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complicated by the regional variations in the structure and function of RPE cells and the paucity of relevant animal models. However, studies in mice clearly demonstrated that genetic or dietary manipulation can cause an AMD-like pathology in aged animals but not in young animals [96, 97].

SUMMARY AND CONCLUSIONS

This review documented age-related changes within the RPE and examined some of the casual mechanisms that result in such changes. However, despite considerable research, there is no general agreement about the fundamental cause or causes of aging.

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