Pharmacologic interventions for the prevention and treatment of retinopathy of prematurity.

Abstract:

:Retinopathy of Prematurity (ROP) is a preventable neovascular retinal disease with a lifetime impact on vision and ocular morbidities. Retinal vessel immaturity and oxygen therapy, influenced or modulated by several risk factors including oxidative stress, intermittent hypoxia and desaturations, inflammation, infection, malnutrition, retinal growth factor deficiencies or excesses, and others are determinant factors of pathologic retinal angiogenesis and ROP. These factors are pharmacologic targets for prevention and/or rescue therapy. These drugs, include intravitreal anti-vascular endothelial growth factor drugs, erythropoietin, ocular propranolol, caffeine, antioxidants, insulin-like growth factor-I, and omega 3 poly-unsaturated fatty acids, and are promising therapies to prevent ROP, but require further studies. Topical ocular non-steroidal anti-inflammatory drugs (NSAIDs) target inflammatory cascade but the best, safest, and most effective ocular NSAID and formulation remain to be developed. Timing of drug intervention appears critical. Moreover, the complex interactions of the various pathophysiologic mechanisms resulting in aberrant angiogenesis thence ROP strongly suggest that drug combinations and synergisms may be required for effective prevention of ROP and a lifetime of blindness.

journal_name

Semin Perinatol

journal_title

Seminars in perinatology

authors

Aranda JV,Qu J,Valencia GB,Beharry KD

doi

10.1053/j.semperi.2019.05.009

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

360-366

issue

6

eissn

0146-0005

issn

1558-075X

pii

S0146-0005(19)30069-2

journal_volume

43

pub_type

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