Summary of recent applications of hydrogels as intravitreal DDS

DiseaseHydrogel compositionDelivery route & active ingredientsStudy phaseRelease durationAdvantages & limitationsReference
Retinal neovascularizationGelMATriamcinolone acetonideIn vitro; ex vivoMore than 90 daysThe degradation process does not obstruct the trabecular meshwork; gelatin is an inexpensive material; no sudden release burst, reducing the risk of cytotoxicity; no measurements of kinetic release profile in vivo[76]
Pluronic 127RanibizumabIn vitro; in vivo (rabbits)More than 7 weeksThe first study to create a Schiff-based injectable; dynamic reversible gel-sol conversion can be squeezed out of a syringe easily; self-healing properties that protect the drug while preventing dispersed particles from obstructing aqueous humor circulation[74]
PNM/PNFDexamethasone; anti-VEGFIn vitro; ex vivo (rabbits)Dexamethasone: 35 days; anti-VEGF antibody: 13 daysThermosensitive; prolonged degradation time under neutral pH; the optimal dosing regimen remains unclear; further preclinical and clinical trials are needed[91]
Wet AMDPeptide amphiphile molecule (E-PA)RanibizumabIn vitro; in vivo (rabbits)10–150 hoursDosage can be adjusted for each patient by changing peptide concentration; biodegradable[87]
CaCl2anti-VEGF agent; betamethasone phosphate (BetP) disodiumIn vitro; in vivo (mice)30 daysAntioxidant properties; the formulation is easy to prepare and is suitable for mass production; future clinical trials on human patients required; limited understanding of the mechanism behind BetP-based DDS[88]
F127/F68Rhein; baicaleinIn vitro; in vivoAt least 14 daysThermosensitive; inhibit choroidal neovascularization through anti-angiogenic and anti-oxidative stress pathways; alternative therapy for wet AMD patients who are unresponsive to anti-VEGF antibodies[89]

DDS: drug delivery systems; GelMA: gelatin methacryloyl; PNM/PNF: polynuclear metalloids/proprioceptive neuromuscular facilitation; VEGF: vascular endothelial growth factor; AMD: age-related macular degeneration