Understanding Glaucomatous Optic Neuropathy: The Synergy Between Clinical Observation and Investigation

Research output: Contribution to journalReview articlepeer-review

Abstract

Glaucoma is a complex disorder of aging defined by the death of retinal ganglion cells and remodeling of connective tissues at the optic nerve head. Intraocular pressure-induced axonal injury at the optic nerve head leads to apoptosis. Loss of retinal ganglion cells follows a slowly progressive sequence. Clinical features of the disease have suggested and corroborated pathological events. The death of retinal ganglion cells causes secondary loss of neurons in the brain, but only as a by-product of injury to the retinal ganglion cells. Although therapy to lower intraocular pressure is moderately effective, new treatments are being developed to alter the remodeling of ocular connective tissue, to interrupt the injury signal from axon to soma, and to upregulate a variety of survival mechanisms.

Original languageEnglish (US)
Pages (from-to)235-254
Number of pages20
JournalAnnual review of vision science
Volume2
DOIs
StatePublished - Oct 14 2016

Keywords

  • glaucoma
  • optic nerve
  • pathogenesis
  • retinal ganglion cell
  • treatment

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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