ccc Flashcards

1
Q

What is the main challenge in ophthalmic drug delivery?

A

To prolong drug residence time and guarantee appropriate ocular permeation.

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2
Q

What are the two approaches to overcome challenges in ophthalmic drug delivery?

A
  1. Alternate delivery routes for direct access to target sites.
  2. Development of novel drug delivery systems.
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3
Q

What are the static barriers to drug penetration into the eye?

A
  • Cornea
  • Sclera
  • Bruch’s membrane
  • Retinal pigment epithelium (RPE)
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4
Q

What are the characteristics of the corneal barrier?

A
  • Epithelium (lipophilic)
  • Stroma (hydrophilic)
  • Endothelium (lipophilic)
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5
Q

What influences permeation behavior across the corneal barrier?

A
  • Ionization grade
  • Log P
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6
Q

What is the composition of the sclera?

A
  • Episclera
  • Sclera proper (Tenon’s capsule)
  • Lamina fusca
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7
Q

True or False: Diffusion of hydrophilic molecules is lower than lipophilic molecules in the sclera.

A

False

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8
Q

Describe the role of the retinal pigment epithelium (RPE).

A

The RPE forms a barrier between the retina and the choroid, maintaining retinal health and enabling photoreceptor function.

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9
Q

What are the dynamic barriers to drug penetration into the eye?

A
  • Spilling upon instillation
  • Tearing and reflex tearing
  • Drainage through ductus nasolacrimus
  • Conjunctival/episcleral clearance
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10
Q

What is the significance of metabolic barriers in ocular drug delivery?

A

They involve drug-metabolizing enzymes in ocular tissues, particularly in the ciliary body and RPE.

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11
Q

What are the new challenges associated with small molecules in ophthalmic formulation development?

A
  • Poor water solubility
  • Increased difficulty in developing eye drop solutions
  • Alternative formulations often less stable
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12
Q

What are some large molecules used in ocular formulations?

A
  • Peptides
  • Proteins
  • Nucleic acids
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13
Q

What is a consequence of using large molecules in ocular formulation development?

A

Increased complexity and longer development times.

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14
Q

What is the trend in drug delivery systems for treating diseases in the back of the eye?

A

A shift from topical forms to invasive forms to improve drug delivery.

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15
Q

Fill in the blank: The major goal in ocular delivery is to achieve an effective concentration of the drug in the _______.

A

[target tissues]

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16
Q

What strategies can optimize bioavailability in ocular drug delivery?

A
  • Screen for optimal molecule
  • Increase the number of free molecules
  • Increase residence time
  • Enhance permeation rate
17
Q

What is the conclusion regarding drug delivery to the eye?

A

It remains challenging due to the eye’s structure, and new approaches are being researched.

18
Q

What are the implications of the increased invasivity in ocular drug delivery?

A
  • Increased duration of action
  • Greater need for effective delivery to the back of the eye