Open research questions in Retinal Diseases and Treatments
938 gap statements mined from Retinal Diseases and Treatments papers in our 7.9M-paper local library, which holds 5,006 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
There is a lack of studies investigating the clinical correlation between diabetic macular edema and diabetic nephropathy in the Mexican population. The study aims to fill this gap by providing new insights into the relationship between the two conditions.
Correlación clínica entre el edema macular diabético y la nefropatía diabética en la población mexicana · 2026 · DOIThe lack of early and accurate predictors for vision-threatening diabetic retinopathy in diabetic patients. The need for a systematic review and meta-analysis to assess the predictive value of UACR and eGFR for VTDR.
Diagnostic value of urinary albumin creatinine ratio in predicting vision-threatening diabetic retinopathy in patients with diabetes: a systematic review and Meta-analysis · 2026 · DOIThe study had to consider the differences in genetic background and environment among the patients. The mechanism by which the rs1617640 SNP confers susceptibility to diabetic retinopathy is not entirely clear and needs to be explored.
The erythropoietin gene polymorphism (rs1617640) is associated with retinopathy in type 2 diabetes patients · 2026 · DOIThe mechanism by which the rs1617640 SNP in the EPO gene confers susceptibility to diabetic retinopathy is not entirely clear. The role of the EPO gene polymorphism in diabetic retinopathy is not well understood, especially in Caucasians.
The erythropoietin gene polymorphism (rs1617640) is associated with retinopathy in type 2 diabetes patients · 2026 · DOIThe study identifies technical challenges in analyzing metabolomic data, including the need for quality metrics and retention time filtering. It notes the challenge of interpreting mechanistic relationships between metabolites and DR. The study also faces the challenge of validating its findings, given the mixed results of prior studies on acylcarnitine levels in DR.
Limited understanding of type 4 macular neovascularization's prevalence and characteristics. Lack of studies focusing on type 4 MNV in age-related macular degeneration.
Type 4 macular neovascularization in a consecutive age-related macular degeneration cohort: detected prevalence and multimodal imaging findings · 2026 · DOIThe relationship between RBP4 and diabetic retinopathy is not well understood. Prior studies have not fully evaluated the interaction between RBP4 and age at onset. The study aims to address this gap by investigating the association between RBP4 and diabetic retinopathy.
Age at type 2 diabetes onset, retinol binding protein 4 and risks of diabetic retinopathy: a real-world cross-sectional study · 2026 · DOIThe expression and function of CEACAM1 in the eye is not well understood. There is a lack of studies investigating the role of CEACAM1 in retinal and choroidal morphology and transcriptome.
Prior work has focused on the affected eye, but the healthy fellow eye has not been thoroughly studied.
Evidence of an aging-like foveal profile in healthy fellow eyes of patients with idiopathic macular hole · 2026 · DOIThere is a need to evaluate the effect of a shorter switching interval from intravitreal dexamethasone implant to intravitreal fluocinolone acetonide implant on clinical outcomes in diabetic macular edema.
A Shorter Switching Interval from Intravitreal Dexamethasone Implant to Intravitreal Fluocinolone Acetonide Implant Improves Clinical Outcomes in Diabetic Macular Edema · 2026 · DOIThe paper identifies challenges in developing new therapeutics for AMD, including the need to target the early forms of the disease. It also highlights the challenges in working with very high-molecular weight fucoidans, including the need for mild extraction and purification methods.
Influence of a Very High-Molecular Weight Fucoidan from Laminaria hyperborea on Age-Related Macular Degeneration-Relevant Pathomechanisms in Ocular Cell Models · 2025 · DOIOne challenge is the need for frequent injections with current anti-VEGF agents. Another challenge is the complexity of molecular pathways involved in macular neovascularization. The paper identifies the challenge of achieving sustained disease control in AMD as a key area of research.
Exploring Current Molecular Targets in the Treatment of Neovascular Age-Related Macular Degeneration toward the Perspective of Long-Term Agents · 2024 · DOIThere is a need for effective and enduring disease control in neovascular age-related macular degeneration. Current anti-VEGF agents have limitations, including the need for frequent injections. The paper identifies a gap in the understanding of molecular targets and pharmacological aspects of neovascular AMD treatment.
Exploring Current Molecular Targets in the Treatment of Neovascular Age-Related Macular Degeneration toward the Perspective of Long-Term Agents · 2024 · DOIThe clinical impact of long-term glycemic variability on diabetic retinopathy is not well understood. There is a need to investigate the association between long-term glycemic variability and diabetic retinopathy. The current study aims to address this gap.
HbA1c variability as an independent risk factor for diabetic retinopathy: results from a screening program · 2026 · DOIThese findings suggest that scleral characteristics may represent a predisposing anatomical factor in PPS, although the precise pathophysiological mechanisms remain to be elucidated.
Ciliochoroidal Effusion and Regional Scleral Thickening in Peripapillary Pachychoroid Syndrome · 2026 · DOIWhile the role of REDD1 in diabetes complications in the retina has been well-explored, the potential contribution of REDD2 has not been previously examined.
GSK3β promotes p53/Nrf2-dependent expression of the stress response protein REDD2 in retinal Müller glia exposed to hyperlipidemic conditions · 2026 · DOIHowever, its effects on the development and pathological progression of fundus blood vessels in C57 mice remain unclear.
Effects of body weight on ocular fundus blood vessels in C57 mice at different developmental and disease stages · 2026 · DOICurrent therapies primarily target late-stage symptoms and are limited by their frequent and invasive intravitreal (IVT) injections.
