年龄相关性黄斑变性(AMD)的机制洞察:解剖学、流行病学、遗传学、发病机制、预防、意义和治疗策略对AMD管理的影响。

Chonnam medical journal Pub Date : 2023-09-01 Epub Date: 2023-09-25 DOI:10.4068/cmj.2023.59.3.143
Mohammad Amin Amini, Ashkan Karbasi, Mohammad Vahabirad, Masoud Khanaghaei, Aida Alizamir
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引用次数: 0

摘要

最复杂的眼部疾病之一是年龄相关性黄斑变性(AMD),它是世界各地老年人无法治愈的失明的主要原因。AMD分为早期至晚期(晚期AMD),其中该阶段分为渗出或新生血管型(湿性AMD)和非渗出或萎缩型(干性AMD)。临床上,AMD主要影响被称为黄斑的视网膜中央区域。重要的是,潮湿的形式通常与更严重的视力损失有关。AMD有一个系统性成分,其中许多因素,如衰老、遗传、环境、自身免疫性和非自身免疫性疾病与该疾病有关。此外,健康的生活方式、定期锻炼、保持正常的脂质状况和体重对降低AMD的风险至关重要。此外,限制AMD的治疗策略应该包括各种因素,以避免和改进药物干预,还需要考虑个性化的遗传信息。总之,随着技术的发展和研究的进步,AMD引起的视力障碍和法盲的发生率已经大大降低。这篇综述文章的重点是识别和发展有关AMD遗传学和病因之间关系的知识。我们希望这篇综述将鼓励研究人员和讲师,开启新的讨论,并有助于更好地了解AMD,从而提高患者的视力,提高AMD患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mechanistic Insight into Age-Related Macular Degeneration (AMD): Anatomy, Epidemiology, Genetics, Pathogenesis, Prevention, Implications, and Treatment Strategies to Pace AMD Management.

One of the most complicated eye disorders is age-related macular degeneration (AMD) which is the leading cause of irremediable blindness all over the world in the elderly. AMD is classified as early stage to late stage (advanced AMD), in which this stage is divided into the exudative or neovascular form (wet AMD) and the nonexudative or atrophic form (dry AMD). Clinically, AMD primarily influences the central area of retina known as the macula. Importantly, the wet form is generally associated with more severe vision loss. AMD has a systemic component, where many factors, like aging, genetic, environment, autoimmune and non-autoimmune disorders are associated with this disease. Additionally, healthy lifestyles, regular exercise, maintaining a normal lipid profile and weight are crucial to decreasing the risk of AMD. Furthermore, therapeutic strategies for limiting AMD should encompass a variety of factors to avoid and improve drug interventions, and also need to take into account personalized genetic information. In conclusion, with the development of technology and research progress, visual impairment and legal blindness from AMD have been substantially reduced in incidence. This review article is focused on identifying and developing the knowledge about the association between genetics, and etiology with AMD. We hope that this review will encourage researchers and lecturers, open new discussions, and contribute to a better understanding of AMD that improves patients' visual acuity, and upgrades the quality of life of AMD patients.

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