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Shining Light on the Potential of Near Infrared Therapy for Eye Diseases

Written by Andrew Le, MD

UpdatedApril 22, 2024

The realm of ophthalmology is on the cusp of a transformative era with the rising interest in Near Infrared (NIR) Light Therapy, also known as photobiomodulation therapy (PBMT). This innovative therapeutic approach is grounded in substantial advancements in photobiology and bioenergetics. It leverages the profound metabolic and antioxidant benefits triggered by transcranial NIR light delivery, such as the upregulation of cytochrome oxidase and superoxide dismutase activities. Notably, the therapy could enhance cerebral blood flow and cognitive functions without deleterious side effects.

Highlighting groundbreaking research, a comprehensive review published in the International Journal of Medical Sciences delves into the scientific rationale behind the use of NIR therapy for treating visual and neurological conditions. The study, led by a team of researchers at Kunming Medical University and Tissue Tech Inc., explores the molecular and cellular underpinnings of NIR therapy's success in ophthalmologic diseases.

NIR light therapy utilizes low-power, high-fluency light from lasers or LEDs in the red to near-infrared spectrum (600-1000 nm) to catalyze biological functions and render therapeutic effects safely. The benefit hinges on harnessing the absorptive qualities of biological photoreceptors like cytochrome c oxidase, which is excited by the light to modify cell metabolism.

Clinical indications for PBMT are diverse and include the potential to protect against retinal degeneration, promote visual acuity enhancement in macular degeneration, and mitigate diabetic retinopathy. The mechanism of action for NIR light involves a hormetic dose-response, balancing biological processes promotion at low doses with inhibition at higher doses. This is essential for optimal therapeutic outcomes.

Furthermore, NIR light's cellular effects point toward cytochrome c oxidase as a primary photoreceptor, particularly pertinent to the eyes and brain, which highly depend on oxidative metabolism. The aftereffects of NIR light include a broad spectrum of biochemical and biological reactions impacting cellular homeostasis.

PBM has long been acknowledged for its capacity to alleviate inflammation, support immune responses, and propel wound healing through bioenergetics within mitochondrial cytochrome c oxidase. As such, it paves the way for beneficial neurological outcomes, such as aiding in the recovery from retinal injuries and neurodegeneration without serious adverse effects.

The review also underscores the application of NIR light in treating myopia, an escalating global health concern. Various light therapies, including NIR light, have been shown to play a role in manipulating refractive development, hinting at its potential utility in myopia management strategies.

In conclusion, NIR light therapy promises a non-invasive, efficacious intervention for a range of eye disorders, backed by a growing body of scientific evidence. The continued exploration and understanding of its mechanisms are crucial for harnessing its full clinical potential, which could lead to revolutionary treatments in the ophthalmological field.

For more details and further readings, see the full text available at International Journal of Medical Sciences.

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References

Zhu, Q., Xiao, S., Hua, Z., Yang, D., Hu, M., Zhu, Y.-T., & Zhong, H. (2021). Near Infrared (NIR) Light Therapy of Eye Diseases: A Review. International Journal of Medical Sciences, 18(1), 109-119. https://doi.org/10.7150/ijms.52980