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                Figure 4. The cells which are theoretically available to cell therapy for reinforcement of sclera in pathologic myopia. Fibroblasts and
                myofibroblasts are scleral cells maintaining scleral biomechanics. Scleral stem cells might be the native stem cell in sclera. MSCs are
                stromal cells with the abilities of self-renewal and multilineage differentiation. MSCs exert their therapeutic effect by various paracrine
                growth factors. The media of MSCs also contains growth factors. Therefore, these cells and media can be made into products and
                delivered to the posterior sclera and fix the sclera. MSCs: Mesenchymal stem cells.

               the common goal of ophthalmologists and scientists. Cell-based therapy has opened a new era of treatment.
               Stem cell-based therapy has been regarded as the future of medicine and thrown light upon curing incurable
               diseases. Treatments by stem cell transplantation have made great progress in corneal and retinal
               degenerative diseases. It is hopeful that the atrophic structures in myopic eyes can be replaced by stem cells
               and renew the tissue. The preliminary work has shown a promising way in stem cell-based therapy of
               patients with myopic maculopathy. Therefore, it is possible to achieve the ambitious goal by stem cell-based
               therapy.


               DECLARATIONS
               Acknowledgments
               Figure 2 to Figure 4 in this article are created with BioRender.com. We thank all members of 502 team for
               the discussion.

               Authors’ contributions
               Original draft: Ma Y
               Review & Editing: Li YP
               Conceptualization, Funding acquisition, Supervision: Jin ZB


               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               This work is partly supported by the National Key R&D Project (2017YFA0105300), Beijing Natural Science
               Foundation (Z200014) and National Natural Science Foundation of China (82125007).
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