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青光眼的新进展:从治疗到生物学视角

What Is New in Glaucoma: From Treatment to Biological Perspectives.

作者信息

Nuzzi Raffaele, Marolo Paola, Nuzzi Alessia

机构信息

Eye Clinic Section, Department of Surgical Sciences, University of Turin, Turin, Italy.

Department of Clinical Sciences and Community Health, Eye Clinic San Giuseppe Hospital,IRCCS Multimedica, University of Milan, Milan, Italy.

出版信息

J Ophthalmol. 2021 Apr 14;2021:5013529. doi: 10.1155/2021/5013529. eCollection 2021.

DOI:10.1155/2021/5013529
PMID:33936807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8060111/
Abstract

Glaucoma is a chronic silent disease and an irreversible cause of blindness worldwide. Research has made many efforts to improve disease control and especially to anticipate both early diagnosis and treatment of advanced stages of glaucoma. In terms of prevention, networking between professionals and nonprofessionals is an important goal to disseminate information and help diagnose the disease early. On the other hand, the most recent approaches to treat glaucoma outcomes in its advanced stages include electrical stimulation, stem cells, exosomes, extracellular vesicles, and growth factors. Finally, neuronal plasticity-based rehabilitation methods are being studied to reeducate patients in order to stimulate their residual visual capacity. This review provides an overview of new approaches to future possible glaucoma treatment modalities and gives insight into the perspectives available nowadays in this field.

摘要

青光眼是一种慢性隐匿性疾病,是全球不可逆性失明的一个原因。研究已做出诸多努力来改善疾病控制,尤其是提前对青光眼晚期进行早期诊断和治疗。在预防方面,专业人员与非专业人员之间建立联系是传播信息并帮助早期诊断该疾病的一个重要目标。另一方面,治疗青光眼晚期的最新方法包括电刺激、干细胞、外泌体、细胞外囊泡和生长因子。最后,基于神经可塑性的康复方法正在研究中,目的是对患者进行再教育,以刺激其残余视觉能力。本综述概述了未来可能的青光眼治疗方式的新方法,并深入探讨了该领域目前的观点。

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What Is New in Glaucoma: From Treatment to Biological Perspectives.青光眼的新进展:从治疗到生物学视角
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Expert Opin Ther Pat. 2019 Oct;29(10):829-839. doi: 10.1080/13543776.2019.1667336. Epub 2019 Sep 18.
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引用本文的文献

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Targeting the Ophthalmic Diseases Using Extracellular Vesicles 'Exosomes': Current Insights on Their Clinical Approval and Present Trials.利用细胞外囊泡“外泌体”治疗眼科疾病:关于其临床批准及当前试验的最新见解
Aging Dis. 2024 May 25;16(3):1225-1241. doi: 10.14336/AD.2024.0535.
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Morphological disruption and visual tuning alterations in the primary visual cortex in glaucoma (DBA/2J) mice.青光眼(DBA/2J)小鼠初级视觉皮层的形态学破坏和视觉调谐改变
Neural Regen Res. 2024 Jan;19(1):220-225. doi: 10.4103/1673-5374.375341.
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Corneal Epithelial Regeneration: Old and New Perspectives.角膜上皮再生:旧视角与新视角。
Int J Mol Sci. 2022 Oct 28;23(21):13114. doi: 10.3390/ijms232113114.
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Investigation of Biomedical Students' Knowledge on Glaucoma Reveals a Need for Education: A Cross-Sectional Study.生物医学专业学生青光眼知识调查显示需要开展教育:一项横断面研究。
Healthcare (Basel). 2022 Jul 3;10(7):1241. doi: 10.3390/healthcare10071241.

本文引用的文献

1
The Hub-and-Spoke Management of Glaucoma.青光眼的“中心-辐条”管理模式
Front Neurosci. 2020 Mar 17;14:180. doi: 10.3389/fnins.2020.00180. eCollection 2020.
2
21st century glaucoma care.21 世纪青光眼护理。
Eye (Lond). 2019 Feb;33(2):254-260. doi: 10.1038/s41433-018-0227-8. Epub 2018 Oct 10.
3
Transpalpebral Electrical Stimulation as a Novel Therapeutic Approach to Decrease Intraocular Pressure for Open-Angle Glaucoma: A Pilot Study.经睑电刺激作为降低开角型青光眼眼压的一种新型治疗方法:一项初步研究。
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Transcorneal Electrical Stimulation Inhibits Retinal Microglial Activation and Enhances Retinal Ganglion Cell Survival After Acute Ocular Hypertensive Injury.经角膜电刺激可抑制急性高眼压损伤后视网膜小胶质细胞的激活并提高视网膜神经节细胞的存活率。
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5
Systematic Literature Review of Clinical and Economic Outcomes of Micro-Invasive Glaucoma Surgery (MIGS) in Primary Open-Angle Glaucoma.原发性开角型青光眼微创青光眼手术(MIGS)临床及经济结果的系统文献综述
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6
Glaucoma Pathogenesis and Neurotrophins: Focus on the Molecular and Genetic Basis for Therapeutic Prospects.青光眼发病机制与神经营养因子:聚焦治疗前景的分子和遗传基础。
Curr Neuropharmacol. 2018;16(7):1018-1035. doi: 10.2174/1570159X16666180419121247.
7
Gene therapy in optic nerve disease.视神经疾病的基因治疗。
Curr Opin Ophthalmol. 2018 May;29(3):234-238. doi: 10.1097/ICU.0000000000000473.
8
Normal tension glaucoma: review of current understanding and mechanisms of the pathogenesis.正常眼压性青光眼:当前认识和发病机制的研究进展。
Eye (Lond). 2018 May;32(5):924-930. doi: 10.1038/s41433-018-0042-2. Epub 2018 Feb 19.
9
Glaucoma: Biological Trabecular and Neuroretinal Pathology with Perspectives of Therapy Innovation and Preventive Diagnosis.青光眼:生物小梁和神经视网膜病理学以及治疗创新与预防性诊断的前景
Front Neurosci. 2017 Sep 5;11:494. doi: 10.3389/fnins.2017.00494. eCollection 2017.
10
Poly(ε-caprolactone) nanocapsule carriers with sustained drug release: single dose for long-term glaucoma treatment.载有聚己内酯纳米胶囊的药物载体,具有持续释放药物的特性:单次给药即可实现长期青光眼治疗。
Nanoscale. 2017 Aug 17;9(32):11754-11764. doi: 10.1039/c7nr03221h.