Review Article

Microemulsion: New Insights into the Ocular Drug Delivery

Table 4

Brief summary of reported work on formulation development on ocular microemulsion.

Researchers Drugs used SurfactantsCo-surfactantsOther ingredientsDescription and outcome of the study

Gallarate et al., 1988; Gasco et al., 1989
[42, 43]
TimololLecithin1-ButanolIsopropyl myristate,
octanoic acid (OA), and distilled water
The topical administration of timolol as an ion-pair with octanoate was achieved by the use of an oil-in-water ME. The areas under the curve for timolol in aqueous humour after administration of the ME and the ion-pair solution were 3.5 and 4.2 times higher, respectively, than that observed after the administration of timolol alone

Gallarate et al., 1993
[44]
Levobunolol
(LB)
Lecithin1-ButanolIsopropyl myristate,
octanoic acid (OA), and distilled water
Aqueous and aqueous-PEG 200 solutions and o/w ME containing LB coupled to OA as lipophilic ion-pair were prepared and investigated in  vitro, in view of possible ophthalmic applications. Permeation studies in aqueous and in aqueous-PEG-200 solutions through the artificial membrane indicated a higher apparent lipophilicity of LB-OA with respect to the drug alone. The ME, which was isotonic and nonirritating to rabbit eyes, appears as a potentially interesting ophthalmic vehicle for LB

Haße and Kiepert, 1997 [45]Pilocarpine nitrateMacrogol-1500-glyceroltriricinoleate and lecithinPEG 200,
Propylene glycol,
Isopropyl myristate,
distilled water
The authors developed o/w ME for ocular application of pilocarpine. Prolonged in  vitro drug release was observed from ME. The miotic activity was measured on albino rabbits. For ophthalmological use, the miotic retarding effect of pilocarpine in ME turns out to be advantageous

Fialho and da Silva-Cunha, 2004 [24]DexamethasoneCremophore ELPropylene glycolIsopropyl myristate,
benzalkonium chloride, and
distilled water
Developed MEs showed acceptable physicochemical properties and stability. The ocular irritation test suggested that the MEs did not provide any significant alteration to the eyelids, conjunctiva, cornea, and iris. This formulation showed greater penetration of dexamethasone in the anterior segment of the eye and also release of the drug for a longer time when compared with a conventional preparation. The area under the curve obtained for the ME system was more than twofold higher than that of the conventional preparation

Alany et al., 2006
[23]
Pilocarpine hydrochlorideSorbitan laurate, polysorbate 80Alkanol or alkandiolEthyl oleate,
water
w/o MEs capable of undergoing a phase-transition to lamellar liquid crystals or bicontinuous MEs upon aqueous dilution were formulated. Results showed only formulations having cosurfactants; all other ingredients were nonirritant to rabbit eyes. It was observed that cosurfactant irritation was dependent on its carbon chain length. Precorneal clearance studies revealed that the retention of colloidal and coarse dispersed systems was significantly greater than an aqueous solution with no significant difference between MEs

Lv et al., 2006; 2005 [25, 46]Chloramphenicol Tween 20Span 20Isopropyl myristate,
distilled water
Chloramphenicol was trapped into oil core or palisade layer of the o/w ME free of alcohols. Its stability was investigated by the high-performance liquid chromatography (HPLC) assays and H1-NMR in the accelerated experiments of 3 months. The stability of the chloramphenicol in the ME formulations was increased remarkably; the pseudoternary diagram of the ME is given in Figures 3 and 4

Chan et al., 2007
[47]
Pilocarpine hydrochloride Polyoxyethylene sorbitan monooleateSorbitan monolaurateEthyl oleate,
water
ME-based phase transition systems were evaluated for ocular delivery of pilocarpine hydrochloride (model hydrophilic drug). These systems undergo phase change from ME to liquid crystalline (LC) and to coarse emulsion (EM) with a change in viscosity depending on water content (Figure 5). The miotic response and duration of action were greatest in case of ME and LC formulations indicating high ocular bioavailability (Figure 5)

Baspinar et al., 2008
[48]
Everolimus Poloxamer 184Propylene glycolTriacetin, deionized and sterile waterIn this study, ocular MEs bearing everolimus were prepared for preventing corneal-graft rejection. The permeation rate of the model drug everolimus through a freshly isolated pig cornea was determined ex  vivo. Authors concluded that prepared ME is a promising ocular formulation for preventing corneal-graft rejection

Kesavan et al., 2013
[26]
DexamethasoneTween 80Propylene glycolIsopropyl myristate,
chitosan, and
distilled water
The mucoadhesive chitosan-coated cationic MEs were prepared for treatment in condition of chronic uveitis. The average globule size was less than 200 nm with a positive surface charge. The developed microemulsion revealed stability for 3 months. The in  vivo studies evidenced marked improved therapeutic effect of the incorporated steroid