Diseases of the optic nerve and retinal ganglion cells, including glaucoma and other optic neuropathies, cause progressive axon loss and irreversible blindness. This page highlights preclinical models of pressure‑dependent and pressure‑independent injury, neuroinflammation, glial and complement activation, aging‑related degeneration, and gene‑based therapies for optic nerve protection.
What are Optic Nerve Diseases?
The optic nerve and its retinal ganglion cell (RGC) axons form the critical output pathway from the eye to the brain, and they are among the most vulnerable neurons to metabolic, vascular, inflammatory, and mechanical stress across the visual system. A broad spectrum of ocular and central nervous system disorders (including inherited and acquired optic neuropathies, optic neuritis, neurovascular and ischemic injuries, aging-related retinal degeneration, and rare genetic diseases) ultimately converge on progressive RGC loss and optic nerve damage that drive permanent visual field deficits and irreversible blindness. Within this wider family of optic nerve neurodegenerative diseases, glaucoma stands out as one of the most common conditions and a leading global cause of irreversible blindness, currently affecting tens of millions of people and projected to exceed 100 million cases as populations age.
Disease entities within this optic nerve and RGC neurodegeneration chapter span glaucoma, optic nerve damage and neuritis, retinal ganglion cell pathology, myopia-associated neurovascular changes, ischemia-reperfusion injury, and broader retinal degenerations, as well as aging-related axon degeneration, neuroinflammation, glial dysregulation, and rare inherited optic neuropathies. Their initiating insults differ, ranging from elevated intraocular pressure and mechanical strain at the optic nerve head to vascular occlusion, excitotoxicity, mitochondrial dysfunction, autoimmune demyelination, and pathogenic gene variants. Nevertheseless, these conditions frequently converge on shared downstream pathways: impaired axoplasmic transport, Wallerian-like axon self-destruction, glial-mediated neuroinflammation, disruption of neurovascular coupling, and chronic metabolic stress that together drive RGC soma loss and optic nerve degeneration. Experimental work in this area increasingly targets these convergent mechanisms, exploring neuroprotective strategies, modulation of microglia and astrocytes, glial suppression or reprogramming, and gene therapy approaches aimed at preserving or restoring axonal integrity and visual pathway function.
Across all these disease models, and regenerative or gene therapy studies, a central challenge is demonstrating that cellular and structural rescue translates into meaningful preservation or recovery of visual function. Behavioral assays based on optomotor and optokinetic responses in rodents, such as those implemented by Striatech’s OptoDrum system, provide objective, longitudinal measurements of visual acuity and contrast sensitivity that sensitively report the integrity of the retina–optic nerve–brain axis. By quantifying changes in these performance metrics over time, researchers can directly link aging, axon degeneration, glial and neuroinflammatory modulation, optic nerve regeneration, and gene therapy interventions to functional outcomes that mirror the visual field loss and blindness observed in human disease.
Why Measure Visual Function in Optic Nerve Research?
For researchers whose primary interest is not clinical ophthalmology – including investigators studying CNS axon degeneration, axon regeneration, or neuroinflammation who use the optic nerve crush (ONC) model as a tractable in vivo platform – adding automated visual function measurement to an experimental workflow provides an orthogonal, functional endpoint that anatomical or histological readouts cannot supply on their own.
Anatomical evidence of axon regrowth distal to a crush site, or rescue of RGC soma counts, is necessary but not sufficient evidence of functional reconnection: a treatment that preserves RGC numbers or promotes axon extension into the superior colliculus, but fails to restore the optomotor reflex, has not achieved functional visual recovery.
The OptoDrum determines this non-invasively, at any time point, without interfering with the biology under study or the integrity of subsequent terminal analyses. Because the OMR is mediated by a subcortical reflex arc (retina → accessory optic system → nucleus of the optic tract → motor output), it reports directly on the integrity of the retino-recipient circuit rather than on cortical processing. For studies of axon regeneration and neuroprotection, this is precisely the circuit whose function needs to be demonstrated.
Also see: Maintaining and Restoring Vision.
Common Animal Models for Diseases Affecting the Optic Nerve
- DBA/2J mice: A hereditary glaucoma model carrying mutations in Gpnmb and Tyrp1 that produce progressive iris disease and IOP elevation from approximately 6 months of age, followed by optic nerve degeneration and RGC loss. Visual acuity measured by OptoDrum declines in parallel with RGC loss, making this model well-suited to longitudinal natural-history studies and long-duration intervention trials in age-related glaucoma.
