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营养因素:对青光眼及其他眼科疾病的益处。

Nutritional Factors: Benefits in Glaucoma and Ophthalmologic Pathologies.

作者信息

Musa Mutali, Zeppieri Marco, Atuanya George Nnamdi, Enaholo Ehimare S, Topah Efioshiomoshi Kings, Ojo Oluwasola Michael, Salati Carlo

机构信息

Department of Optometry, University of Benin, Benin City 300238, Edo State, Nigeria.

Department of Ophthalmology, University Hospital of Udine, 33100 Udine, Italy.

出版信息

Life (Basel). 2023 Apr 30;13(5):1120. doi: 10.3390/life13051120.

Abstract

Glaucoma is a chronic optic neuropathy that can lead to irreversible functional and morphological damage if left untreated. The gold standard therapeutic approaches in managing patients with glaucoma and limiting progression include local drops, laser, and/or surgery, which are all geared at reducing intraocular pressure (IOP). Nutrients, antioxidants, vitamins, organic compounds, and micronutrients have been gaining increasing interest in the past decade as integrative IOP-independent strategies to delay or halt glaucomatous retinal ganglion cell degeneration. In our minireview, we examine the various nutrients and compounds proposed in the current literature for the management of ophthalmology diseases, especially for glaucoma. With respect to each substance considered, this minireview reports the molecular and biological characteristics, neuroprotective activities, antioxidant properties, beneficial mechanisms, and clinical studies published in the past decade in the field of general medicine. This study highlights the potential benefits of these substances in glaucoma and other ophthalmologic pathologies. Nutritional supplementation can thus be useful as integrative IOP-independent strategies in the management of glaucoma and in other ophthalmologic pathologies. Large multicenter clinical trials based on functional and morphologic data collected over long follow-up periods in patients with IOP-independent treatments can pave the way for alternative and/or coadjutant therapeutic options in the management of glaucoma and other ocular pathologies.

摘要

青光眼是一种慢性视神经病变,如果不治疗,可导致不可逆转的功能和形态损害。治疗青光眼患者并限制病情进展的金标准方法包括局部滴眼液、激光和/或手术,这些方法都旨在降低眼压(IOP)。在过去十年中,营养素、抗氧化剂、维生素、有机化合物和微量营养素作为独立于眼压的综合策略,以延缓或阻止青光眼性视网膜神经节细胞变性,越来越受到关注。在我们的小型综述中,我们研究了当前文献中提出的用于治疗眼科疾病,尤其是青光眼的各种营养素和化合物。对于所考虑的每种物质,本小型综述报告了其分子和生物学特性、神经保护活性、抗氧化特性、有益机制以及过去十年在普通医学领域发表的临床研究。这项研究强调了这些物质在青光眼和其他眼科疾病中的潜在益处。因此,营养补充剂可作为独立于眼压的综合策略,用于治疗青光眼和其他眼科疾病。基于对接受非眼压依赖性治疗的患者进行长期随访收集的功能和形态学数据的大型多中心临床试验,可为青光眼和其他眼部疾病的替代和/或辅助治疗选择铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3819/10222847/fd6b5063a134/life-13-01120-g001.jpg

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