Future directions in managing aniridia-associated keratopathy

  • Arianne J.H. van Velthoven
  • , Tor P. Utheim
  • , Maria Notara
  • , Dominique Bremond-Gignac
  • , Francisco C. Figueiredo
  • , Heli Skottman
  • , Daniel Aberdam
  • , Julie T. Daniels
  • , Giulio Ferrari
  • , Christina Grupcheva
  • , Carina Koppen
  • , Mohit Parekh
  • , Thomas Ritter
  • , Vito Romano
  • , Stefano Ferrari
  • , Claus Cursiefen
  • , Neil Lagali
  • , Vanessa L.S. LaPointe
  • , Mor M. Dickman

Research output: Contribution to a Journal (Peer & Non Peer)Review articlepeer-review

24 Citations (Scopus)

Abstract

Congenital aniridia is a panocular disorder that is typically characterized by iris hypoplasia and aniridia-associated keratopathy (AAK). AAK results in the progressive loss of corneal transparency and thereby loss of vision. Currently, there is no approved therapy to delay or prevent its progression, and clinical management is challenging because of phenotypic variability and high risk of complications after interventions; however, new insights into the molecular pathogenesis of AAK may help improve its management. Here, we review the current understanding about the pathogenesis and management of AAK. We highlight the biological mechanisms involved in AAK development with the aim to develop future treatment options, including surgical, pharmacological, cell therapies, and gene therapies.

Original languageEnglish
Pages (from-to)940-956
Number of pages17
JournalSurvey of Ophthalmology
Volume68
Issue number5
DOIs
Publication statusPublished - 1 Sep 2023

Keywords

  • Aniridia
  • Aniridia-associated keratopathy
  • Cell therapy
  • Gene therapy
  • Keratopathy
  • PAX6
  • Pharmacological action
  • Surgical procedures

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