In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review

Retinitis pigmentosa (RP) is the most recognized inherited retinal disorder involving progressive photoreceptors degeneration which eventually causes blindness. However, the pathogenesis of RP is still unclear, making it difficult to establish satisfying treatments. Evidence have been found to suppo...

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Autores principales: Bing-Wen Lu, Guo-Jun Chao, Gai-Ping Wu, Li-Ke Xie
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Publicado: Press of International Journal of Ophthalmology (IJO PRESS) 2021
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Acceso en línea:https://doaj.org/article/2e0c319644c64921b115829f4cbe71ea
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spelling oai:doaj.org-article:2e0c319644c64921b115829f4cbe71ea2021-11-26T04:02:12ZIn depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review2222-39592227-489810.18240/ijo.2021.12.25https://doaj.org/article/2e0c319644c64921b115829f4cbe71ea2021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211225.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898Retinitis pigmentosa (RP) is the most recognized inherited retinal disorder involving progressive photoreceptors degeneration which eventually causes blindness. However, the pathogenesis of RP is still unclear, making it difficult to establish satisfying treatments. Evidence have been found to support the theory that vascular dysfunction is associated with the progression of RP. Optical coherence tomography angiography (OCTA) is a newly developed technology that enables visualization as well as quantitative assessment of retinal and choroidal vasculature non-invasively. Advances in OCTA have opened a window for in-depth understanding of RP pathogenesis. Here, we propose a hypothesis of RP pathogenesis based on the current OCTA findings in RP, which includes four stages and two important key factors, vascular dysfunction and microglia activation. Further, we discuss the future animal experiments needed and how advanced OCTA technology can help to further verity the hypothesis. The final goal is to explore potential treatment options with enhanced understanding of RP pathogenesis.Bing-Wen LuGuo-Jun ChaoGai-Ping WuLi-Ke XiePress of International Journal of Ophthalmology (IJO PRESS)articleretinitis pigmentosaoptical coherence tomography angiographyvascular dysfunctionmicroglia activationOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1979-1985 (2021)
institution DOAJ
collection DOAJ
language EN
topic retinitis pigmentosa
optical coherence tomography angiography
vascular dysfunction
microglia activation
Ophthalmology
RE1-994
spellingShingle retinitis pigmentosa
optical coherence tomography angiography
vascular dysfunction
microglia activation
Ophthalmology
RE1-994
Bing-Wen Lu
Guo-Jun Chao
Gai-Ping Wu
Li-Ke Xie
In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
description Retinitis pigmentosa (RP) is the most recognized inherited retinal disorder involving progressive photoreceptors degeneration which eventually causes blindness. However, the pathogenesis of RP is still unclear, making it difficult to establish satisfying treatments. Evidence have been found to support the theory that vascular dysfunction is associated with the progression of RP. Optical coherence tomography angiography (OCTA) is a newly developed technology that enables visualization as well as quantitative assessment of retinal and choroidal vasculature non-invasively. Advances in OCTA have opened a window for in-depth understanding of RP pathogenesis. Here, we propose a hypothesis of RP pathogenesis based on the current OCTA findings in RP, which includes four stages and two important key factors, vascular dysfunction and microglia activation. Further, we discuss the future animal experiments needed and how advanced OCTA technology can help to further verity the hypothesis. The final goal is to explore potential treatment options with enhanced understanding of RP pathogenesis.
format article
author Bing-Wen Lu
Guo-Jun Chao
Gai-Ping Wu
Li-Ke Xie
author_facet Bing-Wen Lu
Guo-Jun Chao
Gai-Ping Wu
Li-Ke Xie
author_sort Bing-Wen Lu
title In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
title_short In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
title_full In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
title_fullStr In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
title_full_unstemmed In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
title_sort in depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
publisher Press of International Journal of Ophthalmology (IJO PRESS)
publishDate 2021
url https://doaj.org/article/2e0c319644c64921b115829f4cbe71ea
work_keys_str_mv AT bingwenlu indepthunderstandingofretinitispigmentosapathogenesisthroughopticalcoherencetomographyangiographyanalysisanarrativereview
AT guojunchao indepthunderstandingofretinitispigmentosapathogenesisthroughopticalcoherencetomographyangiographyanalysisanarrativereview
AT gaipingwu indepthunderstandingofretinitispigmentosapathogenesisthroughopticalcoherencetomographyangiographyanalysisanarrativereview
AT likexie indepthunderstandingofretinitispigmentosapathogenesisthroughopticalcoherencetomographyangiographyanalysisanarrativereview
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