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GLP-1 Drugs Linked to Double Risk of Vision-Threatening Macular Degeneration

Health authorities have launched safety reviews after researchers reported a twofold increase in neovascular AMD among diabetic patients on these therapies.

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Overview

  • A June study in JAMA Ophthalmology found that after one year more than twice as many diabetic patients on GLP-1 receptor agonists developed neovascular age-related macular degeneration compared with matched non-users.
  • The absolute incidence of neovascular AMD remained low at 0.2% for GLP-1 RA recipients versus 0.1% for controls, but the relative risk increase was statistically significant.
  • Older patients and those with a prior stroke faced even higher rates of macular degeneration when treated with GLP-1 RAs.
  • Researchers point to GLP-1 receptors in ocular tissues as a possible influence on retinal microvascular physiology, though the exact mechanism driving the increased risk is still undetermined.
  • Novo Nordisk says no causal link has been established and the UK Medicines and Healthcare products Regulatory Agency is reviewing emerging evidence to determine any necessary regulatory actions.