University of Crete Faculty of Medicine, Heraklion, Greece.
Institute of Molecular Biology and Biotechnology, Heraklion, Greece.
Dev Neurobiol. 2019 Aug;79(8):819-836. doi: 10.1002/dneu.22710. Epub 2019 Jul 25.
Pathologies of the optic nerve could result as primary insults in the visual tract or as secondary deficits due to inflammation, demyelination, or compressing effects of the surrounding tissue. The extent of damage may vary from mild to severe, differently affecting patient vision, with the most severe forms leading to complete uni- or bilateral visual loss. The aim of researchers and clinicians in the field is to alleviate the symptoms of these, yet uncurable pathologies, taking advantage of known and novel potential therapeutic approaches, alone or in combinations, and applying them in a limited time window after the insult. In this review, we discuss the epidemiological and clinical profile as well as the pathophysiological mechanisms of two main categories of optic nerve pathologies, namely traumatic optic neuropathy and optic neuritis, focusing on the demyelinating form of the latter. Moreover, we report on the main rodent models mimicking these pathologies or some of their clinical aspects. The current treatment options will also be reviewed and novel approaches will be discussed.
视神经病变可能是视觉通路的原发性损伤,也可能是炎症、脱髓鞘或周围组织压迫等继发性损伤导致的。损伤的程度可能从轻度到重度不等,不同程度地影响患者的视力,最严重的形式可导致单侧或双侧完全失明。该领域的研究人员和临床医生的目标是利用已知和新的潜在治疗方法,单独或联合应用,并在损伤后有限的时间窗口内,缓解这些无法治愈的病变的症状。在这篇综述中,我们讨论了两种主要视神经病变,即外伤性视神经病变和视神经炎的流行病学和临床特征以及病理生理学机制,重点介绍了后者的脱髓鞘形式。此外,我们还报告了模拟这些病变或其某些临床方面的主要啮齿动物模型。还将回顾当前的治疗选择,并讨论新的方法。