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Published on: November 22, 2024
Keratoconus: an inflammatory disorder?
V Galvis1, T Sherwin2, A Tello1
11] Centro Oftalmologico Virgilio Galvis, Floridablanca, Colombia [2] Faculty of Health Sciences, Universidad Autonoma de Bucaramanga, Floridablanca, Colombia.
Keratoconus may involve inflammation, challenging its traditional definition. Studies reveal elevated inflammatory markers in tears, suggesting a potential inflammatory component in this corneal disease.
Area of Science:
- Ophthalmology
- Biochemistry
- Pathophysiology
Background:
- Keratoconus is traditionally defined as a non-inflammatory corneal disease causing thinning and steepening.
- Genetic and environmental factors are implicated, but recent research suggests a role for proteolytic enzymes, cytokines, and free radicals.
- The presence of inflammation in keratoconus has been increasingly questioned.
Purpose of the Study:
- To review biochemical changes in keratoconus.
- To investigate if these changes support an inflammatory basis for the condition.
Main Methods:
- Literature review of published biochemical changes in keratoconus.
- Analysis of tear fluid biomarkers.
Main Results:
- Elevated levels of interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and matrix metalloproteinase (MMP)-9 are frequently found in the tears of keratoconus patients.
- Eye rubbing, a risk factor, increases tear levels of MMP-13, IL-6, and TNF-α.
- Elevated IL-1α and MMP-9 in ocular rosacea tears are associated with corneal thinning similar to keratoconus.
Conclusions:
- Biochemical evidence suggests keratoconus may have inflammatory components.
- Elevated inflammatory mediators in tears warrant further investigation into the role of inflammation in keratoconus pathophysiology.
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