Glaucoma

Glaucoma is a progressive neurodegenerative disorder marked by retinal ganglion cell loss, thinning of the retinal nerve fiber layer, and optic disc cupping, leading to irreversible vision impairment and blindness. It is primarily driven by elevated intraocular pressure, aging, and genetic predisposition, with primary open-angle glaucoma being the most prevalent form in Western populations. Pathogenesis involves mechanical stress from increased intraocular pressure and vascular insufficiency, resulting in reduced ocular perfusion. Multiple interconnected mechanisms contribute to neuronal damage, including ischemia/hypoxia, mitochondrial dysfunction, chronic oxidative stress, excitotoxicity, metabolic stress, neurotrophin deficiency, and neuroinflammation. Oxidative stress, mitochondrial impairment, and cellular senescence are key factors, especially in the aging retina, where dysregulation of para-inflammation—an adaptive response to tissue stress—may further exacerbate disease progression.
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