Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment

Glaucoma is a neurodegenerative disease characterized by progressive loss of retinal ganglion cells and their axons. Lowering of intraocular pressure (IOP) is currently the only proven treatment strategy for glaucoma. However, some patients show progressive loss of visual field and quality of life d...

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Main Authors: Barbara Cvenkel, Miriam Kolko
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/6138132
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author Barbara Cvenkel
Miriam Kolko
author_facet Barbara Cvenkel
Miriam Kolko
author_sort Barbara Cvenkel
collection DOAJ
description Glaucoma is a neurodegenerative disease characterized by progressive loss of retinal ganglion cells and their axons. Lowering of intraocular pressure (IOP) is currently the only proven treatment strategy for glaucoma. However, some patients show progressive loss of visual field and quality of life despite controlled IOP which indicates that other factors are implicated in glaucoma. Therefore, approaches that could prevent or decrease the rate of progression and do not rely on IOP lowering have gained much attention. Effective neuroprotection has been reported in animal models of glaucoma, but till now, no neuroprotective agents have been clinically approved. The present update provides an overview of currently available IOP-lowering medications. Moreover, potential new treatment targets for IOP-lowering and neuroprotective therapy are discussed. Finally, future trends in glaucoma therapy are addressed, including sustained drug delivery systems and progress toward personalized medicine.
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spelling doaj-art-239a668a5d734c5d83d0668e51ca39b12025-08-20T02:04:15ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/61381326138132Current Medical Therapy and Future Trends in the Management of Glaucoma TreatmentBarbara Cvenkel0Miriam Kolko1Department of Ophthalmology, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, DenmarkGlaucoma is a neurodegenerative disease characterized by progressive loss of retinal ganglion cells and their axons. Lowering of intraocular pressure (IOP) is currently the only proven treatment strategy for glaucoma. However, some patients show progressive loss of visual field and quality of life despite controlled IOP which indicates that other factors are implicated in glaucoma. Therefore, approaches that could prevent or decrease the rate of progression and do not rely on IOP lowering have gained much attention. Effective neuroprotection has been reported in animal models of glaucoma, but till now, no neuroprotective agents have been clinically approved. The present update provides an overview of currently available IOP-lowering medications. Moreover, potential new treatment targets for IOP-lowering and neuroprotective therapy are discussed. Finally, future trends in glaucoma therapy are addressed, including sustained drug delivery systems and progress toward personalized medicine.http://dx.doi.org/10.1155/2020/6138132
spellingShingle Barbara Cvenkel
Miriam Kolko
Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
Journal of Ophthalmology
title Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
title_full Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
title_fullStr Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
title_full_unstemmed Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
title_short Current Medical Therapy and Future Trends in the Management of Glaucoma Treatment
title_sort current medical therapy and future trends in the management of glaucoma treatment
url http://dx.doi.org/10.1155/2020/6138132
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