Semaglutide Inducing Resolution of Proliferative Diabetic Retinopathy: A Case Report.

IF 0.7 Q4 OPHTHALMOLOGY Case Reports in Ophthalmological Medicine Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI:10.1155/crop/5834769
Daniel Cool, James Coventon, Abhishek Sharma
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Abstract

Purpose: To describe a case of regression of proliferative diabetic retinopathy (PDR) following treatment with semaglutide. Methods: Case report. Results: The case describes a 47-year-old woman with Type 2 diabetes, obesity, hypertension, and dyslipidaemia who had difficulty controlling her blood sugar levels despite oral hypoglycaemic medications. She presented with PDR in her right eye and severe nonproliferative diabetic retinopathy (NPDR) in her left eye. After missing her follow-up appointment for panretinal photocoagulation (PRP), her general practitioner initiated semaglutide therapy. Despite minimal changes in glycaemic control, the patient exhibited resolution of neovascularisation in her right eye and improved diabetic macular oedema (DMO) within 6 weeks of semaglutide therapy. Conclusion: This case report suggests a potential independent role for semaglutide in managing PDR.

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西马鲁肽诱导增殖性糖尿病视网膜病变消退1例。
目的:报告1例增生性糖尿病视网膜病变(PDR)经西马鲁肽治疗后病情好转的病例。方法:病例报告。结果:该病例描述了一名47岁的女性,患有2型糖尿病、肥胖、高血压和血脂异常,尽管口服降糖药,但仍难以控制血糖水平。她的右眼有PDR,左眼有严重的非增殖性糖尿病视网膜病变(NPDR)。在错过了全视网膜光凝(PRP)的随访预约后,她的全科医生开始了西马鲁肽治疗。尽管血糖控制的变化很小,但患者右眼新生血管消退,糖尿病性黄斑水肿(DMO)在西马鲁肽治疗6周内得到改善。结论:本病例报告提示西马鲁肽在治疗PDR中具有潜在的独立作用。
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