Anti-obesity medications impacting the eye: An emerging concern - a narrative review

Srishti Khullar1, Arvind Kumar Morya2, Sarita Aggarwal3

  • 1Department of Ophthalmology, Military Hospital, Agra 282001, Uttar Pradesh, India.

Insights

Obesity pharmacotherapy may cause vision problems. This review details anti-obesity drugs, their ocular risks, and the importance of monitoring eye health in patients.

Area of Science:

  • Ophthalmology
  • Endocrinology
  • Pharmacology

Background:

  • Global obesity epidemic necessitates effective interventions.
  • Current obesity treatments have limitations in efficacy and suitability.
  • Pharmacotherapy is a growing option for managing obesity and related conditions.

Purpose of the Study:

  • To review approved anti-obesity medications.
  • To analyze potential ocular adverse effects of these medications.
  • To explore the mechanisms underlying these visual complications.

Main Methods:

  • Comprehensive literature search on anti-obesity drugs and ocular effects.
  • Analysis of historical evolution and classification of these agents.
  • Evaluation of the spectrum of reported ocular complications.

Main Results:

  • Certain anti-obesity medications are associated with ocular issues.
  • Examples include non-arteritic anterior ischemic optic neuropathy and diabetic retinopathy progression.
  • Mechanisms linking pharmacotherapy to ocular effects are discussed.

Conclusions:

  • Vigilant ocular health assessment is crucial for patients on anti-obesity medications.
  • Risk-benefit evaluation of pharmacotherapy is essential.
  • Further research into drug-induced ocular toxicity is warranted.

Related Concept Videos

Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...