P. Tilleul et al., EFFECTS OF DIFFERENT FORMULATIONS OF MITOXANTRONE (SOLUTIONS, NANOSPHERES, LIPOSOMES) ON GLAUCOMA SURGERY IN RABBITS, Ophthalmic research, 29(4), 1997, pp. 218-226
Pharmacological blockade of fibroblastic proliferation after glaucoma
filtration surgery by using antimitotic agents in different formulatio
ns (liposomes, nanospheres) is of great clinical interest. However, on
ly limited comparative data are available on the effect of encapsulate
d drugs on intraocular pressure (IOP) after filtering surgery. Therefo
re we have studied the effect on IOP of liposomes, nanospheres and a s
olution of mitoxantrone (MTO), a well-known antimitotic, in rabbits be
fore and after sclerectomy. MTO in solution form, as wells in a liposo
me formulation, improved the outcome of the surgery by reducing IOP wh
en administered subconjunctivally just following surgery. This effect
was similar to mitomycin-C application. In contrast, neither prior adm
inistration nor subconjunctival nanosphere injections induced a reduct
ion in IOP. Liposome administration demonstrated no delayed action or
promoting effect but reduced the occurrence of corneal opacity observe
d in groups treated with MTO in solution.