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. 2024 Sep 21;16(9):e69835. doi: 10.7759/cureus.69835

Table 2. Future directions in keratoconus treatment with a focus on corneal stromal regeneration.

Aspect Future Direction Potential Impact
Stem Cell Therapies [54] Exploration of mesenchymal stem cells for regenerating corneal stroma Promotes tissue repair and regeneration, reducing the need for corneal transplants
Advanced Cross-linking Techniques [55] Development of enhanced cross-linking protocols with minimal side effects Improved corneal stability with fewer complications and better long-term results
Tissue Engineering [56] Bioengineered corneal implants utilizing biomaterials for stromal reconstruction Potential to restore corneal function without the need for donor tissue
Nanotechnology Applications [57] Use of nanoparticles to deliver growth factors and regenerative molecules to the cornea Targeted regeneration with enhanced precision, minimizing damage to surrounding tissue
Gene Therapy [58] Investigation of gene-editing techniques to address genetic predisposition to keratoconus Prevents the progression of keratoconus at the molecular level, offering a personalized treatment approach
Artificial Corneas [59] Development of synthetic corneal substitutes that mimic natural corneal properties Provides an alternative for patients unsuitable for corneal transplants, reducing global dependency on donors
3D Bioprinting [60] Application of 3D bioprinting for creating personalized corneal scaffolds Customized corneal tissue generation that matches individual patients’ needs, improving surgical outcomes
Photochemical Treatments [40] Exploring non-invasive photochemical methods for corneal strengthening without the need for UV light Reduces potential damage from UV light exposure, making treatments safer and more accessible
Immunomodulatory Therapies [61] Development of therapies that minimize immune rejection of corneal grafts and implants Enhances graft survival rates and reduces complications from immune system reactions
Personalized Medicine Approaches [62] Utilization of genetic and biomarker profiling to tailor treatments to individual patients Improves treatment efficacy by customizing therapeutic strategies based on individual genetic makeup and disease progression