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The genetics and disease mechanisms of rhegmatogenous retinal detachment

  • Birgit M. Govers
  • , Ramon A.C. van Huet
  • , Susanne Roosing
  • , Sander Keijser
  • , Leonoor I. Los
  • , Anneke I. den Hollander
  • , B. Jeroen Klevering*
  • *Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    25 Citations (Scopus)
    261 Downloads (Pure)

    Abstract

    Rhegmatogenous retinal detachment (RRD) is a sight threatening condition that warrants immediate surgical intervention. To date, 29 genes have been associated with monogenic disorders involving RRD. In addition, RRD can occur as a multifactorial disease through a combined effect of multiple genetic variants and non-genetic risk factors. In this review, we provide a comprehensive overview of the spectrum of hereditary disorders involving RRD. We discuss genotype-phenotype correlations of these monogenic disorders, and describe genetic variants associated with RRD through multifactorial inheritance. Furthermore, we evaluate our current understanding of the molecular disease mechanisms of RRD-associated genetic variants on collagen proteins, proteoglycan versican, and the TGF-β pathway. Finally, we review the role of genetics in patient management and prevention of RRD. We provide recommendations for genetic testing and prophylaxis of at-risk patients, and hypothesize on novel therapeutic approaches beyond surgical intervention.

    Original languageEnglish
    Article number101158
    Number of pages28
    JournalProgress in Retinal and Eye Research
    Volume97
    DOIs
    Publication statusPublished - Nov-2023

    Keywords

    • Gene therapy
    • Monogenic disease
    • Multifactorial disease
    • Myopia
    • Preventive intervention
    • Retinal detachment
    • Rhegmatogenous retinal detachment

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