2. Ophthalmic Products
Definition
A sterile solution, suspension or ointment
for instillation into the eye in the form of
drops, sprays and ointments.
Types
1. Eye drops
2. Eye lotions
3. Eye suspensions
4. Eye ointments
5. Contact lens solutions
6. Ophthalmic inserts
3. Ideal Characteristics
Sterile
Free from foreign particulate matter
Isotonic with lachrymal secretion
PH equal to 7.4
Optimum viscosity (25-50cps)
Proper preservative
5. An inflamed eye is sensitive to particulate matter
Presence of foreign particles
1) discomfort
2) abrade epithelium
3) pathogenic invasion
Clarification of ophthalmic solutions is necessary
Filtration medium
microporous plastic membrane
sintered glass
smooth filter paper
Foreign Particles
Ultrafine state of medicaments in suspensions
6. Isotonicity & pH:
Instillation of solution having unfavourable osmotic pressure pH
causes of discomfort
Sensitivity of eye to variations in osmotic pressure is less than
variations in pH
Tears have pH 7.4 and good buffering power
Neutralize unbuffered solutions (pH 3.5 – 10.5) provided volume
is small
Discomfort is caused due to
•Concentrated solutions of acidic drugs
•Highly buffered solutions
•Physical or chemical nature of medicaments and preservatives
Ex: Local anaesthetic amethocaine cause discomfort due to
surface activity and
ability to denature proteins
7. Viscosity
Thickening agent
Prolong contact with eye & Therapeutic response
Ex. Hypromellose, PVA (1-4%), PEG, MC.
Ideal thickening agent
Easy to filter
Easy to sterilize
Compatible
Optimum refractive index
Not used in eye drops and eye lotion
8. Preservatives
Protects from dangerous organisms introduced during removal of
successive treatments
Aqueous drops supplied in multiple containers must contain
preservative
Ideal preservative
Rapidly effective
Harmless to eye
Compatible
Stable
Ex:
Phenyl mercuric nitrate or acetate
Benzalkonium chloride
Chlorhexidine acetate
Less preferable
Parabens
Chlorocresol and thiomersal
9.
10. Eye Drops
Eye drops are sterile aqueous or oily solutions or suspensions of
drug for instilling into conjunctiva sac with dropper.
Used for
anaesthetic
anti-inflammatory
antiseptic
diagnostic
miotic
mydriatic
11. Formulation:
1. Thickening agent
2. Preservatives
3. Chemical stabilizers
• pH adjusters
• Reducing agent
• Sequestering agent
Chemical stabilization:
Stabilizers are added
to reduce degradation
sterilization
storage
Degraded product
less active
toxic effects
12. Stabilization methods
1. pH adjustment (buffers)
Reduce discomfort due to irritation by maintaining constant pH
Maintain chemical stability
temp. change
leaking of alkali groups
Improve clinical response
keep drug in unionised form
facilitating absorption of drug
Ex:
Boric acid vehicle
Special boric acid vehicle
Isotonic phosphate vehicle
•Sodium acid phosphate
•Sodium citrate
13. Wetting agents:
Increase solubility and drug penetration
Ex: polysorbate – 20, 80.
isotonicity adjusters:
Same osmotic pressure as tear fluids
Ex: Nacl (0.9%), boric acid (1.9%)
14. 2. Reducing agent
Provide protection from oxidation
Air is replaced by inert gas
Gets oxidized in preference to medicament
Ex. Sodiummetabisulphite, Sodiumthiosulphate
3. Sequestering agent
limits the decomposition, remove heavy metals.
