How stem cell therapy may restore vision in retinal diseases. RPE cell transplantation for macular degeneration, retinitis pigmentosa treatment, and clinical trial advances.
The retina is a prime target for cell therapy: it is immunologically privileged, well-accessible by subretinal and intravitreal injection, and retinal pigment epithelium (RPE) degeneration is the final common pathway for AMD, Stargardt disease, and other inherited retinal dystrophies. MSC therapy works via two mechanisms in retinal disease: paracrine neuroprotection (CNTF, PEDF, VEGF-trap secretion protecting photoreceptors and RPE from degeneration) and potential RPE differentiation (MSCs can be directed toward RPE-like phenotype in vitro and in some in vivo models).
Clinical series from Iran (Weiss et al., Siqueira et al.) and multicentre trials report visual acuity stabilisation and in some cases modest improvement (1–3 ETDRS line gains) in dry AMD patients after intravitreal or subretinal MSC treatment. Retinitis pigmentosa series show ERG amplitude improvements and subjective visual field expansion in a subset. Stargardt disease (juvenile macular degeneration) early trials report VA stabilisation. Response is strongest when residual photoreceptor function exists; end-stage disease with complete outer retinal loss shows limited response.
StemCell Longevita's retinal programme delivers intravitreal and/or IV MSC therapy across 2–3 sessions, with ophthalmological evaluation (Snellen/ETDRS VA, OCT, Amsler grid, VEP) before and after treatment. Subretinal delivery (higher precision) requires specialist surgical facilities and is offered in select cases. Post-treatment retinal imaging at 3-month intervals monitors response and guides any repeat treatment decision.
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