Polysaccharide-based Hydrogel Formed via In situ Schiff Base Reaction with Contact Lens-like Ocular Surface Coverage for Sustained Ophthalmic Drug Delivery
摘要
The unique physiological barriers and rapid clearance of the ocular surface result in less than 5% bioavailability of topical drugs, forcing frequent high-dose administration, reducing compliance, and risking toxicity. Existing ophthalmic semi-solid formulations can delay clearance but often cause blurred vision and foreign body sensation due to high viscosity, limiting clinical use. In this study, a polysaccharide-based dual-dynamic crosslinked hydrogel (HC gels) was prepared via an in situ Schiff base reaction between aldehyde-functionalized hyaluronic acid and aminated carboxymethylcellulose under physiological conditions for sustained ocular drug delivery. By modulating the gelation kinetics, a controllable transition from a low-viscosity solution to a gel (15–384 s) was achieved. The in situ-formed gel dynamically adapts to the ocular surface during blinking, forming a thin, uniform, transparent layer that ensures conformal coverage, resists blinking and tear clearance, and significantly extends drug retention. In a rat model of uveitis, HC gels effectively alleviated inflammation via sustained dexamethasone release. Overall, HC gels provide a novel strategy for safe, effective, and sustained ocular drug delivery.