As
an acute ophthalmic infection, bacterial keratitis (BK) can
lead to severe visual morbidity, such as corneal perforation, intraocular
infection, and permanent corneal opacity, if rapid and effective treatments
are not available. In addition to eradicating pathogenic bacteria,
protecting corneal tissue from oxidative damage and promoting wound
healing by relieving inflammation are equally critical for the efficient
treatment of BK. Besides, it is very necessary to improve the bioavailability
of drugs by enhancing the ocular surface adhesion and corneal permeability.
In this investigation, therefore, a synergistic antibiotic–antioxidant
treatment of BK was achieved based on multifunctional block copolymer
vesicles, within which ciprofloxacin (CIP) was simultaneously encapsulated
during the self-assembly. Due to the phenylboronic acid residues in
the corona layer, these vesicles exhibited enhanced muco-adhesion,
deep corneal epithelial penetration, and bacteria-targeting, which
facilitated the drug delivery to corneal bacterial infection sites.
Additionally, the abundant thioether moieties in the hydrophobic membrane
enabled the vesicles to both have ROS-scavenging capacity and accelerated
CIP release at the inflammatory corneal tissue. In vivo experiments
on a mice model demonstrated that the multifunctional polymer vesicles
achieved efficient treatment of BK, owing to the enhanced corneal
adhesion and penetration, bacteria targeting, ROS-triggered CIP release,
and the combined antioxidant–antibiotic therapy. This synergistic
strategy holds great potential in the treatment of BK and other diseases
associated with bacterial infections.