title: Biocompatibility of a new semisolid bioerodible poly(ortho ester) intended for the ocular delivery of 5-fluorouracil.
abstract: The biocompatibility of a new semisolid, hydrophobic poly(ortho ester) (POE) intended for controlled drug delivery to the eye was evaluated. The polymer was injected subconjunctivally in rabbits, and clinical and histologic examinations were performed 3, 10, 15, and 21 days after injection. Polymers injected as controls were an aqueous gel of sodium hyaluronate (SH), 1% in phosphate buffer, and medical grade silicone oil. After injection, the POE emulsified into small droplets and a focal eosinophilic reaction was noted at 3 days' implantation. At 10 days' implantation, the POE was not identified in the implantation site and the inflammatory reaction had resolved, with fibroblasts being the predominant cell type. At 15 and 21 days, no POE was identified and normal appearing tissue was present in the injection site. Sodium hyaluronate was not inflammatory over the period of the implantations. Silicone oil induced a slight inflammation at 3 days, with the presence of eosinophils and limited necrosis with cellular debris. Silicone oil was present in the implantation site at 3, 10, 15, and 21 days. The inflammatory response to the respective polymers was evaluated in the subconjunctival tissue. The inflammatory reaction was quantified at the implant site, adjacent subconjunctival tissues, and scleral and corneal stroma. The inflammatory cell densities in these respective tissue zones were determined, and the ratio of eosinophils over total inflammatory cells was calculated. POE did not become encapsulated with fibrous tissue, but biodegraded in a short time, indicating its potential for use after glaucoma filtration surgery.
authors: School of Pharmacy, Department of Pharmaceutical Technology, University of Geneva, Switzerland.
authors: S F
authors: SF
authors: Bernatchez
authors: A
authors: A
authors: Merkli
authors: T L
authors: TL
authors: Minh
authors: C
authors: C
authors: Tabatabay
authors: J M
authors: JM
authors: Anderson
authors: R
authors: R
authors: Gurny
mesh_terms: D000818:Animals; D003228:Conjunctiva; D004337:Drug Carriers; D004343:Drug Implants; D005472:Fluorouracil / Q000008:administration & dosage*; D007267:Injections; D008422:Materials Testing; D011091:Polyesters; D011817:Rabbits; D012995:Solubility; D014867:Water / Q000737:chemistry
chemical_list: D004337:Drug Carriers; D004343:Drug Implants; D011091:Polyesters; D014867:Water; D005472:Fluorouracil