Retinal pigment epithelium (RPE) cells migrating through the damaged r
etina play an important role in the pathogenesis of proliferative vitr
eoretinopathy (PVR). We found that alpha-tocopherol (vitamin E) inhibi
ts proliferation of human RPE in culture without exerting cytotoxic ef
fects. Maximal inhibition was achieved with 100 mu M alpha-tocopherol.
Our result could explain the observation that vitamin E supplements h
ave an adverse effect on light-damaged retina and on the course of ret
initis pigmentosa. Since it has been shown that supplemental oral admi
nistrations of vitamin E can raise the RPE concentration of alpha-toco
pherol well above 100 mu M and supplementation is not associated with
any clinical relevant adverse effect, we believe that vitamin E could
be beneficial in the treatment of PVR.