Results and discussion

Fabrication of the PVA/CS/GG composite film

PVA/CS/GG composite films loaded with moxifloxacin hydrochloride were prepared using the solvent evaporation method, as shown in Figure 1. This method is conventional and widely applicable for film preparation. Glutaraldehyde (GTA) was used as a crosslinker at a very low concentration, as documented earlier in the literature, for drug delivery [25]. Prepared films undergo a colour change from white to brownish-red as the chitosan concentration increases and chitosan interacts with gum ghatti. Prepared films were flexible in nature. Additionally, free GTA was neutralized by immersing it in a 0.1 M glycine solution for four hr. to prevent ocular chemosis or irritation [26].

Figure 1.: Fabricated PVA/CS/GG composite film formulations

Physicochemical properties of the fabricated films

Various physicochemical parameters, including thickness, weight uniformity, pH, folding endurance, opacity, and blood compatibility, were assessed and are tabulated in Table 2. The film thickness was lowest at 0.16 mm (PCG0) and highest at 0.26 mm (PCG4). A low standard deviation in thickness suggested uniform dispersion of the drug and polymeric particle throughout the film. pH of the film plays a vital role in ocular drug delivery. High or low pH may cause chemosis and irritation of ocular epithelial tissue, resulting in swelling and inflammation. The reported data indicated that the pH range of 5.5 to 7.5 was safe for ocular delivery. Our experimental results showed that the pH was within the safe range, indicating that the fabricated film formulation is suitable for ocular drug delivery. The prepared films exhibit a uniform weight distribution in increasing order, attributed to the increase in polymer concentration. Folding endurance was >200, indicating excellent flexibility. The film's opacity increased in an orderly manner, indicating that transparency decreased. Increasing the opacity may result in a hydrophilic interaction between gum ghatti and chitosan, leading to a yellowish-red colour. All fabricated formulations exhibited haemolysis of less than 5 %, indicating safety for corneal delivery.

Formulation code | Thickness, mm | Specific weight, mg cm-2 | Surface pH | Folding endurance | Hemolysis, % | Opacity
PCG0 | 0.16 ± 0.02 | 31.45 ± 0.45 | 6.45±0.27 | >200 | 0.58 ± 0.11 | 0.62±0.05
PCG1 | 0.18 ± 0.02 | 33.03 ± 0.47 | 6.70±0.24 | >200 | 0.30 ± 0.06 | 0.68±0.04
PCG2 | 0.21 ± 0.03 | 34.57 ± 0.50 | 6.76±0.17 | >200 | 0.21 ± 0.07 | 0.68±0.05
PCG3 | 0.23 ± 0.07 | 35.23 ± 0.35 | 6.73±0.01 | >200 | 0.38 ± 0.10 | 0.72±0.05
PCG4 | 0.26 ± 0.02 | 37.07 ± 0.25 | 6.73±0.20 | >200 | 0.22 ± 0.05 | 0.84±0.03

Transparency of the fabricated films

Transparency of the films was assessed using a ruler (Figures 2a-e) and a UV-Visible spectrophotometer (Figure 2g). The colour of the film changed from light white to yellowish-red, indicating an interaction between chitosan and gum ghatti. The addition of polymer changes the transparency of the fabricated film formulations. Transparency was recorded over the range of 280 to 900 nm using a UV-Visible spectrophoto-meter. The spectrum was divided into regions: 280 to 320 nm (UVB), 320 to 400 nm (UVA), 400 to 700 nm (visible), and 700 to 900 nm (near-IR). The average light transmission, % in the UV-visible region was found in the order of PCG0 (58.75) > PCG1 (54.31) > PCG2 (50.96) > PCG3 (48.15) > PCG4 (41.94). Various authors reported that the presence of chitosan reduced the transparency of the composite film [27,28]. In the UVB region, the highest light transmittance was found in PCG1, whereas the lowest was in PCG0. Rays in the UVA region (290 to 350 nm) are hazardous to human skin. It causes high tissue damage and chemosis. The average transparency in the UVA region was PCG0 (8.96), PCG1 (4.77), PCG2 (3.51), PCG3 (2.26), and PCG4 (1.52). PCG0 showed greater transparency in the visible region than the others. In the near IR regions, average transmittance was found to be 82.86, 78.25, 77.95, 73.52 and 65.97 % in PCG0 to PCG4, respectively. All the fabricated films exhibit good transparency and enhanced UV-shielding effect. Hence, the prepared film can be used for safe corneal delivery. The lower transmittance observed indicated the presence of gum ghatti interference with chitosan, decreasing its transparency. From this result, it was found that the presence of chitosan and gum ghatti reduces harmful UV radiation and enhances the UV-shielding effect, with an increase in gum ghatti concentration.

