faces significant hurdles related to drug bioavailability, barrier penetration, long-term safety, and regulatory validation. Future perspectives underscore the need for personalized, stimuli-responsive delivery systems and multidisciplinary collaboration to bridge the gap between laboratory innovation and clinical application. By integrating advances in nanomedicine, biomaterials science, and ophthalmology, the next generation of topical ocular therapies is poised to redefine the management of retinal diseases, offering safer, more sustainable, and widely accessible alternatives to intravitreal injections.