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In vivo imaging of structural, metabolic and functional brain changes in glaucoma
In vivo imaging of structural, metabolic and functional brain changes in glaucoma
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In vivo imaging of structural, metabolic and functional brain changes in glaucoma
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In vivo imaging of structural, metabolic and functional brain changes in glaucoma
In vivo imaging of structural, metabolic and functional brain changes in glaucoma
Journal Article

In vivo imaging of structural, metabolic and functional brain changes in glaucoma

2019
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Overview
Glaucoma, the world's leading cause of irreversible blindness, is a condition for which elevated intraocular pressure is currently the only modifiable risk factor. However, the disorder can continue to progress even at reduced intraocular pressure. This indicates additional key factors that contribute to the etiopathogenesis. There has been a growing amount of literature suggesting glaucoma as a neurodegenerative disease of the visual system. However, it remains debatable whether the observed pathophysiological conditions are causes or consequences. This review summarizes recent in vivo imaging studies that helped advance the understanding of early glaucoma involvements and disease progression in the brains of humans and experimental animal models. In particular, we focused on the non-invasive detection of early structural and functional brain changes before substantial clinical visual field loss in glaucoma patients; the eye-brain interactions across disease severity; the metabolic changes occurring in the brain's visual system in glaucoma; and, the widespread brain involvements beyond the visual pathway as well as the potential behavioral relevance. If the mechanisms of glaucomatous brain changes are reliably identified, novel neurotherapeutics that target parameters beyond intraocular pressure lowering can be the promise of the near future, which would lead to reduced prevalence of this irreversible but preventable disease.
Publisher
Wolters Kluwer India Pvt. Ltd,Medknow Publications and Media Pvt. Ltd,Medknow Publications & Media Pvt. Ltd,NYU Langone Eye Center, Department of Ophthalmology, NYU School of Medicine, NYU Langone Health, New York University, New York, NY, USA%NYU Langone Eye Center, Department of Ophthalmology, NYU School of Medicine, NYU Langone Health, New York University, New York, NY, USA,Center for Neural Science, Faculty of Arts and Science, New York University, New York, NY, USA,Department of Radiology, NYU School of Medicine, NYU Langone Health, New York University, New York, NY, USA,Medknow Publications & Media Pvt Ltd,Wolters Kluwer Medknow Publications

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