Transcorneal and Transscleral Iontophoresis of the Dexamethasone Phosphate
into the Rabbit Eye
Raiskup-Wolf F.1, Eljarrat-Binstock E.2, Rehák M.3, Domb A. 2, Frucht-Pery J.4
1Očná klinika, Fakultná nemocnica Univerzity Drážďany, Nemecko, prednosta prof. Dr. med. Lutz E. Pillunat 2Oddelenie lekárskej chémie a prírodných výrobkov, Lekárska fakulta, Hebrejská univerzita, Jeruzalem, Izrael, prednosta prof. Avi Domb, PhD.3Očná klinika, Fakultná nemocnica Univerzity Lipsko, Nemecko, prednosta prof. Dr. med. Peter Wiedemann4Očná klinika, Fakultná nemocnica Hadassah, Jeruzalem, Izrael, prednosta prof. Jacob Pe`er, M.D. |
|
Summary:
Purpose: To evaluate the efficiency of the dexamethasone phosphate
penetration into the rabbit eye after transcorneal and transscleral
iontophoresis using a drug loaded hydrogel assembled on a portable
iontophoretic Mini Ion device.
Methods: Iontophoresis of dexamethasone phosphate was studied in healthy
rabbits using drug-loaded disposable HEMA hydrogel sponges and portable
iontophoretic device. Corneal iontophoretic administration was performed
with electric current of 1 mAmp for 1, 2, and 4 min. In the control group, the
dexamethasone was applied in drops into the conjunctival sac.
Transconjunctival and transscleral iontophoresis were performed in the pars
plana area, through the conjunctiva or directly on the sclera. Dexamethasone
concentrations were assayed using HPLC method. To study the anatomical
changes after iontophoresis application, histological examinations of corneas
excised 5 minutes and 8 hours after the procedure were performed.
Results: Dexamethasone levels in the rabbits’ corneas after a single
transcorneal iontophoresis were up to 38 times higher compared to those
obtained after topical eye drops instillation. High drug concentrations were
obtained in the retina and sclera 4 hours after transscleral iontophoresis as
well. There were no statistically significant differences in the drug
concentration after transscleral and tranconjunctival iontophoresis.
Histological examination of the corneas after the iontophoresis showed only
discrete reversible changes of the epithelium and the stroma.
Conclusion: A short, low-current, non-invasive iontophoretic treatment using
the dexamethasone-loaded hydrogels has a potential clinical value in
increasing the drug’s penetration into the anterior and posterior segment of the
eye.
Key words:
iontophoresis, hydrogels, dexamethasone phosphate, concentration
of the drug, toxicity
|