RT Journal Article T1 Pharmacological Strategies for Cataract Management: From Molecular Targets to Clinical Translation A1 De Diego García, Laura A1 Rejas González, Raquel A1 Cereza Latre, Ignacio A1 Guzmán Aránguez, Ana Isabel AB Cataracts, characterized by the opacification of the eye lens, remain a leading cause of reversible blindness globally. Age and diabetes are key risk factors, and with the increasing aging and diabetic population, the global burden of cataracts is projected to rise significantly. Current treatment is predominantly surgical; however, pharmacological strategies could offer a non-invasive alternative with the potential to delay, prevent, or even reverse cataract progression. Recent research has enhanced our understanding of cataractogenesis, emphasizing oxidative stress as a key underlying mechanism, but also including other processes such as calcium dysregulation and altered lens homeostasis or specific events induced by hyperglycemia in diabetic cataracts. New therapeutic approaches have emerged considering the molecular mechanisms involved in cataracts, most of which focus on pharmacological agents with antioxidant properties. Additionally, small-molecule chaperones, aldose reductase inhibitors, and protein aggregation inhibitors have also demonstrated potential in stabilizing or restoring lens protein structure and transparency. While experimental results have shown encouraging results, further research is needed to optimize drug delivery systems to the lens, assess long-term safety, and confirm the clinical efficacy of these treatments. This article reviews current progress in pharmacological treatments for cataracts, outlining challenges and prospects for future integration into clinical practice. PB MDPI YR 2025 FD 2025-06-13 LK https://hdl.handle.net/20.500.14352/123933 UL https://hdl.handle.net/20.500.14352/123933 LA eng NO de Diego-García L, Rejas-González R, Latre IC, Guzman-Aranguez A. Pharmacological Strategies for Cataract Management: From Molecular Targets to Clinical Translation. Int J Mol Sci. 2025 Jun 13;26(12):5658. doi: 10.3390/ijms26125658. PMID: 40565122; PMCID: PMC12193184. NO Ministerio de Ciencia e Innovación (España) DS Docta Complutense RD 1 ene 2026