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Table 3 The application of nanomaterials in combination with antibacterial and antiviral drugs in the treatment of ocular diseases

From: Next-generation nanomaterials: advancing ocular anti-inflammatory drug therapy

Antibacteria & antiviral drugs

Nanomaterials

Size (nm)

Production method

Cells

(in vitro)

Animals

(in vivo)

Administration route

Characteristics and effects

Refs.

Flucytosine

AuNPs and F6 nanoliposomes

135.1 ± 12.0

Thin film hydration method

Cellulose membrane system

C. albicans-induced fungal endophthalmitis in rabbits

Eye drops

Flucytosine-loaded AuNPs and recipe F6 nanoliposomes exhibited the highest intraocular penetration depth of intraocular penetration and a potent antifungal effect

[207]

VRC

PBA-CS-VE nanomicelles

113 ± 5

Ethanol injectionmethod

HCE-T cells and cellulose membrane system

C. albicans-induced fungal keratitis in rabbits

Eye drops

VRC-loaded PBA-CS-VE nanomicelles exhibited robust mucoadhesive properties, remarkable corneal penetration ability, and prolonged retention in the anterior ocular segment

[208]

VRC

Glyceryl behenate/capric caprylic triglyceride, P80, sorbitan trioleate, and cetylpyridinium chloride NLCs

250.2 ± 03.1

Microemulsion method

Isolated corneas of pigs and HET-CAM test

–

Eye drops

VRC-loaded NLCs exhibited a high drug encapsulation efficiency and enhanced drug delivery to the cornea

[209]

Fluconazole

Liposomes

–

Reverse-phase evaporation method

–

C. albicans-induced fungal keratitis in rabbits

Eye drops

Fluconazole-loaded liposomes exhibited a superior antibacterial effect compared to the conventional fluconazole solution

[210]

T-HCL

Isopropyl myristate/Miglyol 812, Tween 80/Cremophor EL, and polyethylene glycol 400 nanoemulsions gels

 < 30

Water titration method

-

C. albicans-induced fungal keratitis in rabbits

Eye drops

T-HCL-loaded sterilized F31 formula in situ NE gel exhibited minimal eye irritation, elevated Cmax, extended time to reach Tmax, prolonged MRT, and enhanced bioavailability

[211]

Ciprofloxacin

SA, DP, Soybean PC, CH, and Carbopol 940 liposomal hydrogel

–

Reverse-phase evaporation method

Isolated corneas of rabbits

–

Eye drops

Ciprofloxacin-loaded liposomal hydrogel composed of PC/CH at a molar ratio of 5:3 exhibited the highest encapsulation efficiency. Ciprofloxacin-loaded liposomal hydrogel composed of PC, CH, and SA at molar ratio 5:3:1 exhibited the best penetration effect in the cornea

[212]

Levofloxacin

Stearic acid, Tween 80, and sodium deoxycholate SLNs

2.237

Box-Behnken design optimization method

E. coli and S. aureus, solate corneas of goats, and HET-CAM test

–

Eye drops

Levofloxacin-loaded SLNs exhibited rapid attainment of effective drug concentrations in excised goat corneas, sustained drug release, no eye irritation, and inhibition of Staphylococcus aureus and Escherichia coli

[213]

OFX

COL, PEG 400, and glycerin NLCs

153.5 ± 2.3

High shear homogenization

method

Isolated corneas of rabbits

Staphylococcus aureus-induced keratitis in rabbits

Eye drops

OFX-loaded NLCs supplemented with glycerol (Ins3OFX) exhibited enhanced biocompatibility, prolonged retention time in the eye, and increased Cmax

[214]

Daptomycin

CS-NPs

200

Ionotropric gelation method

STF

–

–

Daptomycin-loaded CS-NPs exhibited interactions with mucin to increase residence time in the eye and potent bacterial inhibition in in vitro buffer solution experiments

[215]

BSF

CTAB-CNLCs

98.04–230.12

Simple melt emulsification method

Conjunctival fibroblasts

–

Eye drops

BSF-loaded CTAB-CNLCs exhibited favorable penetration through the 3D tissue model, non-cytotoxicity, and physical stability

[216]

Moxifloxacin hydrochloride

HA-LCS-NPs

141.1 ± 4.29

Iionotropic gelation method

Isolated corneas of rabbits and cellulose membrane system

Rabbits

Eye drops

Moxifloxacin hydrochloride-loaded HA-LCS-NPs exhibited elevated bioavailability, minimal eye irritation, and high MRT, AUC0-6 h, and Papp values than those of commercially available products

[217]

Acyclovir

Cyclodextrin and PVP nanofibers

370–505

Water titration method

Artificial saliva

–

–

Acyclovir-loaded cyclodextrin nanofibers exhibited highly water solubility and rapid dissolution

[218]

Acyclovir and ciprofloxacin

PVP and PCL electrospun nanofibers

267–932

–

PK-Eye model

–

Intravitreal injections

Acyclovir and ciprofloxacin-loaded PCL electrospun nanofibers exhibited sustained drug release

[219]

  1. AuNPs gold nanoparticles; VRC voriconazole; F6 (phosphatidylcholine, cholesterol, Span 60, and stearylamine at a molar ratio of 1:1:1:0.15); PBA-CS-VE phenylboronic acid conjugated chitosan oligosaccharide-vitamin E copolymer; CS chitosan; OFX ofloxacin; T-HCl terbinafine hydrochloride; BSF Besifloxacin hydrochloride; PC phosphatidylcholine; CH cholesterol; SA stearylamine; HA-LCS-NPs hyaluronic-acid-modified lipid-polymer hybrid nanoparticles; HA hyaluronic; MRT mean residence time; AUC area under the curve; Papp apparent permeability coefficients; COL chitosan oligosaccharide lactate; CTAB hexadecyltrimethylammonium bromide; CNLC cationic nanostructured lipid carriers; PVP hydrophilic poly(vinylpyrrolidone); PCL poly(ε-caprolactone); F31, Miglyol® 812, Cremophor® EL polyethylene glycol 400 (1:2) and water (5, 55 and 40%, w/w, respectively); HET-CAM Hen’s egg test-chorioallantoic membrane; PK-Eye model two-compartment model designed to mimic the intraocular aqueous outflow