Figure 2.: Transparency of the fabricated films. (a) PCG0, (b) PCG1, (c) PCG2, (d) PCG3, (e) PCG4 and (f) Transparency of the film through UV-Visible spectrophotometer

Microscopic analysis

To investigate microarchitectural changes after the incorporation of gum ghatti, bright-field microscopy images were acquired and are shown in Figure 3. Bright-field micrographs revealed a smooth surface, except for PCG2. These micrographs show the scattering of small, dark particles across the surface. Some globular structures are also present in the micrographs, indicating interaction between the hydrophobic domains of PVA and chitosan and the hydrophilic domain of gum ghatti.

Figure 3.: Brightfield micrographs of the fabricated formulations (a) PCG0, (b) PCG1, (c) PCG2, (d) PCG3 and (e) PCG4.

To improve understanding of the brightfield micrographs, images were acquired using a high-magnification field-emission scanning electron microscope. Figure 4 indicates the Field Emission Scanning Electron Microscopy (FE-SEM) images. Figure 2a represents the images of PCG0. The macromolecular structure of chitosan was present on the film surface, with some white dots. The white dots may represent the agglomeration of CS particles with PVA molecules. Upon incorporation of gum ghatti, the molecular flexibility of chitosan could be lost or hindered within GG. This may be due to the presence of the crosslinker and to larger interchain distances within the polymer network, which aggregate the bipolymeric structure and enhance adhesion between the two phases.

Figure 4.: Fe-Sem images of the fabricated formulations (a) PCG0, (b) PCG1, (c) PCG2, (d) PCG3 and (e) PCG4

Figure 4 shows concentration-dependent scattering of semicrystalline structure across the surface. A smooth surface indicates that crosslinkers (GTA) reduced interfacial tension between hydrophobic and hydrophilic regions within the polymer matrix. The small black spot or particle may be due to chitosan. A similar observation was reported by Qureshi et al. [29]. Verma et al. [30] prepared pectin and gum ghatti hydrogel. Their results showed that a sharp, semicrystalline, and porous morphological structure provides a large surface area for adsorption [30]. A similar observation was reported by Narasagoudr et al. [31]. The researcher prepared a composite film with guar gum/chitosan and a gum ghatti polymeric film and observed similar aggregation. Aggregation of the polymeric gum and PVA may improve mechanical properties.

Colour analysis

To improve the interpretation of visual colour inspection, colour parameters L*, a* and b* were measured using a colourimeter. Colour difference was calculated using Equation (3). The lightness index (L*) decreased upon the addition of gum ghatti to the polymer films. The L* parameter ranged from 0 (black) to 100 (white), while a* and b* varied from +120 to -120 [32]. In the control film, chromaticity parameters (a* and b*) showed green and yellow hues within the formulations. The addition of gum ghatti introduced red and yellow hues into the system (Figure 5a). This observation was confirmed by visual inspection. Colour differences greater than three are noticeable to the naked eye. Except for the control film, the colour difference was higher in GG films. The differences were visible to the naked eye, and the colourimetry results support this. The maximum colour difference was observed in PCG4. The whiteness index was highest in PCG0 and lowest in PCG4. The order of WI was PCG0 > PCG2 > PCG3 > PCG1 > PCG4. The highest yellowness index was observed in the PCG4 formulation. The sequence of YI was PCG4 > PCG1 > PCG3 > PCG2 > PCG0. The analysis showed that as YI increased, WI decreased. The hue angle and hue difference (ΔH) are shown in Figure 5c and 5d, respectively. The hue angle exceeded 90° in the chitosan-containing film. The hue angle decreased with the addition of gum ghatti, possibly due to the red-yellow hues within the system. This increased the yellowness index, while the decrease in hue angle may be linked to the red hues of gum ghatti.

