Lin Fang, Su Yuxing, Zhao Chenxi, Akter Farhana, Yao Shun, Huang Sheng, Shao Xiaodong, Yao Yizheng
Department of Ophthalmology, Xinjiang 474 Hospital, China RongTong Medical Healthcare Group CO. LTD, Urumqi, Xinjiang Uygur Autonomous Region, China.
Faculty of Arts and Sciences, Harvard University, Cambridge, MA, United States.
Front Med (Lausanne). 2025 Apr 28;12:1567159. doi: 10.3389/fmed.2025.1567159. eCollection 2025.
Visual impairment, stemming from genetic, degenerative, and traumatic causes, affects millions globally. Recent advancements in ophthalmology present novel strategies for managing and potentially reversing these conditions. Here, we explore 10 emerging avenues-including gene therapy, stem cell therapy, advanced imaging, novel therapeutics, nanotechnology, artificial intelligence (AI) and machine learning, teleophthalmology, optogenetics, bionics, and neuro-ophthalmology-all making strides to improve diagnosis, treatment, and vision restoration. Among these, gene therapy and stem cell therapy are revolutionizing the treatment of retinal degenerative diseases, while advanced imaging technologies enable early detection and personalized care. Therapeutic advancements like anti-vascular endothelial growth factor therapies and neuroprotective agents, along with nanotechnology, have improved clinical outcomes for multiple ocular conditions. AI, especially machine learning, is enhancing diagnostic accuracy, facilitating early detection, and personalized treatment strategies, particularly when integrated with advanced imaging technologies. Teleophthalmology, further strengthened by AI, is expanding access to care, particularly in underserved regions, whereas emerging technologies like optogenetics, bionics, and neuro-ophthalmology offer new hope for patients with severe vision impairment. In light of ongoing research, we summarize the current clinical landscape and the potential advantages of these innovations to revolutionize the management of visual impairments. Additionally, we address the challenges and limitations associated with these emerging avenues in ophthalmology, providing insights into their future trajectories in clinical practice. Continued advancements in these fields promise to reshape the landscape of ophthalmic care, ultimately improving the quality of life for individuals with visual impairments.
由遗传、退行性和创伤性原因导致的视力障碍影响着全球数百万人。眼科领域的最新进展为管理和潜在逆转这些病症提供了新策略。在此,我们探索10条新兴途径,包括基因治疗、干细胞治疗、先进成像、新型疗法、纳米技术、人工智能(AI)和机器学习、远程眼科、光遗传学、仿生学和神经眼科,所有这些都在努力改善诊断、治疗和视力恢复。其中,基因治疗和干细胞治疗正在彻底改变视网膜退行性疾病的治疗方式,而先进的成像技术能够实现早期检测和个性化护理。抗血管内皮生长因子疗法和神经保护剂等治疗进展,以及纳米技术,已经改善了多种眼部疾病的临床疗效。人工智能,尤其是机器学习,正在提高诊断准确性,促进早期检测和个性化治疗策略,特别是与先进成像技术相结合时。在人工智能的进一步助力下,远程眼科正在扩大医疗服务的可及性,特别是在服务不足的地区,而光遗传学、仿生学和神经眼科等新兴技术为严重视力障碍患者带来了新希望。鉴于正在进行的研究,我们总结了当前的临床情况以及这些创新在彻底改变视力障碍管理方面的潜在优势。此外,我们还讨论了眼科这些新兴途径相关的挑战和局限性,为它们在临床实践中的未来发展轨迹提供见解。这些领域的持续进步有望重塑眼科护理的格局,最终改善视力障碍者的生活质量。