Pharmacologic Therapy Of Ocular Disease

There have been major advancements in the pharmacologic treatment of eye diseases over the past decade. With newly discovered disease targets and novel approaches to deliver therapeutic compounds to the eye, patients are seeing improved outcomes. Not only are there better treatments for diseases where treatments existed, we now have effective therapy for previously untreatable and blinding eye disorders. This volume will cover the pharmacologic treatment of eye diseases from the front of the eye including eyelids, conjunctiva and cornea all the way back to the retina and optic nerve. The first section of the volume reviews general principles of ocular pharmacology, pharmacokinetics, pharmaceutical sciences, and drug delivery. In addition, the volume provides an up to date guide to the pharmacologic approach to the key eye diseases that threaten sight or ocular function.

This book is a comprehensive guide to ocular pharmacology for trainees and practising ophthalmologists. Beginning with the basic physiological aspects of ocular pharmacology and ophthalmic drug administration, the following sections discuss different types of drugs used in the treatment of eye disease. The final sections examine contact lens care systems, nutritional supplements and adverse effects of systematically administered drugs into the eye. This useful, quick reference text is highly illustrated with more than 145 images and tables. Key points Comprehensive guide to ocular pharmacology for trainees and practising ophthalmologists Covers different drugs for treatment of eye diseases Includes section on adverse effects of systematically administered drugs Highly illustrated with more than 145 images and tables

The research on ocular pharmacology has increased significantly, over the past decade. More recently, the discovery and approval of eye disease modifying treatments is considered an unbelievable scientific breakthrough. Anti-VEGF molecules, cell therapy and gene therapy for age-related retinal degeneration, autologous corneal cells replacement, and Leber’s congenital amaurosis to name a few as some impressive examples. New drugs have been recently introduced for the treatment of glaucoma focusing on new pharmacological targets, such as Rho kinase inhibitors. For example, such novel treatments have been approved for optic neuromyelitis spectrum disorders. Regarding diseases of the front of the eye, advances have been reached with approval of recombinant Nerve Growth Factor (cenegermin) for treatment of neurotrophic keratitis. New discoveries and treatments recently introduced in ophthalmology should promote new efforts and encourage research in ocular pharmacology. It is noteworthy that several medical unmet needs remain in the field of ocular diseases, particularly for glaucoma, diabetic retinopathy (DR) and age-related macular degeneration (AMD). Early stages of DR or dry AMD need a cure and glaucoma deserves a new therapeutic approach in terms of retinal ganglion cells protection. Furthermore, current pharmacological treatments of glaucoma do not address one major issue underlying the pathology: neuroinflammation. When it comes to dry eye disorders, novel ophthalmic formulations and research findings focusing on immunomodulatory responses are welcomed to provide new insights on these conditions. Finally, one of the most challenging aspects in ocular pharmacology is related to ocular drug delivery. This Research Topic would like to address and discuss important medical unmet needs, and include a tangible contribution to handle sight threatening diseases that have a devastating impact not only for the patients but also for the healthcare system. This Research Topic aims to translate new basic science into clinically breakthrough therapies to help patients faced with debilitating ocular diseases. The Topic welcomes submissions of Original Research, Reviews, Clinical trials, and Case Reports articles that cover the following topics, but not limited to: • Diagnostic and prognostic biomarkers as potential pharmacological target of eye diseases (glaucoma, retinal diseases, ocular surface diseases). • Investigation on novel pharmacological targets for treatment of diabetic retinopathy, age related macular degeneration, glaucoma and dry eye. • New ocular drug delivery systems.

The third edition of this book Ocular Therapeutics has been completely updated with addition of all new ocular drugs and delivery systems in every group of medicine used in ophthalmic disease and surgeries. Sixty-nine chapters of this line have been grouped as preliminary section, Applied Ocular Therapeutics and Recent Advances. In this comprehensive book leading International Ocular Drug Experts have shared their experiences and evidence-based knowledge in the form of chapters. It shall serve as ready reference for all ophthalmologists world-wide who are engaged in eradication of global blind.

This therapeutic reference available worldwide, combines pharmacology and the clinical application of medications used in ophthalmology to provide ophthalmologists and eyecare practitioners the information needed to treat ocular conditions. Current concepts in medical therapy are reviewed for all common and many rare eye diseases.

Written by experts in the field, this comprehensive resource offers valuable information on the practical uses of drugs in primary eye care. Discussions of the pharmacology of ocular drugs such as anti-infective agents, anti-glaucoma drugs, and anti-allergy drugs lead to more in-depth information on ocular drugs used to treat a variety of disorders, including diseases of the eyelids, corneal diseases, ocular infections, and glaucoma. The book also covers ocular toxicology, focusing on drug interactions, ocular effects of systemic drugs, and life-threatening systemic emergencies.

Handbook of Basic and Clinical Ocular Pharmacology and Therapeutics provides a review of the basic anatomy, physiology, biochemistry and pathology of the eye with a focus drug therapy, drug delivery and use of therapeutic medical miniature devices. An understanding of the pharmacological actions of drugs acting on the eye requires the student and health care practitioner to learn additional principles in basic and clinical sciences that are unique to this organ. As a sensory organ, the eye is relatively inaccessible to the systemic circulation due to the blood-vitreous, blood-aqueous and blood-retinal barriers. Consequently, the administration of drugs for therapeutic effects in the eye necessitates an understanding of physico-chemical properties of the molecules and pharmacokinetic principles involved in the access to its site of action via topical, intracameral and intravitreal administration. This book includes information on the general principles of pharmacokinetics and pharmacodynamics of drugs as it pertains to the eye and in combating ocular disorders and diseases. Using a disease-themed approach, the book discusses basic and clinical pharmacological principles involved in the therapy of these diseases including the ocular side effect of systemically-administered drugs, drugs used in ophthalmic surgery and miscellaneous agents, the therapeutic utility of biologics, drug conjugates, combination products, gene and cellular therapy are also covered. Handbook of Basic and Clinical Ocular Pharmacology and Therapeutics is useful as a primary and secondary source of reference for up-to-date information about the pharmacological mechanisms of action, pharmacokinetics, side effects, drug-drug interactions and therapeutic indications of drugs for pharmacologists, pharmaceutical scientists, students in the health care disciplines (nursing, pharmacy, optometry, medical), and practitioners in optometry and ophthalmology. Explains the mechanisms of action, side-effects and therapeutic uses of drugs, biologics, miniature devices, gene and cellular therapies for the eye Provides a comprehensive review of the anatomy, physiology, biochemistry, pharmacology, microbiology, genetics and pathology of parts of the eye involved in drug therapy to combat eye disorders and diseases Explores the pharmacological and clinical basis of drugs, drug conjugates, combination products used in the treatment of anterior and posterior segment diseases

This book provides basic knowledge about pharmacology and therapeutics of important drugs related to ophthalmic practice. The book will be of great help to ophthalmologists, who are doing wonders for the patients with their surgical skills, but often face difficulty in finding a proper drug necessary to combat the inflammatory or infective processes.