Treatment of ocular disease
A method and article to treat ocular disease with Cyclosporin A alone or with compounds related to Cyclosporin A for intraocular injection or implantation. Treatment does not result in ocular toxicity and encompasses age related macular degeneration, retinitis pigmentosa, and retinopathy such as diabetic retinopathy.
1. A method of treating diabetic retinopathy or retinitis pigmentosa in a patient in need thereof comprising intraocularly injecting a composition consisting essentially of Cyclosporin A in a pharmaceutically acceptable formulation and in an amount effective to treat diabetic retinopathy or retinitis pigmentosa without substantial toxicity to the patient.
2. The method of claim 1 comprising administering by retrobulbar, intravitreal, intraretinal, or subconjunctival injection.
3. The method of claim 1 wherein injection is subconjunctival at a dose in the range of about 1 ng/ml to about 500 μg/ml, intravitreal at a dose in the range of about 1 μg/0.1 ml to about 1000 μg/0.1 ml, retrobulbar at a dose in the range of about 20 μg/ml to about 1000 μg/ml, or subretinal at a dose in the range of about 1 μg/0.1 ml to about 100 μg/0.1 ml.
4. The method of claim 1 wherein Cyclosporin A is injected at a dose in the range of about 20 μg/ml to about 1000 μg/ml.
5. A method of treating diabetic retinopathy or retinitis pigmentosa in a patient in need thereof comprising intraocularly injecting a composition comprising Cyclosporin A in a pharmaceutically acceptable formulation and in an amount effective to treat diabetic retinopathy or retinitis pigmentosa without substantial toxicity to the patient.
6. The method of claim 5 comprising administering by retrobulbar, intravitreal, intraretinal, or subconjunctival injection.
7. The method of claim 5 wherein the composition further comprises an immunosuppressant selected from the group consisting of tacrolimus, cyclosphosphamide, sirolimus, atoposide, thiotepa, methotrexate, azathioprine, interferons, infliximab, etanercept, mycophenolate mofetil, 15-deoxyspergualin, thalidomide, glatiramer, leflunomide, vincristine, cytarabine, and combinations thereof.
8. The method of claim 1 wherein Cyclosporin A is provided in at least one of a microsphere, liposome, capsule or polymeric matrix.
9. The method of claim 5 wherein Cyclosporin A is provided in at least one of a microsphere, liposome, capsule or polymeric matrix.
10. A method of treating macular degeneration, diabetic retinopathy or retinitis pigmentosa in a patient in need thereof comprising intraocularly injecting a composition comprising Cyclosporin A in a pharmaceutically acceptable formulation and in an amount effective to treat macular degeneration, diabetic retinopathy, or retinitis pigmentosa without substantial toxicity to the patient, wherein injection is subconjuctival at a dose in the range of about 1 μg/ml to about 500 μg/ml, intravitreal at a dose in the range of about 1 μg/0.1 ml to about 1000 μg/0.1 ml, retrobulbar at a dose in the range of about 20 μg/ml to about 1000 μg/ml, or subretinal at a dose in the range of about 1 μg/0.1 ml to about 1000 μg/0.1 ml.
11. A method of treating macular degeneration, diabetic retinopathy or retinitis pigmentosa in a patient in need thereof comprising intraocularly injecting a composition comprising Cyclosporin A in a pharmaceutically acceptable formulation and in an amount effective to treat macular degeneration, diabetic retinopathy, or retinitis pigmentosa without substantial toxicity to the patient, wherein Cyclosporin A is injected at a dose in the range of about 20 μg/ml to about 1000 μg/ml.