Promising Pharmacological Interventions for Posterior Capsule Opacification: A Review

Abstract Phacoemulsification combined with intraocular lens implantation is the primary treatment for cataract. Although this treatment strategy benefits patients with cataracts, posterior capsule opacification (PCO) remains a common complication that impairs vision and affects treatment outcomes. T...

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Bibliographic Details
Main Authors: Yuxuan Liu, Xiaoming Dong, Bin Wu, Zhigang Cheng, Jinsong Zhang, Jing Wang
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Global Challenges
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Online Access:https://doi.org/10.1002/gch2.202400181
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Summary:Abstract Phacoemulsification combined with intraocular lens implantation is the primary treatment for cataract. Although this treatment strategy benefits patients with cataracts, posterior capsule opacification (PCO) remains a common complication that impairs vision and affects treatment outcomes. The pathogenesis of PCO is associated with the proliferation, migration, and fibrogenesis activity of residual lens epithelial cells, with epithelial–mesenchymal transition (EMT) serving as a key mechanism underlying the condition. Transforming growth factor‐beta 2 (TGF‐β2) is a major promotor of EMT, thereby driving PCO development. Most studies have shown that drugs and miRNAs mitigate EMT by inhibiting, clearing, or eliminating LECs. In addition, targeting EMT–related signaling pathways in TGF‐β2–stimulated LECs has garnered attention as a research focus. This review highlights potential treatments for PCO and details the mechanisms by which drugs and miRNAs counter EMT.
ISSN:2056-6646