Cited by 1,511

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Age-related macular degeneration

Mitchell, Paul, Liew, Gerald, Gopinath, Bamini, Wong, Tien Y·2018·The Lancet

Abstract

Age-related macular degeneration is a leading cause of visual impairment and severe vision loss. Clinically, it is classified as early-stage (medium-sized drusen and retinal pigmentary changes) to late-stage (neovascular and atrophic). Age-related macular degeneration is a multifactorial disorder, with dysregulation in the complement, lipid, angiogenic, inflammatory, and extracellular matrix pathways implicated in its pathogenesis. More than 50 genetic susceptibility loci have been identified, of which the most important are in the CFH and ARMS2 genes. The major non-genetic risk factors are smoking and low dietary intake of antioxidants (zinc and carotenoids). Progression from early-stage to late-stage disease can be slowed with high-dose zinc and antioxidant vitamin supplements. Intravitreal anti-vascular endothelial growth factor therapy (eg, ranibizumab, aflibercept, or bevacizumab) is highly effective at treating neovascular age-related macular degeneration, and has markedly decreased the prevalence of visual impairment in populations worldwide. Currently, no proven therapies for atrophic disease are available, but several agents are being investigated in clinical trials. Future progress is likely to be from improved efforts in prevention and risk-factor modification, personalised medicine targeting specific pathways, newer anti-vascular endothelial growth factor agents or other agents, and regenerative therapies.

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Crossref · 10.1016/s0140-6736(18)31550-2

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  • Given that most treatments in development for dry age-related macular degeneration are invasive, an orally delivered small-molecule approach targeting S2R would offer several advantages over these approaches and/or may be a complementary approach in combination with invasive therapeutics if proven efficacious in clinical trials.

    “Given that most of the treatments in development are invasive in nature [45], an orally delivered small-molecule approach targeting S2R would offer several advantages over these approaches and/or may be a complementary approach in combination with invasive therapeutics if proven efficacious in clinical trials.”
  • Dry age-related macular degeneration involves a dysregulation of cellular processes, among which is the accumulation of lipid deposits known as drusen that causes a thickening of Bruch's membrane.

    “Dry AMD involves a dysregulation of cellular processes, among which is the accumulation of lipid deposits, known as drusen, that causes a thickening of Bruch’s membrane [45].”

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Metadata

Authors
Mitchell, P., Liew, G., Gopinath, B., & Wong, T. Y.
Venue
The Lancet
Publisher
Elsevier BV
Published
2018-09
Volume
392
Issue
10153
Pages
1147-1159
ISSN
0140-6736
Cited by
1,511
References
18
Language
en

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