Figure 5.: Colour parameter of the fabricated PVA/CS/GG composite film formulations: (a) chromaticity parameters, (b) colour difference, (c) hue angle, (d) hue difference, (e) whiteness index and (f) yellowness index

Swelling profile

Swelling plays a vital role in releasing the drug from the formulation to the active sites. The bioadhesive strength of the polymer was assessed by its swelling capacity. After reaching a critical point, polymer swelling also decreases its adhesive strength and reduces detachment at the polymer/tissue interface [33]. The presence of gum ghatti enhances the swelling properties of the fabricated ocular film. Mittal et al. prepared a gum ghatti-based hydrogel and reported that the porous structure of gum ghatti retains a large amount of water, thereby increasing swelling [34]. The swelling ability of the ocular composite film was found to follow the order of PCG4 > PCG3 > PCG2 > PCG0 > PCG1 (Figure 6). The decrease in swelling may be due to the strong interactions and bond formation among chitosan, PVA, and gum ghatti, which stabilize the structure and reduce the film's capacity to swell upon contact with water [24,35].

Figure 6.: Swelling profile of the fabricated PVA/CS/GG ocular composite

X-ray diffraction analysis

XRD analysis of the fabricated composite is shown in Figure 7a.

Figure 7.: Molecular analysis of the composite films: (a) XRD analysis, (b) DSC analysis and (c) FTIR interaction

The pure drug moxifloxacin exhibits characteristic peaks at 2_θ_ = 8.5, 10.05, 14.4, 16.95 and 17.35° [36]. The intense peak present in the spectra suggested the crystalline nature of the drug molecule. In all formulations, the absence of such peaks indicates that the drug molecules are amorphous within the fabricated composite films. Increasing the concentration of gum ghatti decreased the peak intensity, indicating lower crystallinity than in the control (PCG0). An intense peak is observed at 2_θ_ = 22.7°, indicating the partially crystalline nature of PVA, consistent with the findings of Wen et al. [35]. An amorphous peak at 2_θ_ = 23.2° indicates the amorphous nature of chitosan, as reported by Waly et al. [37]. To better understand the results, the amorphous and partially crystalline peaks were deconvoluted using Origin 2021 and are shown in Table 3. The average crystallite size ranked as PCG0 > PCG4 > PCG3 > PCG1 > PCG2 > PCG2.

Formulation/peak | 2θ / ° | FWHM (2θ / °) | d spacing, nm | Crystallite size, nm | Lattice strain | Dislocation density, m-2)
PCG0 | Peak 1 | 19.12 | 15.57 | 0.464 | 0.54 | 0.40 | 3.43
Peak 2 | 20.03 | 2.06 | 0.443 | 4.09 | 0.05 | 0.06
Peak 3 | 21.10 | 0.45 | 0.421 | 18.58 | 0.01 | 0.00
Peak 4 | 21.52 | 5.22 | 0.413 | 1.62 | 0.12 | 0.38
Peak 5 | 23.47 | 0.63 | 0.379 | 13.35 | 0.01 | 0.01
Average | 4.79 | 0.424 | 7.64 | 0.12 | 0.78
PCG1 | Peak 1 | 17.99 | 6.00 | 0.493 | 1.40 | 0.17 | 0.51
Peak 2 | 20.65 | 3.42 | 0.430 | 2.47 | 0.08 | 0.16
Peak 3 | 23.44 | 1.01 | 0.379 | 8.37 | 0.02 | 0.01
Peak 4 | 25.11 | 3.40 | 0.354 | 2.50 | 0.07 | 0.16
Average | 3.46 | 0.414 | 3.69 | 0.08 | 0.21
PCG2 | Peak 1 | 16.99 | 15.09 | 0.521 | 0.56 | 0.44 | 3.19
Peak 2 | 20.18 | 2.67 | 0.440 | 3.16 | 0.07 | 0.10
Peak 3 | 21.51 | 1.66 | 0.378 | 5.10 | 0.04 | 0.04
Average | 6.47 | 0.446 | 2.94 | 0.18 | 1.11
PCG3 | Peak 1 | 15.44 | 2.31 | 0.574 | 3.63 | 0.07 | 0.08
Peak 2 | 20.06 | 4.72 | 0.442 | 1.79 | 0.12 | 0.31
Peak 3 | 23.47 | 0.75 | 0.379 | 11.23 | 0.02 | 0.01
Peak 4 | 25.14 | 4.16 | 0.354 | 2.04 | 0.08 | 0.24
 | Average | 2.99 | 0.437 | 4.67 | 0.07 | 0.16
PCG4 | Peak 1 | 19.94 | 6.36 | 0.445 | 1.32 | 0.16 | 0.57
Peak 2 | 23.53 | 0.63 | 0.378 | 13.44 | 0.01 | 0.01
Peak 3 | 25.46 | 2.74 | 0.350 | 3.11 | 0.05 | 0.10
 | Average | 3.24 | 0.391 | 5.96 | 0.07 | 0.23

