Abstract

Background:According to WHO, 285 million people are visually impaired out of which, 39 million are classified as blind and the remaining 246 million people have low vision which comprises of moderate vision impairment and severe vision impairment. Therapies to treat major disorders leading to visual impairment like Age-related Macular Degeneration (AMD), Stargardt’s Disease (STGD), Retinitis Pigmentosa (RP) and corneal scarring are required.In the last decade, many advances have been made to treat these disorders using stem cell therapy. For corneal damage by accidental burns, scarring or limbal stem cell deficiencies which can lead to partial or total blindness, are treated with a risky intervention like keratoplasty. To overcome issues like graft rejection caused by keratoplasty as well as have a better outcome, limbal stem cell therapy has been introduced. Similarly, Retinal Pigment Epithelium (RPE) is a supporting tissue essential in nutrient transport, production of growth factors, phagocytosis of the photoreceptors and retinol cycling.Discussion and Conlusion:Degeneration of this monolayer causes many diseases that have no prevailing treatment; however, research is being carried out to replace this simple epithelial monolayer primarily with an autologous source of cells and currently using stem cells. This review discusses the advances made in the field of ocular stem cell therapy with regards to development, cultivation and novel methods used to deliver these cells to replace the corneal and retinal epithelium as a new standard for treatment.

Highlights

  • According to WHO, 285 million people are visually impaired out of which 39 million are classified as blind and the remaining 246 million people have a low vision which comprises of moderate vision impairment to severe vision impairment [1].Blindness is primarily caused by the loss of supportive glia which is due to the reduction in neurons

  • The invention describes a method of production of genetically modified trabecular meshwork to treat glaucoma along with methods to treat Parkinson’s diseases with embryonic stem cells derived Retinal Pigment Epithelium (RPE) (Table 2) [37]

  • Induced neural crest cells were able to differentiate themselves into human corneal epithelial cells by utilising the described human corneal endothelium culture medium (Table 2) [39]

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Summary

Background

According to WHO, 285 million people are visually impaired out of which, 39 million are classified as blind and the remaining 246 million people have low vision which comprises of moderate vision impairment and severe vision impairment. Therapies to treat major disorders leading to visual impairment like Age-related Macular Degeneration (AMD), Stargardt’s Disease (STGD), Retinitis Pigmentosa (RP) and corneal scarring are required. Many advances have been made to treat these disorders using stem cell therapy. For corneal damage by accidental burns, scarring or limbal stem cell deficiencies which can lead to partial or total blindness, are treated with a risky intervention like keratoplasty. To overcome issues like graft rejection caused by keratoplasty as well as have a better outcome, limbal stem cell therapy has been introduced. Retinal Pigment Epithelium (RPE) is a supporting tissue essential in nutrient transport, production of growth factors, phagocytosis of the photoreceptors and retinol cycling

Discussion and Conlusion
INTRODUCTION
Age-related Macular Degeneration
Retinitis Pigmentosa
Stargardt’s Disease
Stem Cells to Treat Retinal and Corneal Disorders
Role of Induced Pluripotent Stem Cells
Summary
Role of Human Embryonic Stem Cells
Role of Mesenchymal Stem Cells to Treat Retinal Disorders
Role of Adult Stem Cells
Hematopoietic Stem Cells
Role of Neural Stem Cells
Role of Amniotic Membrane in Treating Corneal Disorders
Findings
Use of Cultured stem Cells in Various Devices
CONCLUSION AND FUTURE PROSPECTS
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