- Microbead occlusion model (mice and rats): Intracameral injection of polystyrene or magnetic microbeads obstructs aqueous outflow through the trabecular meshwork, producing controllable IOP elevation followed by RGC degeneration. The magnitude and duration of IOP elevation, and the resulting functional visual decline, can be titrated by adjusting bead concentration and schedule, making the model adaptable to both acute and chronic experimental designs.
- Laser-induced IOP elevation: Photocoagulation of the trabecular meshwork or episcleral veins creates outflow obstruction with reliable RGC loss and measurable OptoDrum acuity decline. Unilateral designs use the contralateral eye as an internal control, and the degree of IOP elevation and RGC loss can be modulated by adjusting laser parameters. Note that local retinal laser ablation alone does not lead to optomotor deficits.
- Episcleral vein cauterisation (Morrison model, rats): Cauterisation of episcleral veins elevates IOP chronically in rats, producing a well-characterised model of moderate progressive glaucoma with gradual RGC degeneration and visual decline that parallels the clinical course of chronic open-angle glaucoma.
- Soluble guanylate cyclase (sGC) deficiency mice: Genetic disruption of the principal NO-cGMP signalling axis in trabecular meshwork cells recapitulates glaucoma-like RGC degeneration and functional visual decline. OptoDrum was used to document this longitudinally across age, establishing sGC as a mechanistic driver of glaucomatous pathology. (Bossardet et al., 2026, Sci Rep.)
- Optic nerve crush (ONC): A standardised surgical model in which the optic nerve is compressed briefly with calibrated forceps. ONC produces acute, near-complete RGC axon injury and rapid functional visual acuity loss detectable by OptoDrum within days to weeks. Because ONC does not involve IOP elevation, it is widely used as a pure axon injury model for studying neuroprotection, Wallerian degeneration, and axon regeneration – and serves as the primary in vivo platform for CNS axon biology groups for whom the optic nerve is a tractable CNS injury system.
- Retinal ischemia-reperfusion injury (IRI): Transient acute IOP elevation via anterior chamber cannulation (typically 30 to 90 minutes), followed by reperfusion, creates oxidative stress, complement activation, and RGC death mimicking the ischemic component of acute angle-closure glaucoma attacks. OptoDrum detects functional visual decline within one to two weeks of injury. This model has been used to evaluate complement-pathway inhibitors (Zhao et al., 2025, Adv Sci (Weinh).) and necroptosis inhibitors (Kim et al., 2024, Cell Death Differ.)
- NMDA-induced excitotoxicity: Intravitreal injection of N-methyl-D-aspartate selectively kills RGCs through glutamate-receptor-mediated excitotoxicity without affecting photoreceptors, enabling isolated study of RGC-specific cell death programmes and neuroprotectants targeting excitotoxic pathways.
How Can Striatech Tools support Your Study?
01How Can I Measure Visual Acuity and Contrast Sensitivity Reliably in Preclinical Glaucoma Models?Audience A - Vision-focused
Quick Answer
The challenge
Accurate, reproducible, and repeated measurement of visual function is the central methodological challenge in preclinical glaucoma research. The primary clinical endpoint of any therapeutic strategy – whether IOP-lowering, neuroprotective, or regenerative – is ultimately the preservation of visual function. Yet many preclinical studies rely exclusively on structural endpoints: RGC counts by immunohistochemistry, optic nerve axon density by electron microscopy, or retinal layer thickness by OCT. These endpoints are informative and necessary, but they are terminal or at minimum time-point-limited, they capture structure rather than function, and they cannot demonstrate that structural preservation translates into a functioning retino-cortical circuit. Electrophysiological endpoints such as ERG and VEP provide functional information but typically require anaesthesia (which affects retinal responses), specialised equipment and technical expertise, and are logistically demanding for high-throughput longitudinal applications.
The optomotor reflex offers a fundamentally different approach: it is a reflexive, subcortical behaviour that does not require the animal to have learned any task, that can be measured repeatedly in the same animal across weeks or months, and that directly reports on the integrity of the retino-brainstem pathway.
