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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.
Abstract:
Obesity has reached epidemic proportions globally, with projections indicating that by 2050, nearly 3.8 billion adults will be overweight or obese. Despite the critical need for effective interventions, current obesity treatments ranging from lifestyle changes to bariatric surgery are often limited in efficacy or suitability. Pharmacotherapy is increasingly utilized for individuals with significant obesity or related comorbidities. However, some anti-obesity medications have been linked to ocular complications such as non-arteritic anterior ischemic optic neuropathy and diabetic retinopathy progression. This review analyzes currently approved anti-obesity medications, emphasizing their potential ocular adverse effects and the underlying mechanisms by which these occur. A comprehensive literature search identified the historical evolution, classification, and spectrum of ocular effects associated with these agents. The findings underscore the importance of evaluating both the risks and benefits of anti-obesity pharmacotherapy and highlight the need for vigilant clinical assessment of ocular health in patients undergoing such treatments.
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.
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