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The Role of Retinal Dysfunction in Myopia Development

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Abstract

Myopia is a refractive disorder arising from a mismatch between refractive power and relatively long axial length of the eye. With its dramatically increasing prevalence, myopia has become a pervasive social problem. It is commonly accepted that abnormal visual input acts as an initiating factor of myopia. As the first station to perceive visual signals, the retina plays an important role in myopia etiology. The retina is a fine-layered structure with multitudinous cells, processing intricate visual signals via numerous molecular pathways. Accordingly, dopaminergic mechanisms, contributions of rod and cone photoreceptors, myopic structural changes of retinal pigment epithelium (RPE) and neuro-retinal layers have all suggested a vital role of retinal dysfunction in myopia development. Herein, we separately discuss myopia-related retinal dysfunction and current dilemmas by different levels, from molecules to cells, with the hope that the comprehensive delineation could contribute to a better understanding of myopia etiology, indicate novel therapeutic targets, and inspire future studies.

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Funding

This work was supported and funded by National Natural Science Foundation of China (Grant nos. 81900850 and 82101134).

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The idea for the article was provided by Keming Yu and Jing Zhuang. Yuke Huang and Xi Chen performed the literature search and draft writing, which was eventually critically revised by Keming Yu and Jing Zhuang. All authors read and approved the final manuscript.

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Correspondence to Keming Yu.

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Huang, Y., Chen, X., Zhuang, J. et al. The Role of Retinal Dysfunction in Myopia Development. Cell Mol Neurobiol 43, 1905–1930 (2023). https://doi.org/10.1007/s10571-022-01309-1

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  • DOI: https://doi.org/10.1007/s10571-022-01309-1

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