Development of diagnostic and treatment strategies for glaucoma through understanding and modification of scleral and lamina cribrosa connective tissue.

Abstract:

:Considerable evidence indicates that the state of ocular connective tissues and their response in glaucomatous disease affect the degree of glaucoma damage. Both experimental and clinical data suggest that improved diagnostic and prognostic information can be derived from the assessment of the mechanical responsiveness of the sclera and lamina cribrosa to intraocular pressure (IOP). Controlled mutagenesis of the sclera has produced a mouse strain that is relatively resistant to increased IOP. Alteration of the baseline scleral state can be accomplished through either increased cross-linking of fibrillar components or their reduction. The sclera is a dynamic structure, altering its structure and behavior in response to IOP change. The biochemical pathways that control these responses are fertile areas for new glaucoma treatments.

journal_name

Cell Tissue Res

journal_title

Cell and tissue research

authors

Quigley HA,Cone FE

doi

10.1007/s00441-013-1603-0

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

231-44

issue

2

eissn

0302-766X

issn

1432-0878

journal_volume

353

pub_type

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