“…Such damage severely reduces the strength and integrity of the RGC axons and the surrounding ECM holding them in place, and where lipofuscin [15,65] accumulate. Again, dysfunctional autophagic processes [19,66], at the ONH/LC regions allow cellular debris to accumulate resulting in scar formation. which leads to bending and stretching of the overall optic nerves resulting in atrophy and shrinkage of the RGC axons, reduction in axonal flow of mitochondria to the RGCs, and thus reduced energy production [67][68][69][70][71] to maintain cellular functions within the RGC somas], and reduced transport of vital growth factors [72][73][74][75] to the RGC bodies and ultimate RGC senescence.…”