Liu Kang, Xie Bolin
Department of Ophthalmology, Kunming General Hospital of PLA, Yunnan, Kunming 650038, China.
ISRN Ophthalmol. 2012 Apr 4;2012:480212. doi: 10.5402/2012/480212. eCollection 2012.
Age-related macular degeneration (AMD) is the leading cause of blindness in people over 50 in developed countries. Understanding of the pathologic process, genetic mechanisms, and risk factors of this disease has the benefit of seeking newer and more effective treatment options. Current clinical therapy for AMD shows a dramatic change from a decade ago. Anti-VEGF drug therapy is regarded as the more effective treatment for neovascular AMD now, especially combining PDT therapy. In the future, the genetic and biochemical therapies may be the promising treatments for AMD. This paper will focus on the progress of pathology, candidate genes of AMD, risk factors, and the existing drugs or surgical therapies available, in order to present some new directions of care with the prospect of improved vision in many patients suffered from AMD.
年龄相关性黄斑变性(AMD)是发达国家50岁以上人群失明的主要原因。了解该疾病的病理过程、遗传机制和危险因素有助于寻找更新、更有效的治疗方案。与十年前相比,目前针对AMD的临床治疗有了显著变化。抗血管内皮生长因子(VEGF)药物治疗目前被认为是治疗新生血管性AMD更有效的方法,尤其是联合光动力疗法(PDT)。未来,基因和生化疗法可能是治疗AMD的有前景的方法。本文将重点关注AMD的病理学进展、候选基因、危险因素以及现有的药物或手术治疗方法,以便为许多患有AMD的患者提供一些新的护理方向,以期改善视力。