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Orv Hetil. 2015 Jul 12;156(28):1128-32. doi: 10.1556/650.2015.30128.

[Non-pharmacologic therapy of age-related macular degeneration, based on the etiopathogenesis of the disease].

[Article in Hungarian]

Author information

1
Budapest, Körvasút sor 75/B, 1158.

Abstract

It has a great therapeutic significance that the disorder of the vascular endothelium, which supplies the affected ocular structures, plays a major role in the development of age-related macular degeneration. Chronic inflammation is closely linked to diseases associated with endothelial dysfuncition and age-related macular degeneration is accompanied by a general inflammatory response. The vascular wall including those in chorioids may be activated by several repeated and/or prolonged mechanical, physical, chemical, microbiological, immunologic and genetic factors causing a protracted host defence response with a consequent vascular damage, which leads to age-related macular degeneration. Based on this concept, age-related macular degeneration is a local manifestation of the systemic vascular disease. This recognition should have therapeutic implications because restoration of endothelial dysfunction can stabilize the condition of chronic vascular disease including age-related macular degeneration, as well. Restoration of endothelial dysfunction by non-pharmacological or pharmacological interventions may prevent the development or improve endothelial dysfunction resulting in prevention or improvement of age-related macular degeneration. Non-pharmacological interventions which may have beneficial effect in endothelial dysfunction include (1) smoking cessation; (2) reduction of increased body weight; (3) adequate physical activity; (4) appropriate diet (a) proper dose of flavonoids, polyphenols and kurcumin; (b) omega-3 long-chain polyunsaturated fatty acids: docosahexaenoic acid and eicosapentaenoic acid; (c) carotenoids, lutein and zeaxanthins), (d) management of dietary glycemic index, (e) caloric restriction, and (5) elimination of stressful lifestyle. Non-pharmacological interventions should be preferable even if medicaments are also used for the treatment of endothelial dysfunction.

KEYWORDS:

age-related macular degeneration; endotheldiszfunkció; endothelial dysfunction; időskori maculadegeneráció; kockázati tényező; lifestyle modifications; oxidative stress; oxidatív stressz; prevenció; prevention; risk factors; életmód megváltoztatása

PMID:
26149505
DOI:
10.1556/650.2015.30128
[Indexed for MEDLINE]

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