“…Unfortunately, some patients under IOP-lowering therapy still see progression of the disease, which clearly indicates that better therapeutic options are needed to fully cure the disease. Studies have shown that multiple factors play key roles in RGC degeneration including activation of caspases [ 44 , 141 , 142 , 169 , 208 , 320 ], apoptosis [ 6 , 116 , 226 , 255 , 327 ], oxidative stress [ 56 , 143 , 150 , 198 , 219 , 228 , 272 ], ischemia and hypoxia [ 32 , 57 , 141 , 141 , 142 , 142 , 144 , 234 ], epigenetic changes [ 105 , 206 , 242 , 276 , 353 , 359 , 359 , 360 , 360 ], Crosson 2010 #975, [ 145 ], alteration in the levels of pro-inflammatory cytokines [ 1 , 312 , 316 , 341 , 352 , 357 ], and deprivation of neurotrophic factors [ 240 , 256 ]. There is another opinion with limited evidence, which suggests the neurodegeneration observed in glaucoma could be vascular.…”