Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA.
Eur J Ophthalmol. 2021 Jul;31(4):1588-1605. doi: 10.1177/1120672120960337. Epub 2020 Oct 2.
Primary open-angle glaucoma (POAG) is an age-dependent, intraocular pressure (IOP)-related degeneration of the retinal ganglion cells (RGC). At present, IOP is the only modifiable factor that has been identified to prevent glaucomatous vision loss. Though the pathogenesis of glaucomatous optic neuropathy is still not well understood, increasing evidence suggests oxidative stress may contribute to the induction and progression of glaucoma. Furthermore, antioxidant use may be protective against glaucoma through various mechanisms, including reducing IOP, preserving vascular health, and preventing ganglion cell loss. This article provides a comprehensive review of the effect of oxidative stress, diet, and antioxidant therapy on IOP and open-angle glaucoma.
原发性开角型青光眼(POAG)是一种与年龄相关的、与眼内压(IOP)相关的视网膜神经节细胞(RGC)变性。目前,IOP 是唯一被确定可预防青光眼视力丧失的可调节因素。尽管青光眼视神经病变的发病机制尚不清楚,但越来越多的证据表明氧化应激可能导致青光眼的发生和发展。此外,抗氧化剂的使用可能通过多种机制对青光眼起到保护作用,包括降低 IOP、保持血管健康和防止神经节细胞损失。本文全面综述了氧化应激、饮食和抗氧化治疗对眼压和开角型青光眼的影响。