Cytokines and the Pathogenesis of Macular Edema in Branch Retinal Vein Occlusion.


Journal

Journal of ophthalmology
ISSN: 2090-004X
Titre abrégé: J Ophthalmol
Pays: United States
ID NLM: 101524199

Informations de publication

Date de publication:
2019
Historique:
received: 22 01 2019
revised: 19 03 2019
accepted: 08 04 2019
entrez: 14 6 2019
pubmed: 14 6 2019
medline: 14 6 2019
Statut: epublish

Résumé

Branch retinal vein occlusion (BRVO) is a very common retinal vascular problem in patients with lifestyle-related diseases, such as hypertension and arteriosclerosis. In patients with BRVO, development of macular edema is the main cause of visual impairment. BRVO is still a controversial condition in many respects. Over the years, various methods such as laser photocoagulation have been tried to treat macular edema associated with BRVO, but the results were not satisfactory. After vascular endothelial growth factor (VEGF) was found to have an important role in the pathogenesis of macular edema in BRVO patients, treatment of this condition was revolutionized by development of anti-VEGF therapy. Although macular edema improves dramatically following intraocular injection of anti-VEGF agents, repeated recurrence and resistance of edema is a major problem in some BRVO patients. This suggests that factors or cytokines other than VEGF may be associated with inflammation and retinal hypoxia in BRVO and that the pathogenesis of macular edema is complicated. The present review assesses the role of various factors and cytokines in the pathogenesis of macular edema associated with BRVO. We present a mechanism that is not only plausible but should also be useful for developing new therapeutic strategies.

Identifiants

pubmed: 31191997
doi: 10.1155/2019/5185128
pmc: PMC6525954
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

5185128

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Auteurs

Hidetaka Noma (H)

Department of Ophthalmology, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.

Kanako Yasuda (K)

Department of Ophthalmology, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.

Masahiko Shimura (M)

Department of Ophthalmology, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan.

Classifications MeSH