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青光眼和黄斑变性中的脑改变:文献中当前证据分析及其对治疗前景的影响

Cerebral Modifications in Glaucoma and Macular Degeneration: Analysis of Current Evidence in Literature and Their Implications on Therapeutic Perspectives.

作者信息

Nuzzi Raffaele, Vitale Alessio

机构信息

Eye Clinic, Department of Surgical Sciences, University of Turin, Turin, 10126, Italy.

出版信息

Eye Brain. 2021 Jun 17;13:159-173. doi: 10.2147/EB.S307551. eCollection 2021.

Abstract

Glaucoma and macular degeneration are leading causes of irreversible blindness, significantly compromising the quality of life and having a high economic and social impact. Promising therapeutic approaches aimed at regenerating or bypassing the damaged anatomical-functional components are currently under development: these approaches have generated great expectations, but to be effective require a visual network that, despite the pathology, maintains its integrity up to the higher brain areas. In the light of this, the existing findings concerning how the central nervous system modifies its connections following the pathological damage caused by glaucoma and macular degeneration acquire great interest. This review aims to examine the scientific literature concerning the morphological and functional changes affecting the central nervous system in these pathological conditions, summarizing the evidence in an analytical way, discussing their possible causes and highlighting the potential repercussions on the current therapeutic perspectives.

摘要

青光眼和黄斑变性是导致不可逆失明的主要原因,严重影响生活质量,并产生巨大的经济和社会影响。目前正在研发旨在再生或绕过受损解剖功能组件的有前景的治疗方法:这些方法引发了人们极大的期待,但要想有效,需要一个视觉网络,尽管存在病变,该网络在直至更高脑区的层面上仍能保持其完整性。鉴于此,现有关于中枢神经系统在青光眼和黄斑变性所致病理损伤后如何改变其连接的研究结果备受关注。本综述旨在审视有关这些病理状况下影响中枢神经系统的形态和功能变化的科学文献,以分析的方式总结证据,讨论其可能的原因,并突出其对当前治疗前景的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f3/8216745/3059809cbcfb/EB-13-159-g0001.jpg

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