Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid

Eye injury is a significant disabling worldwide health problem. Proliferative Vitreoretinopathy (PVR) is a common complication that develops in up to 40–60% of patients with an open-globe injury. Our knowledge about the pathogenesis of PVR has improved in the last decades. It seems that the introduc...

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Main Authors: Francesco Morescalchi, Sarah Duse, Elena Gambicorti, Mario R. Romano, Ciro Costagliola, Francesco Semeraro
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/269787
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author Francesco Morescalchi
Sarah Duse
Elena Gambicorti
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
author_facet Francesco Morescalchi
Sarah Duse
Elena Gambicorti
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
author_sort Francesco Morescalchi
collection DOAJ
description Eye injury is a significant disabling worldwide health problem. Proliferative Vitreoretinopathy (PVR) is a common complication that develops in up to 40–60% of patients with an open-globe injury. Our knowledge about the pathogenesis of PVR has improved in the last decades. It seems that the introduction of immune cells into the vitreous, like in penetrating ocular trauma, triggers the production of growth factors and cytokines that come in contact with intra-retinal cells, like Müller cells and RPE cells. Growth factors and cytokines drive the cellular responses leading to PVR’s development. Knowledge of the pathobiological and pathophysiological mechanisms involved in posttraumatic PVR is increasing the possibilities of management, and it is hoped that in the future our treatment strategies will evolve, in particular adopting a multidrug approach, and become even more effective in vision recovery. This paper reviews the current literature and clinical trial data on the pathogenesis of PVR and its correlation with ocular trauma and describes the biochemical/molecular events that will be fundamental for the development of novel treatment strategies. This literature review included PubMed articles published from 1979 through 2013. Only studies written in English were included.
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institution Kabale University
issn 0962-9351
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language English
publishDate 2013-01-01
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series Mediators of Inflammation
spelling doaj-art-1c9a890ce71d40078eb0adf0e8c7fb852025-02-03T05:46:12ZengWileyMediators of Inflammation0962-93511466-18612013-01-01201310.1155/2013/269787269787Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal KeloidFrancesco Morescalchi0Sarah Duse1Elena Gambicorti2Mario R. Romano3Ciro Costagliola4Francesco Semeraro5Ophthalmology Clinic, Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, University of Brescia, 1 Piazzale Spedali Civili, Brescia 25123, ItalyOphthalmology Clinic, Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, University of Brescia, 1 Piazzale Spedali Civili, Brescia 25123, ItalyOphthalmology Clinic, Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, University of Brescia, 1 Piazzale Spedali Civili, Brescia 25123, ItalyOphthalmology Clinic, Department of Health Science, University of Molise, Campobasso 86100, ItalyOphthalmology Clinic, Department of Health Science, University of Molise, Campobasso 86100, ItalyOphthalmology Clinic, Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Specialties and Public Health, University of Brescia, 1 Piazzale Spedali Civili, Brescia 25123, ItalyEye injury is a significant disabling worldwide health problem. Proliferative Vitreoretinopathy (PVR) is a common complication that develops in up to 40–60% of patients with an open-globe injury. Our knowledge about the pathogenesis of PVR has improved in the last decades. It seems that the introduction of immune cells into the vitreous, like in penetrating ocular trauma, triggers the production of growth factors and cytokines that come in contact with intra-retinal cells, like Müller cells and RPE cells. Growth factors and cytokines drive the cellular responses leading to PVR’s development. Knowledge of the pathobiological and pathophysiological mechanisms involved in posttraumatic PVR is increasing the possibilities of management, and it is hoped that in the future our treatment strategies will evolve, in particular adopting a multidrug approach, and become even more effective in vision recovery. This paper reviews the current literature and clinical trial data on the pathogenesis of PVR and its correlation with ocular trauma and describes the biochemical/molecular events that will be fundamental for the development of novel treatment strategies. This literature review included PubMed articles published from 1979 through 2013. Only studies written in English were included.http://dx.doi.org/10.1155/2013/269787
spellingShingle Francesco Morescalchi
Sarah Duse
Elena Gambicorti
Mario R. Romano
Ciro Costagliola
Francesco Semeraro
Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
Mediators of Inflammation
title Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
title_full Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
title_fullStr Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
title_full_unstemmed Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
title_short Proliferative Vitreoretinopathy after Eye Injuries: An Overexpression of Growth Factors and Cytokines Leading to a Retinal Keloid
title_sort proliferative vitreoretinopathy after eye injuries an overexpression of growth factors and cytokines leading to a retinal keloid
url http://dx.doi.org/10.1155/2013/269787
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