DSC thermogram

In the literature, moxifloxacin has been reported to exhibit a sharp endothermic peak at 239 °C [26,36,38]. The DSC thermogram of the ocular-fabricated film is shown in Figure 7b. A broad peak was observed in the temperature range of 50 to 120 °C, suggesting the presence of moisture in the composite film and the evaporation of water molecules. A small hump was observed near the temperature range of 180 to 190 °C, indicating the melting point of poly (vinyl) alcohol. A broad peak appeared above 290 °C, indicating the presence of GG, which stabilises the drug and polymer present in the formulation. The same type of observation was reported by Cheng et al. [39]. In all formulations, no intense endothermic peaks were observed around 239 °C, suggesting that the drug molecule is amorphous. Furthermore, the XRD analysis corroborated these data.

FTIR analysis

The composition and interaction in the PVA/CS/GG ocular films were analysed using FTIR spectroscopy and are represented in Figure 7c. A broad peak was observed in the wavenumber range of 3650 to 3000 cm-1, indicating -OH stretching in the polymers. PVA, CS, and GG contain several functional groups, primarily -OH, -NH2, and carbohydrates, that participate in hydrogen bonding. A prominent peak was observed in the spectra of all films at 2912 cm-1, corresponding to the asymmetric C-H stretching vibration of the -CH2 groups. The peak appears across all formulations. Additionally, the peaks at 1643, 1419 and 1089 cm-1 correspond to C=O stretching, C-C bending, and C-O-C stretching vibrations, respectively [40]. The peak at 1717 cm-1 signifies the C=O acetate group of PVA, recognized as the characteristic peak of the PVA molecule. Peaks at 1643 and 1573 cm-1 represent the C=O bond of the amide I group of CONHR and N-N bending in the primary amine group of the amide II band [41]. A peak near 1259 cm-1 may be due to amide III vibrations of PVA or to interactions between the polymers. A shoulder peak around 1020 cm-1 indicated the C-O stretching vibration of PVA, CS and GG mixture. The final peak at approximately 813 cm-1 corresponds to C-C stretching in the CS molecule and its intensity diminishes as the GG concentration increases.

In vitro mucoadhesion and puncture strength

Adhesiveness is a crucial parameter, especially for ocular formulations, and is particularly important when the formulation is applied to the anterior part of the eye. The release and permeation of the drug through the ocular barrier becomes possible when the contact time of the formulation increases. Blinking is the most challenging aspect of ocular drug delivery because it requires a force of 0.2 N. A polymeric film with a low peak adhesive force (PAF) of 0.2N can be easily repelled by tear fluid and blinking action [32]. Table 4 shows the mucoadhesion and puncture strength of the fabricated formulations. The highest PAF was found in formulation PCG3 (4.96 N). Increasing GG concentration generally increased the PAF, but at a 10 % GG concentration, the adhesion decreased. Several reports indicate that GG can inhibit adhesion at a concentration of 10 % [42]. Nagamadhu et al. [43] also reported that GG loses its original properties after a 10-fold increase in concentration. In the 10 % (PCG4) formulation containing GG, the lowest PAF and total work of adhesion (TWA) were observed. Similar trends were observed in puncture strength: initially, the breaking force increased, whereas in PCG4 it decreased. This suggests that the threshold for GG is around 10 %.

Formulation | Parameter
PAF, N | TWA, N s-1 | Cohesiveness, mm | Puncture strength, g m
PCG0 | 4.13 | 9.52 | 1.31 | 4121.00
PCG1 | 4.04 | 7.02 | 1.90 | 4781.00
PCG2 | 4.23 | 12.37 | 1.13 | 5289.00
PCG3 | 4.96 | 9.25 | 1.774 | 5631.00
PCG4 | 3.20 | 2.27 | 1.66 | 5170.00

In vitro drug diffusion study

Release of moxifloxacin from the composite was evaluated using a Franz diffusion cell. The drug diffusion study was conducted for 180 min, and the release pattern of the composite is shown in Figure 8. After 180 minutes, the release order was PCG1D > PCG2D > PCG3D > PCG0D > PCG4D. It is observed that as gum ghatti concentration in the composite increases, drug release decreases. This release pattern correlates with the swelling profile. The greater the swelling, the lower the drug release from the formulations [25].

