Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation

Iordanis Vagiakis,1 Eleni P Papadopoulou,1 Efstratia Amaxilati,1 Georgios N Tsiropoulos,1 Anastasios G Konstas,1,* Georgios D Panos1,2,* 1First Department of Ophthalmology, AHEPA University Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; 2Div...

Full description

Saved in:
Bibliographic Details
Main Authors: Vagiakis I, Papadopoulou EP, Amaxilati E, Tsiropoulos GN, Konstas AG, Panos GD
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/bimatoprost-intracameral-implant-durysta-a-new-era-in-glaucoma-managem-peer-reviewed-fulltext-article-DDDT
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832570224029728768
author Vagiakis I
Papadopoulou EP
Amaxilati E
Tsiropoulos GN
Konstas AG
Panos GD
author_facet Vagiakis I
Papadopoulou EP
Amaxilati E
Tsiropoulos GN
Konstas AG
Panos GD
author_sort Vagiakis I
collection DOAJ
description Iordanis Vagiakis,1 Eleni P Papadopoulou,1 Efstratia Amaxilati,1 Georgios N Tsiropoulos,1 Anastasios G Konstas,1,* Georgios D Panos1,2,* 1First Department of Ophthalmology, AHEPA University Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; 2Division of Ophthalmology and Visual Sciences, School of Medicine, University of Nottingham, Nottingham, UK*These authors contributed equally to this workCorrespondence: Georgios D Panos; Iordanis Vagiakis, First Department of Ophthalmology, AHEPA University Hospital, School of Medicine, Aristotle University of Thessaloniki, Kiriakidi 1, Thessaloniki, 54636, Greece, Tel +30 231 330 3110, Email gdpanos@gmail.com; jvag_@outlook.comAbstract: The bimatoprost intracameral implant (Durysta®) offers a sustained-release approach to glaucoma management, providing consistent intraocular pressure (IOP) reduction over several months and reducing the need for daily topical therapies. This review evaluates its pharmacology, efficacy, and safety, using data from pivotal clinical trials and recent real-world studies. The implant achieves IOP reductions comparable to topical prostaglandin analogs, with benefits for patient adherence and fewer common side effects. However, repeat administrations are associated with adverse effects such as endothelial cell loss, highlighting the need for optimized re-dosing schedules. Future research should explore its use in advanced glaucomas, cost-effectiveness, and combination with other IOP-lowering treatments. The bimatoprost intracameral implant represents a promising innovation in glaucoma therapy with potential for improved patient outcomes.Keywords: bimatoprost intracameral implant, glaucoma, intraocular pressure reduction, sustained-release therapy, primary open-angle glaucoma, ophthalmic drug delivery, patient adherence, prostaglandin analogs, endothelial cell safety, real-world evidence, cost-effectiveness, combination therapy in glaucoma
format Article
id doaj-art-8fe92c96d02947908d07c0a492ea86b6
institution Kabale University
issn 1177-8881
language English
publishDate 2025-01-01
publisher Dove Medical Press
record_format Article
series Drug Design, Development and Therapy
spelling doaj-art-8fe92c96d02947908d07c0a492ea86b62025-02-02T15:59:40ZengDove Medical PressDrug Design, Development and Therapy1177-88812025-01-01Volume 1970371499785Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release InnovationVagiakis IPapadopoulou EPAmaxilati ETsiropoulos GNKonstas AGPanos GDIordanis Vagiakis,1 Eleni P Papadopoulou,1 Efstratia Amaxilati,1 Georgios N Tsiropoulos,1 Anastasios G Konstas,1,* Georgios D Panos1,2,* 1First Department of Ophthalmology, AHEPA University Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; 2Division of Ophthalmology and Visual Sciences, School of Medicine, University of Nottingham, Nottingham, UK*These authors contributed equally to this workCorrespondence: Georgios D Panos; Iordanis Vagiakis, First Department of Ophthalmology, AHEPA University Hospital, School of Medicine, Aristotle University of Thessaloniki, Kiriakidi 1, Thessaloniki, 54636, Greece, Tel +30 231 330 3110, Email gdpanos@gmail.com; jvag_@outlook.comAbstract: The bimatoprost intracameral implant (Durysta®) offers a sustained-release approach to glaucoma management, providing consistent intraocular pressure (IOP) reduction over several months and reducing the need for daily topical therapies. This review evaluates its pharmacology, efficacy, and safety, using data from pivotal clinical trials and recent real-world studies. The implant achieves IOP reductions comparable to topical prostaglandin analogs, with benefits for patient adherence and fewer common side effects. However, repeat administrations are associated with adverse effects such as endothelial cell loss, highlighting the need for optimized re-dosing schedules. Future research should explore its use in advanced glaucomas, cost-effectiveness, and combination with other IOP-lowering treatments. The bimatoprost intracameral implant represents a promising innovation in glaucoma therapy with potential for improved patient outcomes.Keywords: bimatoprost intracameral implant, glaucoma, intraocular pressure reduction, sustained-release therapy, primary open-angle glaucoma, ophthalmic drug delivery, patient adherence, prostaglandin analogs, endothelial cell safety, real-world evidence, cost-effectiveness, combination therapy in glaucomahttps://www.dovepress.com/bimatoprost-intracameral-implant-durysta-a-new-era-in-glaucoma-managem-peer-reviewed-fulltext-article-DDDTbimatoprost intracameral implantglaucomaintraocular pressure reductionsustained-release therapyprimary open-angle glaucomaophthalmic drug deliverypatient adherenceprostaglandin analogsendothelial cell safetyreal-world evidencecost-effectivenesscombination therapy in glaucoma
spellingShingle Vagiakis I
Papadopoulou EP
Amaxilati E
Tsiropoulos GN
Konstas AG
Panos GD
Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
Drug Design, Development and Therapy
bimatoprost intracameral implant
glaucoma
intraocular pressure reduction
sustained-release therapy
primary open-angle glaucoma
ophthalmic drug delivery
patient adherence
prostaglandin analogs
endothelial cell safety
real-world evidence
cost-effectiveness
combination therapy in glaucoma
title Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
title_full Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
title_fullStr Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
title_full_unstemmed Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
title_short Bimatoprost Intracameral Implant (Durysta®): A New Era in Glaucoma Management Through Sustained-Release Innovation
title_sort bimatoprost intracameral implant durysta reg a new era in glaucoma management through sustained release innovation
topic bimatoprost intracameral implant
glaucoma
intraocular pressure reduction
sustained-release therapy
primary open-angle glaucoma
ophthalmic drug delivery
patient adherence
prostaglandin analogs
endothelial cell safety
real-world evidence
cost-effectiveness
combination therapy in glaucoma
url https://www.dovepress.com/bimatoprost-intracameral-implant-durysta-a-new-era-in-glaucoma-managem-peer-reviewed-fulltext-article-DDDT
work_keys_str_mv AT vagiakisi bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation
AT papadopoulouep bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation
AT amaxilatie bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation
AT tsiropoulosgn bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation
AT konstasag bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation
AT panosgd bimatoprostintracameralimplantdurystareganewerainglaucomamanagementthroughsustainedreleaseinnovation