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https://www.researchgate.net/publication/47790017_Ophthalmic_delivery_of_cyclosporin_A_by_punctal_plugs
Ophthalmic delivery of cyclosporin A by punctal plugs. Dry eyes are treated by instillation of eye drops of cyclosporine A emulsion or by punctal plug insertion in canaliculus to block tear drainage.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3051398/
Sep 01, 2010 · For instance, cyclosporine-loaded punctal plugs made of HEMA core and coated with a silicone shell on all sides except the cylindrical head showed near zero-order release, with a release rate of approximately 3.0 μg/day over 45 days . Punctal plug-mediated ocular delivery of latanoprost is in Phase II clinical study (QLT, Inc., BC, Canada).
https://www.occeye.com/wp-content/uploads/2017/03/incorporating-cyclosporine.pdf
and punctal plugs. Note that for a patient with inflammatory ocu-lar disease who has dry eye, I’ll use cyclosporine ophthalmic instead of punctal plugs as first-line therapy. Inflammatory mediators reside in the tear film, meaning that plugs often will exacerbate the dry eye. Using plugs after cyclosporine ophthalmic
https://www.dovepress.com/clinical-utility-of-cyclosporine-csa-ophthalmic-emulsion-005-for-sympt-peer-reviewed-fulltext-article-OPTH
Clinical utility of cyclosporine (CsA) ophthalmic emulsion 0.05% for symptomatic relief in people with chronic dry eye: a review of the literature Michelle K Rhee,1 Francis S Mah21Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 2Scripps Clinic Torrey Pines, La Jolla, CAAbstract: To review the literature on the efficacy of cyclosporine (CsA) ophthalmic ...
http://www.whitewatereyecenters.com/wp-content/uploads/Cyclosporine-Punctal-Occlusion2.pdf
ophthalmic emulsion (RESTASIS) twice daily, lower-lid punctal plugs (PARASOL), or a plugs-cyclosporine com bination. Tear volume, ocular surface staining, and artificial tear use were assessed at baseline and I, 3, and 6 months.
https://journals.lww.com/corneajrnl/Abstract/2007/08000/Comparison_of_Topical_Cyclosporine,_Punctal.7.aspx
Methods: Patients with dry eye (N = 30) seen in a university-affiliated private practice were randomized to 1 of 3 treatments: cyclosporine 0.05% ophthalmic emulsion (RESTASIS) twice daily, lower-lid punctal plugs (PARASOL), or a plugs-cyclosporine combination. Tear volume, ocular surface staining, and artificial tear use were assessed at baseline and 1, 3, and 6 months.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922772/
The results of this study indicate the potential use of a novel MS for the ophthalmic delivery of CsA in treating dry eyes. Keywords: cyclosporine A, Cremophor EL, micelle solution, dry eyes, Restasis. ... Gupta C, Chauhan A. Ophthalmic delivery of cyclosporine A by punctal plugs. J Control Release. 2011; 150 (1):70–76.
https://www.drugs.com/ppa/cyclosporine-ophthalmic.html
Sep 11, 2019 · Administration. Ophthalmic: Administer immediately after opening single-use vial; discard remaining contents after use. Remove contact lenses prior to instillation of drops; may be reinserted 15 minutes after administration. May be used with lubricant eye drops; allow 15 …
https://www.reviewofoptometry.com/article/give-plugs-a-chance
Mar 15, 2018 · While we ultimately advocated for the judicious use of punctal plugs, it was predominantly for those patients with moderate to severe DED who did not adequately respond to lubrication therapy and topical immunomodulators, such as Restasis (cyclosporin A 0.05%, Allergan).
https://www.reviewofoptometry.com/article/plug-into-dry-eye-therapy
Mar 15, 2017 · Punctal plugs can be a particularly well-suited option for those with lagophthalmos with inferior corneal staining, as the elevation of the tear lake after punctal occlusion is often enough to clear the lower area of ocular irritation. Finally, punctal plugs …
https://www.eyeworld.org/article-punctal-plug-related-complications-tracked-in-study
Dr. Chuck uses punctal plugs in moderate to severe dry-eye patients, usually along with artificial tears and Restasis (cyclosporine ophthalmic emulsion, Allergan, Irvine, Calif.). He initially uses collagen plugs, then silicone plugs, and then tries SmartPlugs if the silicone ones are not tolerated or they fall out.
https://www.hindawi.com/archive/2015/704946/
The paper also discusses different colloidal drug delivery systems and current challenges in the development of topical ophthalmic drug delivery systems for treatment of KCS. ... punctal plugs, and topical and/or systemic anti-inflammatory medications to surgery. ... have been prepared to obtain sustained ophthalmic delivery. Cyclosporine A ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224102/
Objectives. The objectives of this study were to prepare cyclosporin A (CsA)-containing proliposomes using the supercritical antisolvent (SAS) process and the conventional thin film method for the comparative study of proliposomal formulations and to evaluate …
http://europepmc.org/articles/PMC3349326
A punctal plug that can also release CsA has been developed by Gupta and Chauhan . Plugs, that were made of Hydroxyl ethyl methacrylate (HEMA), ethylene glycol dimethacrylate (EGDMA), and silicone, all of which are biocompatible, released CsA for about 3 months at zero-order at a rate of about 3 μ g/day.
https://www.healio.com/ophthalmology/cornea-external-disease/news/online/%7B907300ff-9e62-4394-b2f7-41bfe4f46c28%7D/the-place-of-punctal-plugs-in-dry-eye-treatment
Sep 13, 2011 · Two multicenter, randomized studies of the efficacy and safety of cyclosporine ophthalmic emulsion in moderate to severe dry eye disease. ... since they complement each other. 4,7-10 Punctal plugs ...
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