Abstract
Diabetic retinopathy is a severe complication of diabetes leading to some degree of vision impairment in long-term diabetes sufferers. Currently, the most successful treatment available for diabetic retinopathy is laser photocoagulation, a therapy that destroys part of the retina to save central vision. The principal aim of laser photocoagulation in the treatment of diabetic retinopathy is to effect regression of abnormal vessels, reduce oxygen tension and reverse angiogenesis in the retina. Although laser photocoagulation has been employed for more than 30 years, its underlying molecular mechanisms remain unknown. Research is now focused on identifying and understanding these factors, to ultimately develop therapies to protect against the initiation and progression of neovascularisation.
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References
Binz, N., Graham, C. E., Simpson, K., Lai, Y. K. Y., Shen, W.-Y., Lai, C.-M., Speed, T. P. and Rakoczy, P. E., 2005, Long-term effect of therapeutic laser photocoagulation on gene expression in the eye, EMBO:Submitted.
Humphrey, M. F., Chu, Y., Mann, K. and Rakoczy, P., 1997, Retinal GFAP and bFGF expression after multiple argon laser photocoagulation injuries assessed by both immunoreactivity and mRNA levels, Exp Eye Res. 64:361–9.
Lewis, G. P., Erickson, P. A., Guerin, C. J., Anderson, D. H. and Fisher, S. K., 1992, Basic fibroblast growth factor: a potential regulator of proliferation and intermediate filament expression in the retina, J Neurosci. 12:3968–78.
Mainster, M. A., 1999, Decreasing retinal photocoagulation damage: principles and techniques, Semin Ophthalmol. 14:200–9.
Oh, H., Takagi, H., Suzuma, K., Otani, A., Matsumura, M. and Honda, Y., 1999, Hypoxia and vascular endothelial growth factor selectively up-regulate angiopoietin-2 in bovine microvascular endothelial cells, J Biol Chem. 274:15732–9.
Park, Y. S., Kim, N. H. and Jo, I., 2003, Hypoxia and vascular endothelial growth factor acutely up-regulate angiopoietin-1 and Tie2 mRNA in bovine retinal pericytes, Microvasc Res. 65:125–31.
Petrovic, V. and Bhisitkul, R. B., 1999, Lasers and diabetic retinopathy: the art of gentle destruction, Diabetes Technol Ther. 1:177–87.
Porta, M. and Allione, A., 2004, Current approaches and perspectives in the medical treatment of diabetic retinopathy, Pharmacology & Therapeutics. 103:167–77.
Roider, J., El Hifnawi, E. S. and Birngruber, R., 1998, Bubble formation as primary interaction mechanism in retinal laser exposure with 200-ns laser pulses, Lasers Surg Med. 22:240–8.
Wilson, A. S., Hobbs, B. G., Shen, W.-Y., Speed, T. P., Schmidt, U., Begley, C. G. and Rakoczy, P. E., 2003, Argon Laser Photocoagulation-Induced Modification of Gene Expression in the Retina, Invest Ophthalmol Vis Sci. 44:1426–34.
Xiao, M., McLeod, D., Cranley, J., Williams, G. and Boulton, M., 1999, Growth factor staining patterns in the pig retina following retinal laser photocoagulation, Br J Ophthalmol. 83:728–36.
Xiao, M., Sastry, S. M., Li, Z. Y., Possin, D. E., Chang, J. H., Klock, I. B. and Milam, A. H., 1998, Effects of retinal laser photocoagulation on photoreceptor basic fibroblast growth factor and survival, Invest Ophthalmol Vis Sci. 39:618–30.
Yancopoulos, G. D., Davis, S., Gale, N. W., Rudge, J. S., Wiegand, S. J. and Holash, J., 2000, Vascular-specific growth factors and blood vessel formation, Nature. 407:242–8.
Zhang, N. L., Samadani, E. E. and Frank, R. N., 1993, Mitogenesis and retinal pigment epithelial cell antigen expression in the rat after krypton laser photocoagulation, Invest Ophthalmol Vis Sci. 34:2412–24.
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© 2006 Springer Science+Business Media, Inc.
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Graham, C.E., Binz, N., Shen, WY., Constable, I.J., Rakoczy, E.P. (2006). Laser Photocoagulation: Ocular Research and Therapy in Diabetic Retinopathy. In: Hollyfield, J.G., Anderson, R.E., LaVail, M.M. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 572. Springer, Boston, MA. https://doi.org/10.1007/0-387-32442-9_29
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DOI: https://doi.org/10.1007/0-387-32442-9_29
Publisher Name: Springer, Boston, MA
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