Alone or with reducing agent
Ex. EDTA
Preparation of eye drops:
1. Preparation of fungicidal and bactericidal vehicle
2. Solution of medicaments and adjuncts
3. Clarification
4. Sterilization
15. 1. Preparation of bactericidal and fungicidal vehicle:
Preservative solution should be freshly made
Storage of stock solution present problems
1. Mercurial compounds incompatible with aluminium
2. strongly absorbed by rubber
3. loss potency in polythene containers
4. Deposition of metallic mercury
Benzalkonium chloride
Absorbed by polyvinyl chloride
Develop a deposit when in contact with rubber line
Chlorhexidine acetate
Slightly degrades on autoclaving
Inactivated by cork
All the above compounds require protection from light
16. Precautions to use Stock solutions in emergency
Caps and rubber closures must be pre-treated
Wads of closures should be of silicon rubber for benzalkonium
chloride solution
Chlorhexidine solution should not be over-exposed during
autoclaving
Phenyl mercuric nitrate solutions should be rejected if there is a
fine precipitate
Storage solutions to be sterilized before storage and covered
with a readily breakable seal
17. 2. Dissolution of drugs and adjuncts
Depending upon the solubility of the medicament
ex. Chloramphenicol is more soluble in boric acid-borax
buffer of pH 7
Heating assists solution of preservative
ex. Phenylmercuric nitrate or acetate
Some has to be dissolved in cold and in an atmosphere of
nitrogen gas
18. 3. Clarification
• Passing through microporous plastic membrane
• Mean pore size of 0.8um/ whatmann filter paper (56 grade)
• Particle free solution depends not only on filter but also on
particle free equipment and containers
19. 4. Sterilization
Heating in an autoclave
Maintaining at 98-1000C for 30 min.
Filtration
Pore size 0.22-+0.02um
Diameter of membranes - 13 & 25 mm
22. Volume supplied
Small volume
Each container not more than 10ml
Separate containers if more than 10ml
Large volume
Contamination is more
Difficult in storing and usage
Containers
Single-Application Packs - Minims unit
Multi-application containers
1. Traditional eye drop bottle
2. Teat bottle
3. Screw capped
4. Plastic bottle
•Amber coloured
•Neutral glass
•Rubber teat
23. Instructions to use Eye drops
1. Wash hands
2. Pull lower eye lid down gently with one hand
3. If the dropper is separate, squeeze rubber bulb while dropper
is in bottle to bring the liquid into dropper or replace on bottle
4. Holding dropper above eye, drop medicine inside lower lid
while looking up
5. Release lower lid
6. Try to keep eye open and not blink for at least 30 seconds
24. Labelling:
For external use only
Store in cool place
Discard the preparation one month after its first opening
Do not use the preparation if irritation persists
Ex: Physostigmine eye drops
Physostigmine sulphate – 0.5 g
Sodium meta bisulphate – 0.2 g
Benzalkonium chloride solution – 0.02 ml
Purified water- qs to 100 ml
25.
26. Eye ointment
Semisolid preparations based on oleaginous/
water washable bases packed in collapsible
tubes for easy transfer in to eye cavity by
pressure.
Formulation:
1. Medicament – water/ oil soluble
2. Ointment base
Sterilized by heating method
Free from irritation
Diffuse drug uniformly throughout
Melt at body temperature
27. Ointment bases:
Yellow soft paraffin- 80 g
Liquid paraffin- 10 g
Wool fat- 10 g
• Yellow soft paraffin- obtained form petroleum
• Liquid paraffin- reduce viscocity of preparation,
for easy removal from tube.
• Wool fat- emulsification of product
28. Preparation of Eye ointment
Wool fat +
yellow soft
paraffin
Melt
Add
liquid
paraffin
Coarse
filter
paper
Container
Add
medicament
Sterilization
(Dry- 1600C
for 2 hr)
Pack in sterile
container
29. Water soluble Water insoluble Insoluble in water and
base
Dissolved in minimum
volume
Methods of incorporating the medicament
medicament
sterilization
Incorporating
in melted base
Finely
powdered
Mixing with
molten base
Extremely
fine
10-90um
30. Containers:
Single application containers (soft capsule)
Multiple - Sterilized tin, aluminum or plastic collapsible tubes
with nozzles (extemporaneous)
Tube sealed in package from which removal is not possible and
screw cap covered with readily breakable seal
Prevent contamination during use
31. Labelling:
For external use only
Store in cool place
Avoid contamination during use
Ex: Atropine eye ointment (B.P)
Atropine sulphate – 1 g
Sterile base – 100 g
32.
33. Eye lotions
Def:
These are sterile aqueous solutions intended for washing the
eyes to remove irritant or foreign body
Characteristics of eye lotions
Sterile
No foreign particles
Isotonic with lachrymal secretion
Neutral pH to avoid irritation and discomfort
34. Eye lotions
Sterile aqueous
containing
no bactericide
Used once or not
exceeding 24 hrs
Aqueous
solutions
containing
bactericide
Sterilized
when
used
Used with in
a week
35. Usage:
Supplied in conc. forms
Before use dilute with warm water
Can be store for 2 days.
