1. In silico evaluation of corneal patch eluting anti-VEGF agents concept.
- Author
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Heljak MK, Cesur S, Ilhan E, Swieszkowski W, Gunduz O, and Kijeńska-Gawrońska E
- Subjects
- Humans, Tears metabolism, Tears drug effects, Vascular Endothelial Growth Factor A antagonists & inhibitors, Corneal Neovascularization drug therapy, Administration, Ophthalmic, Hydrogels chemistry, Drug Delivery Systems methods, Drug Liberation, Corneal Transplantation methods, Cornea metabolism, Cornea drug effects, Computer Simulation, Angiogenesis Inhibitors administration & dosage, Angiogenesis Inhibitors pharmacokinetics, Bevacizumab administration & dosage, Bevacizumab pharmacokinetics
- Abstract
This study introduces a novel approach utilizing a temporary drug-eluting hydrogel corneal patch to prevent neovascularization, alongside a numerical predictive tool for assessing the release and transport kinetics of bevacizumab (BVZ) after the keratoplasty. A key focus was investigating the impact of tear film clearance on the release kinetics and drug transport from the designed corneal patch. The proposed tear drug clearance model incorporates the physiological mechanism of lacrimal flow (tear turnover), distinguishing itself from previous models. Validation against experimental data confirms the model's robustness, despite limitations such as a 2D axisymmetrical framework and omission of blink frequency and saccadic eye movements potential effects. Analysis highlights the significant influence of lacrimal flow on ocular drug transport, with the corneal patch extending BVZ residence time compared to topical administration. This research sets the stage for exploring multi-layer drug-eluting corneal patches as a promising therapeutic strategy in ocular health., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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