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Evidence from the Literature
- In a comprehensive characterisation of a preclinical glaucoma model, the authors used OptoDrum to establish the time course over which structural RGC changes – cell death, axon damage, and optic nerve histopathology – map onto functional visual acuity decline. This study provides the benchmark correlation between structural glaucomatous endpoints and the OptoDrum readout, confirming that spatial acuity loss is a reliable functional correlate of progressive RGC neurodegeneration.
02How Does Neuroinflammation Drive Retinal Ganglion Cell Loss in Glaucoma, and Can Targeting Inflammatory Pathways Preserve Visual Function?Audience A - Vision-focusedAudience B - CNS/Systemic
Quick Answer
The challenge
Neuroinflammation in glaucoma is not a secondary bystander response but an active amplifier of primary pressure-dependent and pressure-independent injury. Activated microglia produce TNF-α, which binds TNFR1 on RGCs and drives apoptosis via the extrinsic death pathway; simultaneously, complement proteins C1q, C3, and their receptor C3aR are upregulated at the optic nerve head and inner retina, promoting synaptic elimination, membrane-attack-complex formation, and phagocytic RGC clearance. Reactive astrogliosis further compromises the metabolic support provided to RGC axons at the lamina cribrosa. Each of these components represents a potential therapeutic target, but demonstrating that any intervention translates from a reduction in inflammatory markers or histological RGC rescue to a genuine improvement in functional vision has historically been difficult without a reliable, non-invasive functional readout.
Also see: Neuroinflammation and Autoimmune CNS Disease and Retinal Degeneration.
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Evidence from the Literature
- This study demonstrated that TNF-α-mediated neuroinflammation drives optic nerve damage and RGC death in a glaucoma model, with OptoDrum confirming that TNF-α-induced structural loss translates to quantifiable functional visual acuity decline. The study provides direct evidence for the TNF-α axis as a driver of measurable visual impairment in glaucoma, not merely a marker of histological damage.
- This study characterised complement C3/C3aR signalling as a neuroinflammatory cascade driving RGC dysfunction following retinal ischemia-reperfusion injury – a model relevant to acute IOP spike-induced RGC damage in angle-closure glaucoma. OptoDrum confirmed functional visual acuity loss resulting from complement-mediated injury. The study adds the complement pathway as a second mechanistic neuroinflammation target alongside TNF-α.
- This study demonstrated that systemic treatment with pioglitazone, a PPAR-γ agonist, reduces neuroinflammation in a glaucoma model and – critically – preserves visual acuity as measured by OptoDrum, confirming that broad anti-inflammatory pharmacotherapy translates from reduced inflammatory histology to functional visual neuroprotection.
03Do Neuroprotective Compounds and Gene Therapies Preserve or Restore Visual Function in Glaucoma Models?Audience A - Vision-focused
Quick Answer
The challenge
Reduction of intra-ocular pressure (IOP) is the most common first-line treatment strategy in glaucoma, but IOP lowering alone does not halt glaucoma progression in a substantial proportion of patients. There is a clear unmet need for IOP-independent neuroprotective strategies. Numerous candidate approaches have been advanced preclinically – targeting programmed cell death pathways, inflammatory mediators, metabolic support, and epigenetic dysregulation – but demonstrating that any of these translates from preserved RGC counts to genuinely preserved or restored visual function is the critical translational step. The structural rescue of RGCs that are subsequently non-functional, or the anatomical regrowth of axons that fail to establish synaptic contacts, does not constitute a meaningful preclinical outcome for therapeutic development. OptoDrum addresses this gap by providing a sensitive, non-invasive, and repeatable functional endpoint throughout an intervention study, enabling researchers to track the time course of protection, determine whether protection is sustained, and identify the optimal therapeutic window.
Also see: Gene Therapy and Maintaining and Restoring Vision.
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Evidence from the Literature
- This study developed a high-fidelity RNA-targeting CRISPR-Cas system and demonstrated in a preclinical glaucoma model that gene-editing-mediated silencing of pathogenic targets preserves both RGC survival and OptoDrum-measured visual acuity.
