Formulations and methods for treating conditions of the eye
The present disclosure relates to methods of treating chronic conditions of the eye, such as dry eye disease and blepharitis, as well as to methods for increasing secretion of meibum. This disclosure also relates to formulations suitable for treating chronic conditions of the eye such as dry eye disease and blepharitis.
1. A method for treating dry eye disease comprising:
administering a pharmaceutical formulation comprising between about 1% and about 20% azelaic acid,
wherein the pharmaceutical formulation is administered to an external surface of the lower eyelid below lower lashes daily for at least 1 month, and wherein administering the pharmaceutical formulation reduces a symptom of dry eye disease.
2. The method of claim 1 , wherein the symptom of dry eye disease is meibomian gland dysfunction, redness, stinging, burning, itching, light sensitivity, watery eyes, blurry vision, irregularities of the ocular surface, damage to corneal or conjunctival epithelium and tissues, or combinations thereof.
3. The method of claim 1 , wherein the administration results in one or more of: an increased tear break up time, an increase in meibomian gland secretion score, a decrease in corneal staining, and a decrease in conjunctival staining.
4. The method of claim 1 , wherein the dry eye disease is aqueous tear-deficient dry eye (ADDE).
5. The method of claim 1 , wherein the dry eye disease is evaporative dry eye (EDE).
6. The method of claim 1 , wherein the dry eye disease is aqueous tear-deficient dye eye(ADDE) and evaporative dry eye(EDE), and wherein the ADDE and EDE are treated simultaneously.
7. The method of claim 1 , wherein the administration of said pharmaceutical formulation reduces a symptom of blepharitis.
8. The method of claim 1 , wherein the administration of said pharmaceutical formulation further improves the amount or quality of meibum produced.
9. The method of claim 1 , wherein the dry eye disease does not result from bacterial infection, parasitic infection, or inflammation of tissue.
10. The method of claim 1 , wherein the concentration of azelaic acid is between about 2% and about 6%.
11. The method of claim 1 , wherein the concentration of azelaic acid is between about 2% and about 6%.
12. The method of claim 1 , wherein the concentration of azelaic acid is about 3%.
13. The method of claim 1 , wherein the concentration of azelaic acid is about 4%.
14. The method of claim 1 , wherein the pharmaceutical formulation further comprises azithromycin.
15. The method of claim 14 , wherein the concentration of azithromycin is between about 0.1% and about 1%.
16. The method of claim 14 , wherein the concentration of azithromycin is about 0.5%.
17. The method of claim 1 , wherein the pharmaceutical formulation is administered once daily for at least 1 month.
18. The method of claim 1 , wherein the pharmaceutical formulation is administered once or twice daily for at least 6 months.
19. The method of claim 1 , wherein the pharmaceutical formulation is administered once or twice daily for at least 1 year.
20. The method of claim 1 , wherein the pharmaceutical formulation is administered as a cream, gel, suspension, solution, ointment, or spray.
21. The method of claim 1 , wherein the pharmaceutical formulation further comprises at least one skin penetration enhancer.
22. The method of claim 1 , wherein the pharmaceutical formulation further comprises at least one polyol.
23. The method of claim 22 , wherein the at least one polyol is propylene glycol, polyethylene glycol, glycerol, erythritol, mannitol, or sorbitol.
24. The method of claim 23 , wherein the at least one polyol is propylene glycol.
25. A method for treating dry eye disease comprising:
administering a pharmaceutical formulation comprising between about 1% and about 20% azelaic acid,
wherein the pharmaceutical formulation is administered to an external surface of the lower eyelid below a lower lid margin daily for at least 1 month, and wherein administering the pharmaceutical formulation reduces a symptom of a dry eye disease.
26. The method of claim 25 , wherein the pharmaceutical formulation comprises between about 2% and about 6% azelaic acid.
27. The method of claim 25 , wherein the pharmaceutical formulation further comprises between about 0.1% and about 1% azithromycin.