Novel pharmacotherapies in diabetic retinopathy

Middle East Afr J Ophthalmol. 2015 Apr-Jun;22(2):164-73. doi: 10.4103/0974-9233.154389.

Abstract

This is a summary of current and emerging pharmacologic therapies utilized in the treatment of diabetic retinopathy (DR). Current therapies, such as ranibizumab, bevacizumab, triamcinolone acetonide, and fluocinolone acetonide, inhibit angiogenesis and inflammation and may be used alone or in combination with laser treatment. Emerging therapies aim to reduce oxidative stress or inhibit other signal transduction pathways, including the protein kinase C cascade and aldose reductase pathway. Future therapies may target other molecules crucial to the pathogenesis of DR, including hepatocyte growth factors and matrix metalloproteinase 9. Finally, the emergence of novel mechanisms of medication delivery may also be on the horizon.

Keywords: Corticosteroids; Diabetic Retinopathy; Eye; Intravitreal Injection; Treatment; Vascular Endothelial Growth Factor.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use*
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Bevacizumab
  • Combined Modality Therapy
  • Diabetic Retinopathy / drug therapy*
  • Diabetic Retinopathy / surgery*
  • Fluocinolone Acetonide / therapeutic use
  • Glucocorticoids / therapeutic use*
  • Humans
  • Intravitreal Injections
  • Laser Coagulation*
  • Macular Edema / drug therapy
  • Ranibizumab
  • Triamcinolone Acetonide / therapeutic use

Substances

  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal, Humanized
  • Glucocorticoids
  • Fluocinolone Acetonide
  • Bevacizumab
  • Triamcinolone Acetonide
  • Ranibizumab