- Genetic deletion of SARM1, the central NADase of the Wallerian axon self-destruction programme, reduced RGC death in a glaucoma model. Critically, OptoDrum confirmed that this structural axon and soma protection translated to preserved spatial visual acuity, establishing SARM1 as a therapeutic target whose functional benefit is demonstrable at the circuit level. SARM1 inhibition is an active area of neurodegeneration drug development.
- This medicinal chemistry study identified novel nitric oxide-donating compounds with dual mechanisms in glaucoma – IOP reduction and direct RGC neuroprotection. OptoDrum confirmed that these pharmacological effects preserved visual acuity, providing the translational functional validation required for the candidate compound programme.
- An earlier study from the same NO-donor programme, providing historical depth for the pharmacological approach and confirming OptoDrum sensitivity to the functional effects of nitric oxide-based glaucoma pharmacology.
- This biomaterials study introduced a novel glaucoma mouse model: intraocular injection of an in situ-crosslinked hydrogel mediated reliable pressure increase, resulting in reduced visual acuity as assessed by OptoDrum, illustrating that the functional readout is applicable not only to molecular target studies but also to delivery system validation and model characterization.
04How Do I Track Glaucoma Progression Longitudinally and Identify the Optimal Therapeutic Window?Audience A - Vision-focused
Quick Answer
The challenge
Identifying the optimal therapeutic window – the period during which RGCs are injured but not yet irreversibly lost, and therefore still rescuable – is one of the most practically important and methodologically demanding aspects of preclinical glaucoma research.
Traditional approaches infer progression from structural data (RGC counts, nerve fibre layer thickness) collected in separate cohorts at pre-specified time points, which are expensive in animal numbers, confound between-subject variability with temporal progression, and fail to capture within-individual inflection points in functional decline.
A functional biomarker that can be measured repeatedly in the same animal – as OptoDrum provides – transforms the experimental design: instead of inferring population-level curves from cross-sectional cohorts, the researcher can establish individual trajectories and identify the precise moment of functional onset for each animal, then stratify intervention timing accordingly. This precision is particularly important in aging-disease interactions (such as age-dependent glaucoma in DBA/2J mice) where the onset of IOP elevation and functional decline is variable between individuals. For researchers studying rare or inherited glaucoma subtypes, the model selection question – which genetic background provides the most relevant visual phenotype – is a prerequisite for longitudinal programme design, and OptoDrum provides the visual phenotyping needed to make that comparison.
Also see: Rare and Inherited CNS and Eye Disorders, Myopia, Refractive Development and Eye Growth, Myopia and Blindness.
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Evidence from the Literature
- This study's main readout was behavioral visual function in response to an excitotoxic NMDA insult, showing baseline function, visual acuity decline and recovery, and the effects of treatment. This is a prime example of non-invasive disease progression monitoring with the OptoDrum.
- This study assessed functional visual acuity in two age groups using OptoDrum in sGC-deficient mice, documenting the natural history of progressive glaucoma-like visual decline in a genetically defined model. This study demonstrated that this specific genetic model caused functional decline specifically in female individuals.
- This systematic evaluation of mouse models for rare and inherited glaucoma used OptoDrum to phenotype the visual deficit severity across candidate genetic backgrounds, providing the functional characterisation needed to select the most appropriate model for a longitudinal therapeutic programme. Establishing the baseline phenotype and rate of decline is a prerequisite for designing an appropriately powered intervention study with defined therapeutic windows.
- This study characterised progressive ocular axial elongation and secondary optic nerve damage in Loxl1−/− mice, using OptoDrum to document their functional visual abilities. This mouse model did not show functional optomotor decline, despite other ganglion cell related deficits - important baseline information about what can and cannot be assessed through behavioral visual readouts.
05How Does Aging Interact with Glaucomatous Neurodegeneration, and Can Visual Function Serve as a Readout of Age-Glaucoma Pathology?Audience A - Vision-focusedAudience B - CNS/Systemic
Quick Answer
The challenge
Age is the single largest non-modifiable risk factor for glaucoma: the prevalence of the disease rises steeply after 60 years of age, and normal aging itself reduces RGC density, degrades axon transport efficiency, and shifts the microglial phenotype toward a proinflammatory state that amplifies pressure-dependent injury. Preclinical researchers working with aging glaucoma models therefore face compounded variability: the degree of IOP elevation, the rate of RGC loss, and the time course of functional visual decline all vary between individual animals in an age-dependent way that is difficult to control by group assignment alone. A functional biomarker that tracks each animal individually – as the OptoDrum provides – is therefore particularly valuable in the aging-glaucoma intersection, where within-group variance is high and individual inflection points matter for therapeutic window determination. Beyond tracking decline, an important emerging question is whether age-related epigenetic changes that reduce RGC resilience can be pharmacologically reversed. The OSK gene therapy programme (Karg et al., 2023, Cell Reprogram.) has demonstrated proof-of-concept for this reversal, with optomotor readouts as the primary endpoint for functional vision recovery.
