EFFECTIVE MANAGEMENT OF DIABETIC RETINOPATHY: A SYSTEMIC REVIEW OF PHARMACOTHERAPY AND NEW TREATMENT PARADIGMS
Abstract
Retinal vasculitis brought on by the consequences of diabetes mellitus is known as diabetic retinopathy. Globally, the prevalence of diabetic retinopathy has skyrocketed, making it a primary cause of blindness and visual impairment in individuals over 20. There are a number of risk factors for diabetic retinopathy including duration of diabetes, poor metabolic control, puberty, gender, hypertension, high lipid levels, nephropathy, and surgery. Clinical practice recommendations include 1) treating hyperlipidemia, 2) controlling arterial hypertension to levels below 130/80 mm Hg, and 3) bringing blood sugar levels down to levels to normal (HbA1c = 7.0%). It is possible to reduce the prevalence and incidence of diabetes mellitus and, consequently, its consequences by weight loss, exercise, and healthy eating. We have reviewed different pathological aspects of diabetic retinopathy and its underlying mechanism of occurrence. In this review, we aim to provide an in-depth understanding and illustration of the progression of diabetic retinopathy, its pathophysiology, epidemiology, and prospective therapeutic targets. The aim of this review is to provide a comprehensive overview of the published literature pertaining to the latest progress in the treatment of DR.
References
2. Hwisa NT, Gindi S, Rao CB, Katakam P, Chandu BR. Evaluation of antiulcer activity of Picrasma quassioides Bennett aqueous extract in rodents. VRI Phytomedicine. 2013;1(1):27-32.
3. Gindi S, Methra T, Chandu BR, Boyina R, Dasari V. Antiurolithiatic and in vitro anti-oxidant activity of leaves of Ageratum conyzoides in rat. World J Pharm Pharm Sci. 2013;2(2):636-649.
4. Nama S, Awen BZ, Chandu BR, Khagga M. Development and validation of a new RP-HPLC method for the determination of aprepitant in solid dosage forms. Trop J Pharm Res. 2011;10(4):489-495.
5. Kiranmai M, Renuka P, Brahmaiah B, Chandu BR. Vitamin D as a promising anticancer agent. Int J Res Pharm Chem. 2012;2(2):636-649.
6. Anka Rao A, Rao CHB, Devanna N. Design and evaluation of mucoadhesive buccal bilayered tablets of metoprolol succinate. World J Pharm Res. 2017;7(3):172-178.
7. Bethapudi V, Pasam NA, Velchuri S, Chandu BR. Dendrimers: emerging polymers for drug delivery and its future prospects. Res J Pharm Biol Chem Sci. 2012;3(2):735-746.
8. Le HG, Shakoor A. Diabetic and retinal vascular eye disease. Med Clin (North Am). 2021;105(3):455-472. doi:10.1016/j.mcna.2021.02.004
9. Gardner TW, Antonetti DA, Barber AJ, Lanoue KF, Nakamura M. New insights into the pathophysiology of diabetic retinopathy: potential cell-specific therapeutic targets. Diabetes Technol Ther. 2000;2(4):601-608. doi:10.1089/15209150050502023
10. Kropp M, Golubnitschaja O, Mazurakova A, Koklesova L, Sargheini N, Vo TT, de Clerck E, Polivka J Jr, Potuznik P, Polivka J, Stetkarova I. Diabetic retinopathy as the leading cause of blindness and early predictor of cascading complications—risks and mitigation. EPMA J. 2023;14(1):21-42. doi:10.1007/s13167-023-00309-9
11. Provis JM. Development of the primate retinal vasculature. Prog Retin Eye Res. 2001;20(6):799-821. doi:10.1016/S1350-9462(01)00012-X
12. Wang W, Lo AC. Diabetic retinopathy: pathophysiology and treatments. Int J Mol Sci. 2018;19(6):1816. doi:10.3390/ijms19061816
13. Reiter CE, Gardner TW. Functions of insulin and insulin receptor signaling in retina: possible implications for diabetic retinopathy. Prog Retin Eye Res. 2003;22(4):545-562. doi:10.1016/S1350-9462(03)00035-1
14. Song SJ, Wong TY. Current concepts in diabetic retinopathy. Diabetes Metab J. 2014;38(6):416-425. doi:10.4093/dmj.2014.38.6.416
15. Barot M, Gokulgandhi MR, Patel S, Mitra AK. Microvascular complications and diabetic retinopathy: recent advances and future implications. Future Med Chem. 2013;5(3):301-314. doi:10.4155/fmc.12.206

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
.