An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery

Dry eye syndrome (DES, Keratoconjunctivitis sicca) is a common disorder of the tear film caused by decreased tear production or increased evaporation. Changes in tear composition also promote inflammation on the ocular surface by various mechanisms. Artificial tear drops, tear retention treatment, s...

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Main Authors: Burçin Yavuz, Sibel Bozdağ Pehlivan, Nurşen Ünlü
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/194848
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author Burçin Yavuz
Sibel Bozdağ Pehlivan
Nurşen Ünlü
author_facet Burçin Yavuz
Sibel Bozdağ Pehlivan
Nurşen Ünlü
author_sort Burçin Yavuz
collection DOAJ
description Dry eye syndrome (DES, Keratoconjunctivitis sicca) is a common disorder of the tear film caused by decreased tear production or increased evaporation. Changes in tear composition also promote inflammation on the ocular surface by various mechanisms. Artificial tear drops, tear retention treatment, stimulation of tear secretion, or anti-inflammatory drugs may be used for dry eye treatment according to the severity of the disease. For untreated patients, the risk of ocular infection increases at considerable level and clinical course of the disease may proceed up to infection, corneal ulcer, and blindness. Artificial tears and/or punctual occlusions are used for tear replacement or preservation. New treatment approaches are designed to modify the underlying disease process. For the treatment of severe dry eye disease, cyclosporin A (CsA), the first one of the new generation immunomodulatory drugs, which has an anti-inflammatory effect, is frequently used. CsA has immunosuppressive effects following systemic application. Following local administration of CsA, it is expected to obtain effective drug concentration at the target area and to avoid the various side effects associated with systemic delivery. Microspheres, implants, and liposomes have been developed for administration of CsA subconjunctivally in order to enhance its efficiency.
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spelling doaj-art-a52223a852c9467385cdeaa8f0e6fd732025-02-03T05:43:34ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/194848194848An Overview on Dry Eye Treatment: Approaches for Cyclosporin A DeliveryBurçin Yavuz0Sibel Bozdağ Pehlivan1Nurşen Ünlü2Department of Pharmaceutical Technology, Faculty of Pharmacy, Hacettepe University, 06100 Ankara, TurkeyDepartment of Pharmaceutical Technology, Faculty of Pharmacy, Hacettepe University, 06100 Ankara, TurkeyDepartment of Pharmaceutical Technology, Faculty of Pharmacy, Hacettepe University, 06100 Ankara, TurkeyDry eye syndrome (DES, Keratoconjunctivitis sicca) is a common disorder of the tear film caused by decreased tear production or increased evaporation. Changes in tear composition also promote inflammation on the ocular surface by various mechanisms. Artificial tear drops, tear retention treatment, stimulation of tear secretion, or anti-inflammatory drugs may be used for dry eye treatment according to the severity of the disease. For untreated patients, the risk of ocular infection increases at considerable level and clinical course of the disease may proceed up to infection, corneal ulcer, and blindness. Artificial tears and/or punctual occlusions are used for tear replacement or preservation. New treatment approaches are designed to modify the underlying disease process. For the treatment of severe dry eye disease, cyclosporin A (CsA), the first one of the new generation immunomodulatory drugs, which has an anti-inflammatory effect, is frequently used. CsA has immunosuppressive effects following systemic application. Following local administration of CsA, it is expected to obtain effective drug concentration at the target area and to avoid the various side effects associated with systemic delivery. Microspheres, implants, and liposomes have been developed for administration of CsA subconjunctivally in order to enhance its efficiency.http://dx.doi.org/10.1100/2012/194848
spellingShingle Burçin Yavuz
Sibel Bozdağ Pehlivan
Nurşen Ünlü
An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
The Scientific World Journal
title An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
title_full An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
title_fullStr An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
title_full_unstemmed An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
title_short An Overview on Dry Eye Treatment: Approaches for Cyclosporin A Delivery
title_sort overview on dry eye treatment approaches for cyclosporin a delivery
url http://dx.doi.org/10.1100/2012/194848
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