title: Pathology beyond neovascularization: new targets in age-related macular degeneration.
abstract: Control of choroid neovascularization may be important but insufficient to preserve long-term vision threatened by age-related macular degeneration. A retrospective analysis of patients who were early participants in anti-vascular endothelial growth factor studies, other pathologic processes, particularly fibrosis and atrophy, have participated in vision loss independent of new vessel growth. The recent interest in combination treatment strategies has been dominated by more effective blockade of angiogenic signaling, but it may also be necessary to incorporate therapies that block fibrosis, inhibit atrophy or other pathophysiologic processes not directly related to neovascularization to achieve the ultimate goal of preserving sight for a long term.
authors: Ophthalmic Consultants of Boston, Boston, Massachusetts 02114, USA. jsheier@eyeboston.com
authors: Jeffrey S
authors: JS
authors: Heier
mesh_terms: D020533:Angiogenesis Inhibitors / Q000627:therapeutic use*; D001284:Atrophy / Q000517:prevention & control; D020256:Choroidal Neovascularization / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D005355:Fibrosis / Q000517:prevention & control; D006801:Humans; D008268:Macular Degeneration / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D018714:Radiotherapy, Adjuvant; D012160:Retina / Q000473:pathology; D042461:Vascular Endothelial Growth Factor A / Q000037:antagonists & inhibitors
chemical_list: D020533:Angiogenesis Inhibitors; C467484:VEGFA protein, human; D042461:Vascular Endothelial Growth Factor A