28 Drug Delivery to the Posterior Segment: Challenges

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 28 Drug Delivery to the Posterior Segment: Challenges

Segment: Challenges Prithvi Mruthyunjaya In proangiogenic diseases such as neovascular age-related macular degeneration (ARMD) and diabetic retinopathy (DR), there is growing interest in delivery of targeted therapeutic agents to the…

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10 Anti-VEGF Therapies in ARMD in Practice

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 10 Anti-VEGF Therapies in ARMD in Practice

Anti-Vegf Therapy The FDA approval of anti-VEGF therapy for the treatment of exudative ARMD has heralded a new era for the management of this devastating disease, offering patients and their…

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2 Pathophysiology of Retinal Neovascularization

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 2 Pathophysiology of Retinal Neovascularization

Neovascularization Robert N. Frank INTRODUCTION The human retinal vasculature is essentially complete at birth in the full-term infant. These vessels elongate with growth of the eye through childhood and adolescence,…

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22 PDT—Still an Option?

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 22 PDT—Still an Option?

Results: At the month 24 examination for the primary outcome, 53% of verteporfin-treated patients compared with 38% placebo-treated patients lost fewer than 15 letters. In subgroup analyses for predominantly classic…

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4 VEGF: The Major Player

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 4 VEGF: The Major Player

FIGURE 4.1. Summary diagram of VEGF expression in the developing retina. (Reprinted from Stone et al. J Neurosci. 1995;15:4738–4747, with permission.) In addition to the well-studied transcriptional induction of VEGF…

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30 The Future of Anti-Angiogenic Therapy

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 30 The Future of Anti-Angiogenic Therapy

FIGURE 30.1. The role of platelet-derived growth factor (PDGF)-B on blood vessel growth and mural cell coverage in a corneal neovascularization model. A: Endothelial cells were labeled by staining with…

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26 Gene-based Therapy in Ocular Angiogenesis

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 26 Gene-based Therapy in Ocular Angiogenesis

Pathologic neovascularization occurs in various ocular tissues, including the cornea, iris, retina, and choroid Tissue Disease/Trauma Cornea Contact lens injury Trauma/alkali injury Infectious keratitis (trachoma) Iris Enucleation (i.e., retinoblastoma) Central…

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9 Diabetic Macular Edema: Molecular Mechanisms

Oct 8, 2016 by in OPHTHALMOLOGY Comments Off on 9 Diabetic Macular Edema: Molecular Mechanisms

FIGURE 9.1. Schematic diagram showing how diabetes in conjunction with hypertension and hyperlipidemia causes alteration of the BRB, leading to DME. Both increased levels of growth factors and proteinases, as…

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