Author(s):
Vaishnavi Pradeep More, Pradnya Nilesh Jagtap, Sumit Kailas Musale, Ankita Mahadeo Kadam, Shweta Shivaling Bobade, Komal Dattatray Pol
Email(s):
morevaishnavi1203@gmail.com
DOI:
10.52711/2231-5691.2024.00012
Address:
Vaishnavi Pradeep More1*, Pradnya Nilesh Jagtap2, Sumit Kailas Musale3, Ankita Mahadeo Kadam4, Shweta Shivaling Bobade5, Komal Dattatray Pol6
1Master of Pharmacy, Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India.
2Head of Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India.
3Assistant Professor, Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India.
4Master of Pharmacy, Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India.
5Master of Pharmacy, Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India.
6Master of Pharmacy, Department of Pharmacology, PDEA’s Seth Govind Raghunath Sable College of Pharmacy, Saswad, Pune, India
*Corresponding Author
Published In:
Volume - 14,
Issue - 1,
Year - 2024
ABSTRACT:
In order to properly focus light onto the retina for the best image quality, the human lens and cornea must first refract light. The human lens changes physically, biochemically, and morphologically as we age, which causes opacification. Cataract, which is opacity within the clear lens of the eye, is the primary factor in blindness globally. Modification, aggregation and precipitation of crystallins are the main mechanisms underlying cataract development. Most cataracts are caused by age-related degeneration; however, cataract can also develop secondary to trauma or as a consequence of another disease. Cataract rarely occurs in children. Oxidative damage to the eye lens is believed to be a key factor in the beginning and development of cataracts, even if the nosogenesis of cataract is unclear. Different kinds of cataract formation are linked to a number of highly reactive oxygen species (ROS), including hydrogen peroxide (H2O2), superoxide anion (O2), nitric oxide (NO), and hydroxyl radicals (OH-). Surgery is the only option for treating cataracts. However, the lack of surgical facilities in underdeveloped and developing nations as well as post-operative difficulties drive researchers to discover alternative cataract treatment options. This review article provides details on anatomy and physiology of lens, different cataract types i.e., diabetic, pediatric, age-related cataract as well as the management of cataract including surgical and pharmacological treatments.
Cite this article:
Vaishnavi Pradeep More, Pradnya Nilesh Jagtap, Sumit Kailas Musale, Ankita Mahadeo Kadam, Shweta Shivaling Bobade, Komal Dattatray Pol. Pathophysiology, Diagnosis and Management of Cataract. Asian Journal of Pharmaceutical Research. 2024; 14(1):77-2. doi: 10.52711/2231-5691.2024.00012
Cite(Electronic):
Vaishnavi Pradeep More, Pradnya Nilesh Jagtap, Sumit Kailas Musale, Ankita Mahadeo Kadam, Shweta Shivaling Bobade, Komal Dattatray Pol. Pathophysiology, Diagnosis and Management of Cataract. Asian Journal of Pharmaceutical Research. 2024; 14(1):77-2. doi: 10.52711/2231-5691.2024.00012 Available on: https://asianjpr.com/AbstractView.aspx?PID=2024-14-1-12
REFERENCES:
1. Congdon NG, Friedman DS, Lietman T. Important causes of visual impairment in the world today. JAMA. 2003; 290(15): 2057-60. doi: 10.1001/jama.290.15.2057.
2. Lamoureux EL, Fenwick E, Pesudovs K, Tan D. The impact of cataract surgery on quality of life. Curr Opin Ophthalmol. 2011; 22(1): 19-27. doi: 10.1097/ICU.0b013e3283414284.
3. Apple DJ, Solomon KD, Tetz MR, Assia EI, Holland EY, Legler UF, Tsai JC, Castaneda VE, Hoggatt JP, Kostick AM. Posterior capsule opacification. Surv Ophthalmol. 1992; 37(2): 73-116. doi: 10.1016/0039-6257(92)90073-3
4. Apple DJ, Peng Q, Visessook N, Werner L, Pandey SK, Escobar-Gomez M, Ram J, Whiteside SB, Schoderbeck R, Ready EL, Guindi A. Surgical prevention of posterior capsule opacification. Part 1: Progress in eliminating this complication of cataract surgery. J Cataract Refract Surg. 2000; 26(2): 180-7. doi: 10.1016/s0886-3350(99)00353-3.
5. Hodge WG. Posterior capsule opacification after cataract surgery. Ophthalmology. 1998; 105(6): 943-4. doi: 10.1016/S0161-6420(98)96040-7.
6. Li EY, Liu Y, Zhan X, Liang YB, Zhang X, Zheng C, Jhanji V, Xu P, Chang DF, Lam DS. Prevalence of blindness and outcomes of cataract surgery in Hainan Province in South China. Ophthalmology. 2013; 120(11): 2176-83. doi: 10.1016/j.ophtha.2013.04.003. Epub 2013 May 25.
7. Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012; 96(5): 614-8. doi: 10.1136/bjophthalmol-2011-300539. Epub 2011 Dec 1.
8. Spector A. Review: Oxidative stress and disease. J Ocul Pharmacol Ther. 2000; 16(2): 193-201. doi: 10.1089/jop.2000.16.193.
9. Babizhayev MA, Deyev AI, Linberg LF. Lipid peroxidation as a possible cause of cataract. Mech Ageing Dev. 1988; 44(1): 69-89. doi: 10.1016/0047-6374(88)90080-2.
10. Kupfer C. Bowman lecture. The conquest of cataract: a global challenge. Trans Ophthalmol Soc U K (1962). 1985; 104 (Pt 1): 1-10.
11. Medsinge A, Nischal KK. Pediatric cataract: challenges and future directions. Clin Ophthalmol. 2015; 9: 77-90. doi: 10.2147/OPTH.S59009.
12. Available from https://www.aao.org/eye-health/diseases/what-are-pediatric-cataracts
13. Gupta VB, Rajagopala M, Ravishankar B. Etiopathogenesis of cataract: an appraisal. Indian J Ophthalmol. 2014; 62(2): 103-10. doi: 10.4103/0301-4738.121141.
14. Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet. 2005; 365(9459): 599-609. doi: 10.1016/S0140-6736(05)17911-2.
15. Abdelkader H, Alany RG, Pierscionek B. Age-related cataract and drug therapy: opportunities and challenges for topical antioxidant delivery to the lens. J Pharm Pharmacol. 2015; 67(4): 537-50. doi: 10.1111/jphp.12355. Epub 2015 Feb 3.
16. Kiziltoprak H, Tekin K, Inanc M, Goker YS. Cataract in diabetes mellitus. World J Diabetes. 2019; 10(3): 140-153. doi: 10.4239/wjd.v10.i3.140.
17. Anjal K, Bhavya. K Bharathan, Hanan Hussain, Nirmala P S, Swathy M, Different Techniques for Cataract Detection, International Research Journal of Engineering and Technology. 2017: 4(2).
18. Available from https://www.eye-care-hospital.com/micro-incision-cataract-surgery
19. Available from https://eyewiki.aao.org/Manual_Small_Incision_Cataract_Surgery
20. Lam, D., Rao, S., Ratra, V. et al. Cataract. Nature Reviews Disease Primers. 2015; 1(1): 1-15. http://intjmi.com/files/site1/user_files_1e3831/admin-A-10-1-392-f516a32.pdf
21. Abdelkader H, Alany RG, Pierscionek B. Age-related cataract and drug therapy: opportunities and challenges for topical antioxidant delivery to the lens. J Pharm Pharmacol. 2015; 67(4): 537-50. doi: 10.1111/jphp.12355. Epub 2015 Feb 3