Figure 8.: In vitro drug release from the composite

The release parameter was also fitted to various mathematical models and is tabulated in Table 5. The correlation coefficient (_R_2) ranged from 0.61 to 0.92 for 1st order release kinetics. PCG3D was not a good fit for the 1st-order model, whereas PCG1D was the best fit. Within the first 15 minutes, the maximum release was observed in the PCG1D formulations, whereas the lowest release was observed in the PCG4D formulations. The same trend was observed using the Higuchi fractal dimension, with PCG1D > PCG2D > PCG3D > PCG0D > PCG4D.

Model | Release parameters | PCG0D | PCG1D | PCG2D | PCG3D | PCG4D
1st order | K 1 | 0.003 ± 0.000 | 0.0009 ± 0.001 | 0.007 ± 0.001 | 0.004 ± 0.000 | 0.002 ± 0.000
R 2 | 0.829 ± 0.017 | 0.929 ± 0.011 | 0.745 ± 0.038 | 0.611 ± 0.035 | 0.899 ± 0.042
Higuchi | K H | 2.636 ± 0.161 | 5.418 ± 0.255 | 4.933 ± 0.208 | 3.107 ± 0.123 | 2.232 ± 0.112
R 2 | 0.982 ± 0.004 | 0.887 ± 0.019 | 0.936 ± 0.019 | 0.938 ± 0.011 | 0.974 ± 0.006
Korse Meyer-Peppas | K P | 2.665 ± 0.364 | 12.093 ± 1.017 | 8.805 ± 1.311 | 5.586 ± 0.606 | 1.531 ± 0.307
n | 0.499 ± 0.017 | 0.327 ± 0.012 | 0.376 ± 0.025 | 0.374 ± 0.016 | 0.584 ± 0.049
R 2 | 0.983 ± 0.004 | 0.985 ± 0.004 | 0.974 ± 0.003 | 0.976 ± 0.001 | 0.984 ± 0.007
Peppas-Shalin | K d | 1.292 ± 0.223 | 7.035 ± 0.754 | 4.588 ± 0.526 | 3.401 ± 0.524 | -1.971 ± 4.501
K r | -0.013 ± 0.004 | 0.203 ± 0.034 | -0.093 ± 0.019 | -0.079 ± 0.020 | 1.994 ± 3.460
m | 0.747 ± 0.027 | 0.556 ± 0.018 | 0.625 ± 0.009 | 0.579 ± 0.030 | 0.650 ± 0.381
R 2 | 0.996 ± 0.001 | 0.993 ± 0.002 | 0.996 ± 0.002 | 0.991 ± 0.002 | 0.997 ± 0.002

All formulations exhibited correlation coefficients greater than 0.88. PCG1D, PCG2D, and PCG3D exhibited Fickian drug release, whereas PCG0D and PCG4D showed non-Fickian or anomalous drug diffusion [44]. In both the KP and PS models, an excellent correlation was observed, with values exceeding 0.98.

This suggested that there was no significant difference between the observed and predicted data. Higher swelling takes a longer pathway for the movement of the drug, causing a delay in drug release. The crystal sizes were in the order PCG0 > PCG4 > PCG3 > PCG1 > PCG2. The release profile can also be related to the crystal size of the formulation molecule. The smaller the crystal size, the higher the drug release and vice versa. The largest crystal size was observed in the GG-incorporated film, PCG4 (5.96), which also showed the lowest drug release.

In vitro antimicrobial efficacy

The antimicrobial efficacy of the fabricated formulation was tested against both microorganisms. Pseudomonas aeruginosa and Staphylococcus aureus were used as Gram-negative (Figure 9) and Gram-positive (Figure 10) organisms, respectively, against the fabricated formulations. Currently, several studies indicate that Pseudomonas aeruginosa contributes to corneal ulcers, keratitis, and endophthalmitis [45].

Figure 9.: In vitro antibacterial activity against Pseudomonas aeruginosa. (a) PCG0D, (b) PCG1D, (c) PCG2D, (d) PCG3D, (e) PCG4D and (f) bar diagram representing ZOI against P. aeruginosa

Figure 10.: In vitro antibacterial activity against Staphylococcus aureus. (a) PCG0D, (b) PCG1D, (c) PCG2D, (d) PCG3D, (e) PCG4D and (f) bar diagram representing ZOI against S. aureus

Moxifloxacin is a fourth-generation antibacterial drug that inhibits the DNA gyrase of bacteria. Additionally, the drug has candidacidal properties, appears to inhibit DNA topoisomerase II in C. albicans, and interferes with the yeast-to-hyphal transition by affecting key signalling pathways. Moxifloxacin inhibits the cell cycle of Candida albicans during S phase, thereby demonstrating its antifungal activity [45,46].

