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Precision Medicine in Inherited Retinal Disease: Advances, Challenges, and Future Directions
Thanansayan Dhivagaran1, Fahad R Butt1, Krystal Grover2
1Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON N6A 5C1, Canada.
Journal of Personalized Medicine
|June 25, 2026
Summary
Precision medicine is revolutionizing inherited retinal disease (IRD) diagnosis and treatment through advanced genetic testing. Overcoming challenges like cost and access is key to unlocking the full potential of these innovative therapies for rare eye conditions.
Area of Science:
- Ophthalmology
- Genetics
- Precision Medicine
Background:
- Inherited retinal diseases (IRDs) are rare, heterogeneous genetic conditions.
- Historically diagnosed via clinical presentation and imaging.
- Genetic testing has transformed IRD diagnostics and therapeutics.
Purpose of the Study:
- Review progress and challenges in precision medicine for IRDs.
- Examine how genetic testing advances impact diagnostics and therapies.
- Evaluate patient selection protocols for optimal outcomes.
Main Methods:
- Focus on next-generation sequencing (NGS) for IRD genetic testing.
- Review patient selection combining genetic, structural, and counseling data.
- Literature review of current precision medicine applications.
Main Results:
- NGS significantly improves IRD diagnostic accuracy by identifying specific mutations.
- Targeted therapies, like Luxturna, are emerging for IRDs.
- Barriers include high costs, unequal access, and complex variant interpretation.
Conclusions:
- Innovative therapies offer hope for expanded IRD treatment options.
- Addressing economic, technological, educational, and infrastructural challenges is crucial.
- Harnessing precision medicine potential requires overcoming multifaceted barriers.
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