Anti-VEGF Therapy for Diabetic Eye Diseases

Asia Pac J Ophthalmol (Phila). 2017 Nov-Dec;6(6):535-545. doi: 10.22608/APO.2017350. Epub 2017 Oct 26.

Abstract

Diabetic retinopathy (DR) is a leading cause of vision impairment and blindness in the working-age population. The identification of vascular endothelial growth factor (VEGF) as a key mediator in the pathogenesis of DR has revolutionized the management of this vision-threatening disease. There is now strong evidence supporting intravitreal anti-VEGF therapy as first line in the management of sight-threatening diabetic macular edema (DME), along with a growing body of evidence to support the use of anti-VEGF drugs for proliferative DR. This review summarizes the role of VEGF in DR, the evidence for anti-VEGF therapy, safety considerations, and the future of anti-VEGF therapy for the management of DR.

Keywords: diabetic macular edema; diabetic retinopathy; vascular endothelial growth factor.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use*
  • Diabetic Retinopathy / drug therapy*
  • Humans
  • Intravitreal Injections
  • Macular Edema / drug therapy*
  • Receptors, Vascular Endothelial Growth Factor / therapeutic use
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors*

Substances

  • Angiogenesis Inhibitors
  • Vascular Endothelial Growth Factor A
  • Receptors, Vascular Endothelial Growth Factor