Intravitreal Fluocinolone Acetonide Implant (ILUVIEN®) for the Treatment of Retinal Conditions. A Review of Clinical Studies

Drug Des Devel Ther. 2023 Mar 30:17:961-975. doi: 10.2147/DDDT.S403259. eCollection 2023.

Abstract

Fluocinolone acetonide (FAc) intravitreal implant (Iluvien®) is a corticosteroid implant indicated for the treatment of diabetic macular oedema (DMO) in patients who have previously received conventional treatment without good response, non-infectious posterior uveitis, and as an off-label treatment of the macular oedema secondary to retinal vein occlusion. FAc is a non-biodegradable 0.19 mg intravitreal implant which is designed to release FAc over 3 years at a rate of approximately 0.2 mcg per day. The aim of this review is to describe the special pharmacological properties of Iluvien and display the outcomes of the most important clinical trials and real-world studies regarding its efficacy and safety for the management of the above retinal disorders.

Keywords: Iluvien; diabetic macular oedema; intravitreal implant; posterior uveitis; retinal vein occlusion; steroid implant.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Diabetic Retinopathy* / drug therapy
  • Drug Implants / therapeutic use
  • Fluocinolone Acetonide* / administration & dosage
  • Fluocinolone Acetonide* / pharmacology
  • Fluocinolone Acetonide* / therapeutic use
  • Glucocorticoids / therapeutic use
  • Humans
  • Intravitreal Injections
  • Macular Edema* / drug therapy
  • Retinal Diseases* / drug therapy

Substances

  • Drug Implants
  • Fluocinolone Acetonide
  • Glucocorticoids
  • Anti-Inflammatory Agents