The Ocular Glymphatic System—Current Understanding and Future Perspectives

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The ocular glymphatic system subserves the bidirectional polarized fluid transport in the optic nerve, whereby cerebrospinal fluid from the brain is directed along periarterial spaces towards the eye, and fluid from the retina is directed along perivenous spaces following upon its axonal transport across the glial lamina. Fluid homeostasis and waste removal are vital for retinal function, making the ocular glymphatic fluid pathway a potential route for targeted manipulation to combat blinding ocular diseases such as age-related macular degeneration, diabetic retinopathy, and glaucoma. Several lines of work investigating the bidirectional ocular glymphatic transport with varying methodologies have developed diverging mechanistic models, which has created some confusion about how ocular glymphatic transport should be defined. In this review, we provide a comprehensive summary of the current understanding of the ocular glymphatic system, aiming to address misconceptions and foster a cohesive understanding of the topic.

Original languageEnglish
Article number5734
JournalInternational Journal of Molecular Sciences
Volume25
Issue number11
Number of pages12
ISSN1661-6596
DOIs
Publication statusPublished - 2024

Bibliographical note

Publisher Copyright:
© 2024 by the authors.

    Research areas

  • amyloid-beta, aquaporin-4, blood–retinal barrier, cerebrospinal fluid, diabetes, glaucoma, glymphatic–lymphatic fluid transport, intracranial pressure, intraocular pressure, meningeal lymphatics, perivascular spaces

ID: 395392073