The dilemma with normal tension glaucoma treatment - Ophthalmology Times Europe

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The dilemma with normal tension glaucoma treatment


Ophthalmology Times Europe
Volume 8, Issue 1

Glaucoma and Curcumin


Figure 2: Curcumin has shown possible beneficial effects in most of the mechanisms that are thought to be involved in the development and progression of glaucoma and which are the targets for pharmacological intervention (neuroprotection)
Glaucoma is a neurodegenerative disease characterized by structural change of the optic nerve head and slowly progressive death of retinal ganglion cells mainly by apoptosis. In addition to mechanical insult caused by elevated IOP, several mechanisms are thought to be involved in the development and progression of glaucoma which could be targets for pharmacological intervention. It is interesting to note that Curcumin has shown beneficial effects in all of these mechanisms (Figure 2).4

In my recent work I have found that Curcumin could be considered as a neuroprotective candidate in glaucoma.5 Not only can it bind to specific and relevant molecules on the target tissue, it can also penetrate far enough to reach this tissue at levels that would be effective pharmacologically and it also demonstrated the ability to enhance neuronal survival and lower damage in animal models. Additionally, a pilot study of Curcumin and phospholipids on glaucoma patients has shown that it slows disease progression.

A clinical trial of Curcumin on patients with glaucoma is on the horizon.

Dr Andreas U. Bayer is an ophthalmology specalist in private practice in Weilheim in Upper Bavaria, Germany. He may be reached by Email:

Dr Bayer is a consultant of Nutrition, Science and Health (NSH), Munich, Germany, which manuafactures NSHNeuroprotekt, a complex of Curcumin and omega3.

References

1. Collaborative Normal Tension Glaucoma Study, Am. J. Ophthalmol., 1998;126(4):487–497.

2. T. Krupin et al., Am. J. Ophthalmol., 2011;151(4):671–681.

3. B.B. Aggarwal and K.B. Harikumar, Int. J. Biochem. Cell. Biol., 2009;41(1):40–59.

4. R. Weinreb et al., Medical Treatment of Glaucoma, World Glaucoma Association Consensus Series 7, Kugler Publications, The Netherlands, 2010.

5. A. Bayer, The search for potential neuroprotective agents in glaucoma therapy: Is Ayurveda's Curcumin in a complex with Omega-3 EPA/DHA and phospholipids one future direction? Poster presentation, WGC 2011, Paris, France.


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