[Glaucoma and age-related macular degeneration: challenges and prospects for prevention and treatment of combined pathology. Part 1. Epidemiology and pathogenesis].

Q3 Medicine
N I Kurysheva, E V Maslova
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引用次数: 0

Abstract

Glaucoma and age-related macular degeneration are the leading causes of irreversible vision loss in individuals over 60 years of age. This review consolidates current data on the epidemiology, shared genetic factors, and pathophysiological mechanisms underpinning their coexistence, and outlines prospects for personalized prevention and therapy. Common modifiable risk factors comprise cigarette smoking, arterial hypertension, and dyslipidemia. Chorioretinal hypoperfusion, mitochondrial dysfunction, activation of the NLRP3 inflammasome, and impaired glymphatic elimination of amyloid contribute to neurodegeneration both in the macula and in the optic nerve area. Treatment prospects include comprehensive vascular and neuroprotective regimens, targeted complement modulation, and the use of polygenic risk scores for patient stratification and longitudinal monitoring.

青光眼和老年性黄斑变性:联合病理预防和治疗的挑战和前景。第1部分。流行病学和发病机制]。
青光眼和老年性黄斑变性是60岁以上人群不可逆视力丧失的主要原因。本文综述了目前流行病学、共同遗传因素和支持其共存的病理生理机制方面的数据,并概述了个性化预防和治疗的前景。常见的可改变的危险因素包括吸烟、动脉高血压和血脂异常。绒毛膜视网膜灌注不足、线粒体功能障碍、NLRP3炎性体的激活以及淀粉样蛋白的淋巴消除受损导致黄斑和视神经区域的神经退行性变。治疗前景包括综合血管和神经保护方案,靶向补体调节,以及使用多基因风险评分进行患者分层和纵向监测。
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来源期刊
Vestnik oftalmologii
Vestnik oftalmologii Medicine-Ophthalmology
CiteScore
0.80
自引率
0.00%
发文量
129
期刊介绍: The journal publishes materials on the diagnosis and treatment of eye diseases, hygiene of vision, prevention of ophthalmic affections, history of Russian ophthalmology, organization of ophthalmological aid to the population, as well as the problems of special equipment. Original scientific articles and surveys on urgent problems of theory and practice of Russian and foreign ophthalmology are published. The journal contains book reviews on ophthalmology, information on the activities of ophthalmologists" scientific societies, chronicle of congresses and conferences.The journal is intended for ophthalmologists and scientific workers dealing with clinical problems of diseases of the eye and physiology of vision.
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