Also see: Systemic Aging and CNS Decline, Aging and Maintaining and Restoring Vision.
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Evidence from the Literature
- Sustained recovery of visual acuity was demonstrated in an aging glaucoma mouse model following AAV-mediated delivery of OSK (Oct4/Sox2/Klf4) epigenetic reprogramming factors. OptoDrum served as the primary functional endpoint, showing that acuity lost to combined aging and glaucomatous damage was measurably and durably restored following OSK treatment. This study represents the most direct available evidence that OptoDrum can detect functional vision recovery – not only decline – in an age-glaucoma model, and it provides the benchmark functional outcome for the epigenetic reprogramming approach.
- This study examined chronic proinflammatory conditions in an aging mouse model and documented progressive visual acuity decline using OptoDrum.
06Can Optic Nerve Injury and Ischemia-Reperfusion Models Inform Neuroprotective and Regenerative Strategies Relevant to Glaucoma?Audience A - Vision-focusedAudience B - CNS/Systemic
Quick Answer
The challenge
ONC and IRI models occupy an important strategic position in preclinical glaucoma research: they produce rapid, reproducible, and quantifiable injury to the optic nerve and RGC population within a compressed time frame, enabling high-throughput evaluation of candidate neuroprotective and regenerative interventions before committing to the longer and more resource-intensive chronic glaucoma models.
A central challenge in interpreting data from these acute models is demonstrating that the structural outcomes most commonly reported – RGC survival counts, axon density measurements, or anterograde axon tracer results – translate to genuine functional visual improvement. Anatomical evidence of axon regrowth following a regeneration-promoting intervention, for example, does not confirm that the regenerated axons have re-established functional synaptic contacts with their targets in the brain.
OptoDrum addresses this directly: it measures the functional optomotor output of the retino-brainstem circuit and can distinguish animals with genuine visual circuit recovery from those with structural rescue that has not been functionally integrated. For researchers not primarily working in ophthalmology, visual function measurement with OptoDrum adds a validated functional endpoint to what would otherwise be a purely anatomical or molecular experimental output.
Also see: Trauma and Acute Injury, Optic Nerve Damage, Axon Degeneration, Optic Nerve Regeneration, Retinal Ischemia-Reperfusion Injury and Optic Neuritis.
For inherited forms of optic neuropathy – such as Wolfram syndrome optic atrophy – in which metabolic failure and neuroinflammation drive progressive optic nerve degeneration through mechanisms overlapping with those described here, see: Rare and Inherited CNS and Eye Disorders.
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Evidence from the Literature
- RIP1 kinase inhibition protected RGCs from necroptotic death and attenuated neurovascular injury in a retinal ischemia-reperfusion model. OptoDrum confirmed that this structural neuroprotection translated to preserved visual acuity, establishing RIP1 kinase as a validated functional neuroprotective target in an acute glaucoma-relevant injury setting.
- Selective deletion of a zinc transporter reduced axon degeneration and promoted optic nerve regeneration following ONC, with OptoDrum confirming that structural improvements in axon integrity corresponded to improved functional visual acuity. This study identifies zinc transporter modulation as a candidate neuroprotective-regenerative target with demonstrated functional benefit in the ONC model.
- Erythropoietin protected RGCs from degeneration following optic nerve injury partly by suppressing reactive glial activation. OptoDrum confirmed that the structural neuroprotection and anti-neuroinflammatory effects of EPO translated to preserved visual acuity, supporting EPO's translational potential for optic neuropathies with a glial-mediated inflammatory component.
- Vitamin C (ascorbic acid) provided antioxidant neuroprotection for RGCs in an optic nerve damage model, with OptoDrum confirming that antioxidant-mediated structural RGC protection translated to preserved visual acuity.
