Student Affairs Department, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
Int J Nanomedicine. 2021 Feb 24;16:1391-1403. doi: 10.2147/IJN.S294807. eCollection 2021.
Diabetic retinopathy (DR) is a chronic diabetes complication that progressively manifests itself as blurred vision, eye floaters, distorted vision, and even partial or total loss of vision as a result of retinal detachment in severe cases. Clinically, patients who have undergone variations in the microcirculation of the ocular fundus are treated with laser photocoagulation to improve the circulation of retina; but for patients with macular edema, anti-vascular endothelial growth factor (anti-VEGF) drugs are generally injected to eliminate macular edema and improve vision. The worst cases are patients with fundus hemorrhage or proliferative vitreoretinopathy, for whom vitrectomy has been performed. At present, these clinical treatment methods have widely been used, providing satisfactory results. However, considering the low bioavailability and potential side effects of drugs and the inevitable risks in major surgery, DR prevention, and treatment as well as nerve tissue regeneration in the later stage have always been the focus of research. In recent years, nanotechnology has been increasingly applied in the medical field, leading to new ideas for DR treatment. This study aims to systematically review the research progress of nanotechnology in DR treatment.
糖尿病性视网膜病变(DR)是一种慢性糖尿病并发症,随着病情的发展,会逐渐出现视力模糊、眼前有漂浮物、视物变形,甚至在严重情况下会因视网膜脱离而导致部分或完全失明。临床上,对眼底微循环发生改变的患者采用激光光凝治疗以改善视网膜循环;但对于黄斑水肿患者,一般会注射抗血管内皮生长因子(anti-VEGF)药物以消除黄斑水肿,提高视力。病情最严重的是眼底出血或增殖性玻璃体视网膜病变的患者,需要进行玻璃体切除术。目前,这些临床治疗方法已得到广泛应用,效果令人满意。然而,鉴于药物的生物利用度低、潜在的副作用以及大手术不可避免的风险,DR 的预防、治疗以及后期神经组织再生一直是研究的重点。近年来,纳米技术在医学领域的应用日益广泛,为 DR 的治疗带来了新的思路。本研究旨在系统综述纳米技术在 DR 治疗中的研究进展。