Murine Biocompatibility Evaluation of an Albumin‐Derived Complex and Nanoparticle Delivery System for Ocular Applications · 2026 · DOIIt notes that prior studies have reported mixed findings regarding acylcarnitine levels in DR. The study aims to add to the evolving literature on metabolomic studies in DR.
Further studies are needed to investigate the effect of scan size on FAZ-related metrics in other retinal diseases, - Studies should examine the relationship between scan size and FAZ-related metrics in different populations, - Research should focus on developing methods to minimize the effect of scan size on FAZ-related…
Impact of scan size on foveal avascular zone metrics measured by optical coherence tomography angiography · 2026 · DOIThe main chemical limitation is the absence of a sufficiently resolved profile linking constituent identity and abundance to the preparation tested in ARPE-19 cells, - Screening and reference-equivalent colorimetric measurements describe classes but cannot assign the biological response to an individual molecule, - Preparation differences are also important, - Phytochemical standardization, ocular exposure…
Terminalia buceras (Syn. Bucida buceras) and Retinal Oxidative Stress: A Critical Review of Published Evidence and Its Relevance to Dry Age-Related Macular Degeneration · 2026 · DOIA minimum interpretable follow-up study would use a botanically authenticated material, a documented extraction procedure, and a reproducible chemical profile with quantitative markers, - Cytoprotection should be assessed across an extract concentration range, with matched vehicle and positive controls, - Confirmation in primary or iPSC-derived RPE with documented differentiation, junctional organization…
Terminalia buceras (Syn. Bucida buceras) and Retinal Oxidative Stress: A Critical Review of Published Evidence and Its Relevance to Dry Age-Related Macular Degeneration · 2026 · DOIInvestigation of CC1 function in pathological conditions, such as neovascular eye diseases. Study of the role of CC1 in inflammatory signaling, endothelial dysfunction, and tissue remodeling under pathological conditions.
The study was a retrospective, multicenter, observational extension study, - The study had a limited follow-up duration, - The study excluded patients with certain conditions such as macular edema resulting from retinal vein occlusion, uveitis, postsurgical complications, inherited retinal dystrophies, or drug-induced…
A Shorter Switching Interval from Intravitreal Dexamethasone Implant to Intravitreal Fluocinolone Acetonide Implant Improves Clinical Outcomes in Diabetic Macular Edema · 2026 · DOIInvestigate the long-term effects of FucBB04, - Test the bioactivity of FucBB04 in vivo, - Investigate the effects of FucBB04 on other cell…
Influence of a Very High-Molecular Weight Fucoidan from Laminaria hyperborea on Age-Related Macular Degeneration-Relevant Pathomechanisms in Ocular Cell Models · 2025 · DOI
Most-cited papers in Retinal Diseases and Treatments
- The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus · New England Journal of Medicine · 1993 · 19,501 citations
- Ranibizumab for Neovascular Age-Related Macular Degeneration · New England Journal of Medicine · 2006 · 4,585 citations
- Secondary prevention of macrovascular events in patients with type 2 diabetes in the PROactive Study (PROspective pioglitAzone Clinical Trial In macroVascular Events): a randomised controlled trial · The Lancet · 2005 · 3,440 citations
- Diabetic retinopathy · The Lancet · 2010 · 2,995 citations
- Vascular Endothelial Growth Factor in Ocular Fluid of Patients with Diabetic Retinopathy and Other Retinal Disorders · New England Journal of Medicine · 1994 · 2,896 citations
- Ranibizumab versus Verteporfin for Neovascular Age-Related Macular Degeneration · New England Journal of Medicine · 2006 · 2,849 citations
- Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045 · Ophthalmology · 2021 · 2,313 citations
- Ranibizumab and Bevacizumab for Neovascular Age-Related Macular Degeneration · New England Journal of Medicine · 2011 · 2,032 citations
- Pegaptanib for Neovascular Age-Related Macular Degeneration · New England Journal of Medicine · 2004 · 1,832 citations
- Age-related macular degeneration · The Lancet · 2012 · 1,597 citations
Most recent work
- TEMPORARY REMOVAL: Four-Year Outcomes of Faricimab in Diabetic Macular Edema · Ophthalmology · 2026
- Total cholesterol, high-density lipoprotein, and glucose (CHG) index and diabetic retinopathy in middle-aged and elderly Chinese adults with diabetes: a cross-sectional study · Frontiers in Endocrinology · 2026
- Oxidative Stress in Diabetic Retinopathy: Pathogenic Mechanisms, Biomarkers and Clinical Implications · Antioxidants · 2026
- LONG-TERM EFFICACY AND SAFETY OF PHOTOBIOMODULATION IN DRY AGE-RELATED MACULAR DEGENERATION (LIGHTSITE III: 24-MONTH ANALYSIS) · Retina · 2026
- Tirzepatide and Reduced Risk of Diabetic Retinopathy and Related Complications · Ophthalmology · 2026
- Modest and Variable Correlations Between Geographic Atrophy Enlargement Rates in Fellow Eyes in the AREDS2 Study · JAMA Ophthalmology · 2026
- Molecular stress and neurovascular injury in the diabetic retina · Journal of Clinical Investigation · 2026
- Outer Retinal Erosion and Outer Retinal Pinching at the Origin of Subretinal Fluid in Central Serous Chorioretinopathy · American Journal of Ophthalmology · 2026
- Relationship between retinal neurodysfunction and cognitive impairment in type 2 diabetes: results of the RECOGNISED cross-sectional study · Diabetologia · 2026
- Luteolin ameliorates diabetic retinopathy through activation of the Nrf2/Keap1 and SIRT3/AMPK antioxidant axes and suppression of cGAS-STING and Wnt/β-catenin pathways in experimental rats · Journal of Physiology and Biochemistry · 2026
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