Application:
Clean eye bath / Sterile fabric dressing
If large volume flow through eye.
Formulation:
1. Drug – NaCl, NaHCO3, boric acid, borax.
2. Vehicle – water
3. Iso-osmotic agent
36. Preparation of eye lotions:
1. Dissolution of drug in vehicle
2. Clarification
3. Sterilization
Ex: Sodium chloride eye lotion (B.P.C)
Sodium chloride – 9 g
Purified water – qs to 1000 ml
800 ml purified
water + 9 g NaCl
Solution + 200
ml purified
water
1000 ml
lotion
Sintered
glass filter
(Grade-4)
Transfer
in to
container
& seal
Sterilization
by
autoclaving
37. Containers:
Properly sealed containing screw cap with either rubber, plastic
or other impervious cap liner
Must not contain cork
coloured and fluted
Resistant to autoclaving.
Labelling:
Not to be taken orally
Avoid contamination during use
Discard any unused part after 24hrs or a week after first opening
FOR EXTERNAL USE ONLY
38. Eye Suspension
Rarely used
Conditions:
Drug insoluble in vehicle
Drug unstable in liquid form
For sustained action.
Ideal characteristics:
1. Sterile
2. Desired viscosity
3. Isotonic
4. Fine particle size to prevent irritation
5. Particle should be uniformly dispersed on shaking
6. Packed in suitable container.
39.
40. Contact lens:
Are small visual devices made with curved pieces of plastic
Shaped in a way to confirm directly to the wearing eye
41. TYPES
Hard Contact
lens
Rigid gas
permeable
Soft contact
lens
•Hard hydrophobic
polymethylmethacrylate
•Rigid and flexible(silicone)
•More permeable to oxygen
than soft lens
•Better vision,durable
•Easier to clean
•Most common lens
•Hydrophilic
•Immediate comfort
•More permeable to oxygen
•Difficult to get used to
•Uncomfortable to wear
•Does not allow oxygen
to pass
42. Contact lens care
Should always be kept clean,
disinfected and
hydrated
using contact lens solutions
Contact lens solutions for Rigid gas permeable / Hard lenses:
1. Wetting and Rewetting drop (WRW)
2. Cleaning /Disinfecting/Storage solutions (CDS)
3. Extra strength cleaner (ESC)
Contact lens solutions for Soft lenses:
1. Cleaning solution
2. Storage solution (CDS)
43. 1. Wetting and rewetting drop (WRW):
Contains polymeric wetting and cushioning agents
Used for wetting lens before insertion
For longer wear and more comfort
Composition of Wetting solution
1. Wetting agent: Polysorbate - 80 (0.5%)
2. Antimicrobial agent : Benzalkonium chloride (0.004%),
chlorohexidine actate (0.005%)
3. Isotonicity adjusting substances : NaCL, KCL
4. Buffering agents : Boric acid/borax buffer pH 8.4 – 8.6
5. Thickening agents: Polyvinyl alcohol or other cellulose derivative
44. 2. Cleaning/Disinfecting/Storage Solution (CDS):
Sterile solution that cleans and disinfects
Provides sterile, hydrating storage
Preventing lens wrapage & adherence of contaminants to the lens.
Composition of storage solutions
1. Nonionic surfactant - cleaning
2. Mixture of preservatives – prevent microbial growth
Note: change solution frequently as preservative action reduces.
45. 3. 'Extra Strength' Cleaner (ESC):
Sterile, non-preserved solution
Cleans surface deposits of oils, lipids, salts and cosmetic residue.
Hydrophilic, soft & flexible type
1. Cleaning solution - heating in 0.9 % NaCL solution.
2. Storage solution (CDS)
Note:
Soft lenses absorb drug / preservative from ophthalmic
preparations & should be removed before administration.
Soft Contact lens
46. Evaluations of ophthalmic products:
1. Sterility test
2. Clarity test
3. Leakage test
4. Pyrogen test
Volume of packing:
Liquid (10-25 ml)
Semi solid (less than 5 g)
Containers:
Glass – TYPE-I glass bottles + stoppers for ophthalmic injections &
sterile powders
Plastic - HDPE, LDPE containers & collapsible tubes.
Evaluation of containers:
1. Uniformity of volume
2. Leakage test
3. Collapsibility test