Abstract

While the development of anti-vascular endothelial growth factor (anti-VEGF) as a therapy for neovascular age-related macular degeneration (AMD) was a great success, the pathologic processes underlying dry AMD that eventually leads to photoreceptor dysfunction, death, and vision loss remain elusive to date, with a lack of effective therapies and increasing prevalence of the disease. There is an overwhelming need to improve the classification system of AMD, to increase our understanding of cell death mechanisms involved in both neovascular and non-neovascular AMD, and to develop better biomarkers and clinical endpoints to eventually be able to identify better therapeutic targets—especially early in the disease process. There is no doubt that it is a matter of time before progress will be made and better therapies will be developed for non-neovascular AMD.

Highlights

  • While the development of anti-vascular endothelial growth factor as a therapy for neovascular age-related macular degeneration (AMD) was a great success, the pathologic processes underlying dry Age-related macular degeneration (AMD) that eventually leads to photoreceptor dysfunction, death, and vision loss remain elusive to date, with a lack of effective therapies and increasing prevalence of the disease

  • It is important to note that these results suggest that up to a third of the US population 65 years or older without AMD (12.7 million people)[44] may have the most frequent at-risk haplotype for AMD without developing the disease

  • Scholl et al found a significant increase in complement factor D (CFD) levels by 32.6% compared to normal controls and no significant difference in complement factor H (CFH) levels.[47]

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Summary

Review Retina

Disclosure: Joan W Miller has provided consulting for Alcon (serving on the Alcon Research Institute committee), Amgen, Inc., KalVista Pharmaceuticals, Ltd., Maculogix, Inc., and ONL Therapeutics within the last 12 months. Saghar Bagheri and Demetrios G Vavvas have nothing to declare in relation to this article

TOUCH MEDICAL MEDIA
Early or intermediate
Inflammation and Immunity
AMD type
Cell survival
Cell death
Findings
Future advances in treatment
Full Text
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