This article highlights main aspects of pathogenesis of age-related macular degeneration (AMD) and the connection between SARS-CoV-2 and diseases of the posterior pole of the eyes. Background: A novel coronavirus disease COVID-19 is actual nowadays due to its multiple organ damage, including eye tissues. Retina is also a target organ. AMD is the most common cause of central vision loss and its development is connected not only with ageing, but also with some other factors. Last years ophthalmological community considers virus infection to be a predictor and trigger for developing of AMD. Objective: Several theories have been proposed for the development of AMD. The most common theories are vascular due to pathogenetically significant decrease in blood flow in the pool of the carotid arteries; metabolic disorders (systemic and local); oxidative stress in endothelial cells; hereditary predisposition. Inflammation as a pathogenetic mechanism appeared in a novel light of discoveries in developing of not only AMD, but also some other eye diseases. The connection between SARS-CoV-2 and diseases of the posterior pole known nowadays are conjunctivitis, central retinal vein occlusion, isolated inflammatory optic neuritis, acute bilateral demyelinating optic neuritis. Thus, the question is still open. Conclusion: no single theory of the development of AMD can absolutely explain the diversity of pathological changes in of the retina and choroid tissues. Further study of the role of each factor of pathogenesis– from molecular to tissue will allow the development of fundamentally novel and perspective directions of AMD therapy.
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