The results showed that ZOI increased with increasing GG concentration. This may be due to the prolonged drug release, which inhibits bacterial growth for a longer period. The diffusion of the drug in the agar media kills the bacteria, resulting in a clear zone. In PCG4D, the ZOI decreased, but remained higher than in the control sample (PCG0D). This may be due to a defect in the crystal size. The ZOI was found in the order of PCG3D (3.63±0.12) > PCG2D (3.57±0.21) > PCG4D (3.57±0.21) > PCG1D (3.47±0.12) > PCG0D (3.30±0.16) (Figure 5). Moxifloxacin indicates that Gram-positive bacteria lack an outer membrane and have only a thick peptidoglycan layer. Thus, the drug's penetration was easier than that of Gram-negative bacteria (P. aeruginosa) [36]. Compared with P. aeruginosa, the drug showed a greater ZOI against S. aureus. The ZOI was found in the order of PCG4D > PCG3D > PCG2D > PCG1D > PCG0D. It can be concluded that a prepared ocular composite can inhibit both types of bacteria and control the different ocular diseases.

In vitro cell biocompatibility assay

Before instilling the formulation into the cul-de-sac region of the eye, a cell compatibility study was conducted using ocular cells. The control formulation exhibited a cell viability of 87 %, whereas the formulation containing GG showed a viability greater than 89 %. To formulate the ocular composite, PVA, CS, and GG are used. All the polymers are widely used for ocular drug delivery, are FDA-approved, and are listed on the GRAS (Generally Recognized as Safe) list. According to ISO guidelines, cell viability greater than 70 % can be considered safe for topical use, particularly for corneal delivery. So, the prepared formulation can be applied to the corneal surface for 3 days without causing toxicity [32].

In vivo ocular irritation test

An in vivo ocular irritation study was conducted to assess swelling, redness, and inflammation following instillation of the composite film formulations. The experiment was carried out for 48 h. At different time points, pictographs were obtained and evaluated for corneal swelling, inflammation, redness, and ocular chemosis (Figure 11). In the ocular irritation test, no ocular chemosis was observed after 48 hours, suggesting that the prepared formulations are safe for corneal delivery.

Figure 11.: Ocular irritation study (a) left eye injected with ATF (a, b, c, d) and the right eye was instilled with ocular composite (a1, b1, c1, d1) at 0 hour (a, a1), 12 hours (b, b1), 24 hours (c, c1), and 48 hours (d, d1), respectively

In vivo anti-inflammatory activity and corneal integrity analysis

In vivo anti-inflammatory effects on the corneal surface were induced by carrageenan injection. Carrageenan is an endotoxin, and the induction of carrageenan dilated the conjunctival blood vessels present in the cornea. It used to produce local inflammation. Moxifloxacin is a USFDA-approved medication used to treat pink eye or inflammation triggered by allergens [47]. Figure 12a represents the insertion of the carrageenan solution into the subconjunctival region of the rabbit eye. Inflammation is observed 30 minutes after carrageenan injection (Figure 12c).

Figure 12.: Anti-inflammatory and corneal integrity study of the developed ocular film formulations. (a) injecting carrageenan to develop corneal inflammation, (b) normal eye of the albino rabbit, (c) inflammation developed after inducing carrageenan, (d) diminishing of corneal inflammation with 1.5 h after inserting the prepared composite film, (e) recovery eye after inflammation and (f) corneal integrity of the Rabbit eye with sodium fluorescein dye

After inducing inflammation, a prepared, sterilized ocular film was inserted into the cul-de-sac of the eye (Figure 12d). Within 1 h, inflammation had vanished (Figure 12e). After the inflammation resolved, 0.5% moxifloxacin eye drops (MOXITOR) were used to prevent contamination. Redness and inflammation persist for 2 hours in the no-treatment group. After six hours of inflammation, sodium fluorescein dye was used to evaluate corneal integrity in the rabbit eye. The dye was inserted in the cul-de-sac region (Figure 12f). No dark spot was found in the corneal region, confirming there was no coagulant or thrombosis of the blood occurring in the eye. Thus, it can be assumed that the prepared formulation has potential for the treatment of ocular conjunctivitis and can be safely used for pink eye, bacterial conjunctivitis, or allergic conjunctivitis.