School of Medicine, New York Medical College, Valhalla, NY, USA.
Eye Care Institute, PBMA'S H.V. Desai Eye Hospital, Pune, Maharashtra, India.
Surv Ophthalmol. 2023 May-Jun;68(3):332-346. doi: 10.1016/j.survophthal.2023.01.007. Epub 2023 Jan 31.
Age-related macular degeneration (AMD) is the leading cause of severe loss of central vision among people over 50. The pathophysiology of the disease is multifactorial and can be attributed to genetics, aging, inflammation, environmental factors, and lifestyle factors including smoking, diet, obesity, and alcohol consumption. While there is no treatment for dry AMD, the current standard treatment for wet AMD is an intraocular injection of anti-vascular endothelial growth factor-an effective, yet expensive, therapy that requires ongoing treatment. As the aging population continues to grow, and AMD diagnoses continue to rise, new treatments should be explored to reduce vision complications and decrease treatment burdens. Many systemic conditions have progressive pathological changes that may affect AMD, particularly those affecting systemic vasculature like diabetes and cardiovascular status. Consequently, systemic drugs used to treat coexistent systemic diseases may influence some of the pathogenic mechanisms of AMD and lead its progression or delay. In this review we explore the current literature to summarize the findings of the reported effects of antihypertensive, immunosuppressants, cholesterol lowering agents, nonsteroidal anti-inflammatory drugs, dopamine precursors, hypoglycemic agents, and anticoagulants on AMD.
年龄相关性黄斑变性(AMD)是 50 岁以上人群中心视力严重丧失的主要原因。该疾病的病理生理学是多因素的,可归因于遗传、衰老、炎症、环境因素和生活方式因素,包括吸烟、饮食、肥胖和饮酒。虽然干性 AMD 尚无治疗方法,但湿性 AMD 的当前标准治疗是眼内注射抗血管内皮生长因子 - 一种有效但昂贵的治疗方法,需要持续治疗。随着人口老龄化的持续增长和 AMD 诊断的持续上升,应该探索新的治疗方法来减少视力并发症并减轻治疗负担。许多系统性疾病都有进行性的病理变化,可能会影响 AMD,特别是那些影响全身血管的疾病,如糖尿病和心血管状况。因此,用于治疗并存的系统性疾病的全身药物可能会影响 AMD 的一些致病机制,并导致其进展或延缓。在这篇综述中,我们探讨了当前的文献,以总结报告的抗高血压药、免疫抑制剂、降胆固醇药物、非甾体抗炎药、多巴胺前体、降糖药和抗凝剂对 AMD 的影响。
Expert Opin Investig Drugs. 2015-2
Pharmacotherapy. 2013-4-11
Dev Ophthalmol. 2016
Consult Pharm. 2013-11
Clin Interv Aging. 2017-8-22
Curr Med Sci. 2020-10