Rivera José Carlos, Madaan Ankush, Zhou Tianwei Ellen, Chemtob Sylvain
Department of Pediatrics, Ophthalmology and Pharmacology, Centre Hospitalier Universitaire Sainte-Justine Research Center, Montréal, QC, Canada.
Department of Ophthalmology, Maisonneuve-Rosemont Hospital Research Center, University of Montréal, Montréal, QC, Canada.
Acta Paediatr. 2016 Dec;105(12):1421-1433. doi: 10.1111/apa.13586. Epub 2016 Sep 28.
Retinopathy of prematurity (ROP) is a multifactorial disease and the main cause of visual impairment and blindness in premature neonates. The inner retina has been considered the primary region affected in ROP, but choroidal vascular degeneration and progressive outer retinal dysfunctions have also been observed. This review focuses on observations regarding neurovascular dysfunctions in both the inner and outer immature retina, the mechanisms and the neuronal-derived factors implicated in the development of ROP, as well potential therapeutic avenues for this disorder.
Alterations in the neurovascular integrity of the inner and outer retina contribute to the development of ROP.
早产儿视网膜病变(ROP)是一种多因素疾病,是早产新生儿视力损害和失明的主要原因。视网膜内层一直被认为是ROP中受影响的主要区域,但也观察到脉络膜血管变性和进行性外层视网膜功能障碍。本综述重点关注未成熟视网膜内层和外层神经血管功能障碍的观察结果、ROP发生发展中涉及的机制和神经元衍生因子,以及该疾病潜在的治疗途径。
视网膜内层和外层神经血管完整性的改变促成了ROP的发生发展。