Flaum Eye Institute, University of Rochester Medical Center, 210 Crittenden Blvd., Rochester, NY, USA.
Flaum Eye Institute, University of Rochester Medical Center, 210 Crittenden Blvd., Rochester, NY, USA.
Exp Eye Res. 2021 Jan;202:108363. doi: 10.1016/j.exer.2020.108363. Epub 2020 Nov 19.
The optical clarity of the cornea is essential for maintaining good visual acuity. Corneal neovascularization, which is a major cause of vision loss worldwide, leads to corneal opacification and often contributes to a cycle of chronic inflammation. While numerous factors prevent angiogenesis within the cornea, infection, inflammation, hypoxia, trauma, corneal degeneration, and corneal transplantation can all disrupt these homeostatic safeguards to promote neovascularization. Here, we summarize its etiopathogenesis and discuss the molecular biology of angiogenesis within the cornea. We then review the clinical assessment and diagnostic evaluation of corneal neovascularization. Finally, we describe current and emerging therapies.
角膜的光学清晰度对于保持良好的视力至关重要。角膜新生血管形成是全球视力丧失的主要原因,可导致角膜混浊,并且常常导致慢性炎症的循环。虽然有许多因素可以防止角膜内血管生成,但感染、炎症、缺氧、创伤、角膜变性和角膜移植都可能破坏这些体内平衡的保护措施,从而促进血管生成。在这里,我们总结了其发病机制,并讨论了角膜内血管生成的分子生物学。然后,我们回顾了角膜新生血管形成的临床评估和诊断评估。最后,我们描述了当前和新兴的治疗方法。