From: Modified thiomer-based nanomedicines in management of ocular complications: a review
Ocular Disease | Definition | Mechanism | Factor affecting | Sign and Symptoms | Ref |
---|---|---|---|---|---|
Cataract | Cataracts, a common lens disorder affecting its transparency, are the primary cause of reversible blindness globally | Oxidative stress leads to protein aggregation, depletion of antioxidants, and dysfunction of Na + /K + ATPase, which causes damage to lens transparency. UV exposure, diabetes, and aging worsen protein misfolding, hydration imbalance, and fiber degeneration, impairing vision | Aging, UV exposure, oxidative stress, diabetes, smoking, alcohol, prolonged steroid use, genetic predisposition, poor nutrition, and systemic diseases like hypertension | Blurred vision, glare, halos, difficulty seeing at night, and fading colors | [37] |
Glaucoma | Glaucoma is a progressive optic neuropathy that, regardless of IOP level, is characterized by a particular pattern of visual field abnormalities and a distinctive look of the optic disc | Glaucoma is distinguished by optic nerve injury and progressive vision loss as a result of increasing intraocular pressure caused by inadequate aqueous humor outflow or overproduction | Increased intraocular pressure, age, family history, ethnicity, eye injuries, high blood pressure, diabetes, certain medications, and poor blood circulation to the optic nerve | Progressive vision loss, peripheral vision impairment, eye discomfort, headache, and blurred vision | [38] |
Age-related macular degeneration | AMD is a impairment of the retina and choroid that results in a substantial decrease in visual acuity, or sharpness of vision | AMD is defined by the buildup of drusen, retinal pigment epithelium degeneration and choroidal neovascularization, which cause retinal damage, diminished central vision, and gradual loss of visual acuity | Aging, smoking, high-fat diet, genetics, UV light exposure, cardiovascular diseases, and family history | Blurred central vision, difficulty reading, distorted images, and gradual loss of visual acuity | [39] |
Diabetic retinopathy | DR is a retinal vascular disease that affects people with diabetes mellitus | DR is caused by extended high blood sugar, which damages the retina's blood vessels, causing leakage, bleeding, ischemia, and neovascularization, thereby impairing vision and potentially leading to blindness | Poor blood sugar control, hypertension, duration of diabetes, high cholesterol, and smoking | Blurry vision, floaters, dark spots, difficulty seeing at night, and eventual vision loss | [40] |
Atopic dermatitis (AD) | Chronic inflammatory skin disorder known as AD may manifest with ocular comorbidities like conjunctivitis, atopic keratoconjunctivitis | Ocular AD is characterized by immune dysfunction with elevated IgE and activation of T cells, thereby leading to inflammation, dysfunctional skin barrier, and ocular surface irritation that results in itching, redness, and dryness | Genetics, environmental allergens, immune system dysfunction, skin barrier impairment, and irritant exposure | Itchy, red, swollen eyelids, dry eyes, conjunctivitis, and skin changes around the eyes | [41] |
Corneal disorders | Corneal disorders encompass a wide range of conditions such as inflammations, corneal dystrophies, corneal ectasis affecting the cornea, the transparent outer layer of the eye | Keratitis is a common condition characterised by inflammation of the cornea, often caused by infections or injuries, while corneal dystrophies are an inherited conditions that cause progressive changes in the cornea. Conditions like keratoconus involve thinning and bulging of cornea, leading to vision distortion indication of corneal ectasia | This corneal disorders are influenced by a variety of factors, both intrinsic and extrinsic. In addition, environmental factors such as dry and windy conditions can exacerbate conditions like dry eye syndrome | Inflammation, and other associated condition to eye | Â |
Blepharitis | Blepharitis is a chronic inflammation of eyelids characterized by redness, swelling, and irritations | It typically affects both eyes and is not contagious. The condition often results from clogged oil glands near the eyelashes, leading to symptoms such as itchy, watery, and red eyes, along with crusted eyelashes and sensitivity to light | This is a chronic inflammation of eyelids, is influences by several factors including intrinsic and extrinsic factors. Additionally life style factors such as prolonged contact lense wear, exposure to irritants like dust and chemicals and hormonal changes can increase the risk of developing blepharitis | Itchy, watery, and red eyes, along with crusted eyelashes and sensitivity to light | Â |
Conjunctivitis | Conjunctivitis, commonly known as pink eye, is an inflammation or infection of the conjunctiva, the thin membrane covering the white part of the eye and the inside of the eyelids | The condition can be caused by viral or bacterial infections, allergies, or irritants. Symptoms vary depending on the cause but typically include red or pink eyes, watery or thick discharge, and sensitivity to light | The conjunctivitis is generally not serious and rarely affects vision, but it can be contagious, especially in viral and bacterial forms | It is characterized by redness, itching, and a gritty sensations in the eye | Â |