- MCT1-dependent metabolic failure in oligodendrocytes was shown to drive secondary neuroinflammation and progressive optic nerve degeneration in a Wolfram syndrome model, with OptoDrum measuring progressive visual acuity loss as the functional readout of optic neuropathy.
Summary: Striatech Products supporting your research questions
| Research Question | OptoDrum | ScotopicKit | AcuiSee | Photorefractor | Keratometer | DarkAdapt | Non-aversive platform |
|---|---|---|---|---|---|---|---|
| Measuring visual acuity and contrast sensitivity | Yes | Yes | Yes | ||||
| Neuroinflammation and RGC loss | Yes | Yes | |||||
| Neuroprotection and gene therapy | Yes | Yes | Yes | ||||
| Longitudinal tracking | Yes | Yes | Yes | ||||
| Aging and glaucoma | Yes | Yes | Yes | ||||
| ONC and acute injury models | Yes | Yes* | Yes | Yes* | Yes |
Measuring Functional Visual Outcomes in The Optic Nerve, its Neurons and Diseases: How Do Available Methods Compare?
| Modality | What It Measures | Invasiveness | Repeatability in the same animal | Training required | Automation | 3Rs relevance |
|---|---|---|---|---|---|---|
| OptoDrum (Striatech) | Spatial visual acuity and contrast sensitivity via optomotor reflex (subcortical) | Non-invasive; no anaesthesia | High; can be performed daily | None | Fully automated | Refinement (no restraint, no anaesthesia); enables Reduction (replaces some terminal cohorts) |
| AcuiSee (Striatech) | Visual acuity and contrast sensitivity via operant forced-choice (cortical) | Non-invasive; food restriction required | High after training phase | 10 to 14 days | Automated after training | Refinement; provides psychophysical cortical endpoint complementary to OMR |
| Scotopic ERG | Rod and cone photoreceptor function; inner retinal function (b-wave, pSTR) | Moderate; typically requires anaesthesia and pupil dilation | Moderate; anaesthesia imposes practical limits on frequency | Operator skill required | Semi-automated | Moderate; anaesthesia constitutes a physiological perturbation |
| Pattern ERG (PERG) | RGC-specific electrophysiological response to patterned stimuli | Moderate; requires anaesthesia and corneal electrode placement | Moderate | Operator skill required | Semi-automated | Moderate; more specific to RGC function than flash ERG; complements OMR |
| Visual Evoked Potential (VEP) | Cortical response to visual stimulation; assesses the full retino-cortical pathway | Invasive; requires surgical electrode implantation in most protocols | Low to moderate depending on electrode implant | High; surgical implantation and signal processing expertise | Low | Lower 3Rs score due to surgical invasiveness; cortical endpoint complements OMR |
| Optical coherence tomography (OCT) | Retinal layer thicknesses including RNFL and GCL; structural endpoint only | Low to moderate; typically requires anaesthesia or restraint for rodents | High | Operator skill required for image acquisition and segmentation | Semi-automated segmentation | Structural endpoint; does not measure functional vision; complements OMR |
| Histological RGC counting | RGC soma and axon density at a single time point; structural endpoint only | Terminal | None (terminal) | Moderate histological expertise | Partially automated (image analysis) | Terminal; limits the number of time points per animal; replaced by repeated OMR for longitudinal studies |
Publications on The Optic Nerve, its Neurons and Diseases
Journal Clubs related to The Optic Nerve, its Neurons and Diseases
Journal Club: RIP1 Inhibition Protects Retinal Ganglion Cells in Preclinical Glaucoma Models
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Webinar: AcuiSee – Rodent Visual Acuity Using Behavioral Conditioning
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- AcuiSee
Journal Club: The role of Nogo-A in visual deficits induced by retinal injury.
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Related application areas, neighbouring research chapters, and the questions researchers ask most.
Diseases of the optic nerve and retinal ganglion cells, including glaucoma and other optic neuropathies, cause progressive axon loss and irreversible blindness. This page highlights preclinical models of pressure‑dependent and pressure‑independent injury, neuroinflammation, glial and complement activation, aging‑related degeneration, and gene‑based therapies for optic nerve protection.
This page has been generated in part with support of AI. Before publication it has been reviewed by a Striatech editor.
Last updated: 3 August 2026