Bioengineering strategies for restoring vision
Abstract
Late-stage retinal degenerative disease involving photoreceptor loss can be treated by optogenetic therapy, cell transplantation and retinal prostheses. These approaches aim to restore light sensitivity to the retina as well as visual perception by integrating neuronal responses for transmission to the cortex. In age-related macular degeneration, some cell-based therapies also aim to restore photoreceptor-supporting tissue to prevent complete photoreceptor loss. In the earlier stages of degeneration, gene-replacement therapy could attenuate retinal-disease progression and reverse loss of function. And gene-editing strategies aim to correct the underlying genetic defects. In this Review, we highlight the most promising gene therapies, cell therapies and retinal prostheses for the treatment of retinal disease, discuss the benefits and drawbacks of each treatment strategy and the factors influencing whether functional tissue is reconstructed and repaired or replaced with an electronic device, and summarize upcoming technologies for enhancing the restoration of vision.
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Prospective approaches such as gene and cell therapies or optogenetics only focus on the retina and are ineffective when pathologies irremediably damage the retina or the optic nerve.
“Prospective approaches, like gene and cell therapies or optogenetics, only focus on the retina [5,6], and they are ineffective when pathologies irremediably damage the retina or the optic nerve [7,8].”
From Advances in visual prostheses: engineering and biological challenges (2022) · cites this paper as [8]
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Advances in visual prostheses: engineering and biological challenges
Borda, E., & Ghezzi, D. (2022) · Progress in Biomedical Engineering · doi:10.1088/2516-1091/ac812c · Cited by 44 · see citing works
- Authors
- Cehajic-Kapetanovic, J., Singh, M. S., Zrenner, E., & MacLaren, R. E.
- Affiliations
- Johns Hopkins University (US)
- University of Tübingen (DE)
- University of Oxford (GB)
- Venue
- Nature Biomedical Engineering
- Published
- 2022-01-31
- Volume
- 7
- Issue
- 4
- Pages
- 387-404
- ISSN
- 2157-846X (ISSN-L)
- OpenAlex
- W4210615010
- Cited by
- 79
- References
- 207
- Citations by year
- 2026: 8 · 2025: 24 · 2024: 19 · 2023: 19 · 2022: 9
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nature Biomedical Engineering (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Oxford Biomedical Research Centre.
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Keywords
- vision restoration, retinal degeneration, photoreceptor loss, optogenetic therapy, cell transplantation, retinal prosthesis, age-related macular degeneration, gene therapy, genome editing, visual perception
- MeSH terms
- Humans, Retina, Retinal Degeneration, Vision, Ocular, Cell Transplantation, Bioengineering
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