Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside

Proliferative vitreoretinopathy (PVR) is a vision-threatening disease and a common complication of surgery to correct rhegmatogenous retinal detachment (RRD). Several models of the pathogenesis of this disease have been described with some of these models focusing on the role of inflammatory cells a...

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Main Authors: Stavros N. Moysidis, Aristomenis Thanos, Demetrios G. Vavvas
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/815937
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author Stavros N. Moysidis
Aristomenis Thanos
Demetrios G. Vavvas
author_facet Stavros N. Moysidis
Aristomenis Thanos
Demetrios G. Vavvas
author_sort Stavros N. Moysidis
collection DOAJ
description Proliferative vitreoretinopathy (PVR) is a vision-threatening disease and a common complication of surgery to correct rhegmatogenous retinal detachment (RRD). Several models of the pathogenesis of this disease have been described with some of these models focusing on the role of inflammatory cells and other models focusing on the role of growth factors and cytokines in the vitreous which come into contact with intraretinal and retinal pigment epithelial cells. New experiments have shed light on the pathogenesis of PVR and offer promising avenues for clinical intervention before PVR develops. One such target is the indirect pathway of activation of platelet-derived growth factor receptor alpha (PDGRα), which plays an important role in PVR. Clinical trials assessing the efficacy of 5-fluorouracil (5-FU) and low-molecular-weight heparin (LMWH), daunorubicin, and 13-cis-retinoic acid, among other therapies, have yielded mixed results. Here we review inflammatory and other mechanisms involved in the pathogenesis of PVR, we highlight important clinical trials, and we discuss how findings at the bench have the potential to be translated to the bedside.
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spelling doaj-art-fad890f778e0460b8c433a7d9aecac032025-02-03T05:52:41ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/815937815937Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to BedsideStavros N. Moysidis0Aristomenis Thanos1Demetrios G. Vavvas2Retina Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USARetina Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USARetina Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USAProliferative vitreoretinopathy (PVR) is a vision-threatening disease and a common complication of surgery to correct rhegmatogenous retinal detachment (RRD). Several models of the pathogenesis of this disease have been described with some of these models focusing on the role of inflammatory cells and other models focusing on the role of growth factors and cytokines in the vitreous which come into contact with intraretinal and retinal pigment epithelial cells. New experiments have shed light on the pathogenesis of PVR and offer promising avenues for clinical intervention before PVR develops. One such target is the indirect pathway of activation of platelet-derived growth factor receptor alpha (PDGRα), which plays an important role in PVR. Clinical trials assessing the efficacy of 5-fluorouracil (5-FU) and low-molecular-weight heparin (LMWH), daunorubicin, and 13-cis-retinoic acid, among other therapies, have yielded mixed results. Here we review inflammatory and other mechanisms involved in the pathogenesis of PVR, we highlight important clinical trials, and we discuss how findings at the bench have the potential to be translated to the bedside.http://dx.doi.org/10.1155/2012/815937
spellingShingle Stavros N. Moysidis
Aristomenis Thanos
Demetrios G. Vavvas
Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
Mediators of Inflammation
title Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
title_full Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
title_fullStr Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
title_full_unstemmed Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
title_short Mechanisms of Inflammation in Proliferative Vitreoretinopathy: From Bench to Bedside
title_sort mechanisms of inflammation in proliferative vitreoretinopathy from bench to bedside
url http://dx.doi.org/10.1155/2012/815937
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