- 1. Graduate School of Xinjiang Medical University, Urumqi 830011, China;
- 2. Department of Ophthalmology, General Hospital of Xinjiang, Urumqi 830011, China;
Diabetic retinopathy (DR) has become an important cause of irreversible vision loss worldwide. Intravitreal injection of anti-vascular endothelial growth factor (VEGF) drugs is an important adjunct to the treatment of DR. However, the current anti-VEGF treatment regimen is not uniform. Anti-vegf injection was preferred and then delayed combined with laser had better prognostic effect. The best time for operation was 5-7 days after injection of anti-VEGF. Pars plana vitrectomy (PPV), intraoperative and postoperative on-demand anti-VEGF injection can significantly improve patient prognosis and reduce complications, but further research is needed to strike a balance between the economic burden and the number of injections. Various anti-VEGF drugs have their own advantages for different diseases and should be selected according to the characteristics of the diseases and drugs. Anti-VEGF drugs combined with antioxidants may further improve DR Outcomes. Future studies should pay more attention to the optimization and personalization of anti-VEGF drug application programs to meet the therapeutic needs of different patients.
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- 1. Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications[J]. Nat Rev Endocrinol, 2018, 14(2): 88-98. DOI: 10.1038/nrendo.2017.151.
- 2. 梁泽玉, 陈松, 何广辉, 等. 术前及术中2次应用康柏西普辅助玻璃体切割术治疗增生型糖尿病视网膜病变的临床研究[J]. 眼科新进展, 2019, 39(2): 162-167. DOI: 10.13389/j.cnki.rao.2019.0037.Liang ZY, Chen S, He GH, et al. Clinical observation of the application of conbercept preoperatively and intraoperatively assisted to the vitrectomy in the treatment of proliferative diabetic retinopathy[J]. Rec Adv Ophthalmol, 2019, 39(2): 162-167. DOI: 10.13389/j.cnki.rao.2019.0037.
- 3. Kang Q, Yang C. Oxidative stress and diabetic retinopathy: molecular mechanisms, pathogenetic role and therapeutic implications[J/OL]. Redox Biol, 2020, 37: 101799[2020-11-13]. https://pubmed.ncbi.nlm.nih.gov/33248932/. DOI: 10.1016/j.redox.2020.101799.
- 4. Tan TE, Wong TY. Diabetic retinopathy: looking forward to 2030[J/OL]. Front Endocrinol (Lausanne), 2024, 13: 1077669[2023-01-09]. https://pubmed.ncbi.nlm.nih.gov/36699020/. DOI: 10.3389/fendo.2022.1077669.
- 5. Liu F, Xu Y, Ma Y. Taxifolin shows anticataractogenesis and attenuates diabetic retinopathy in STZ-diabetic rats via suppression of aldose reductase, oxidative stress, and MAPK signaling pathway[J]. Endocr Metab Immune Disord Drug Targets, 2020, 20(4): 599-608. DOI: 10.2174/1871530319666191018122821.
- 6. Julius A, Renuka RR, Hopper W, et al. Inhibition of aldose reductase by novel phytocompounds: a heuristic approach to treating diabetic retinopathy[J/OL]. Evid Based Complement Alternat Med, 2022, 2022: 9624118[2022-03-21]. https://pubmed.ncbi.nlm.nih.gov/35356240/. DOI: 10.1155/2022/9624118.
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- 8. Song A, Ghareeb A, Mehta A, et al. Infographic: intravitreous aflibercept vs vitrectomy with panretinal photocoagulation for vitreous haemorrhage from proliferative diabetic retinopathy[J]. Eye (Lond), 2022, 36(1): 8-9. DOI: 10.1038/s41433-021-01530-0.
- 9. Wang W, Lo ACY. Diabetic retinopathy: pathophysiology and treatments[J/OL]. Int J Mol Sci, 2018, 19(6): 1816[2018-06-20]. https://pubmed.ncbi.nlm.nih.gov/29925789/. DOI: 10.3390/ijms19061816.
- 10. Arrigo A, Aragona E, Bandello F. VEGF-targeting drugs for the treatment of retinal neovascularization in diabetic retinopathy[J]. Ann Med, 2022, 54(1): 1089-1111. DOI: 10.1080/07853890.2022.2064541.
- 11. Merani R, Hunyor AP. Endophthalmitis following intravitreal anti-vascular endothelial growth factor (VEGF) injection: a comprehensive review[J]. Int J Retina Vitreous, 2015, 1: 9. DOI: 10.1186/s40942-015-0010-y.
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