Does tight control of systemic factors help in the management of diabetic retinopathy?

Indian J Ophthalmol. 2016 Jan;64(1):62-8. doi: 10.4103/0301-4738.178146.

Abstract

Diabetic retinopathy (DR), one of the leading causes of preventable blindness, is associated with many systemic factors that contribute to the development and progression of this microvascular complication of diabetes. While the duration of diabetes is the major risk factor for the development of DR, the main modifiable systemic risk factors for development and progression of DR are hyperglycemia, hypertension, and dyslipidemia. This review article looks at the evidence that control of these systemic factors has significant benefits in delaying the onset and progression of DR.

Publication types

  • Review

MeSH terms

  • Blood Glucose / metabolism*
  • Blood Pressure / physiology
  • Diabetes Mellitus / metabolism
  • Diabetes Mellitus / physiopathology*
  • Diabetic Retinopathy / metabolism
  • Diabetic Retinopathy / physiopathology*
  • Glycated Hemoglobin / metabolism*
  • Glycemic Index
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Renin-Angiotensin System / physiology
  • Risk Factors
  • Sitagliptin Phosphate / therapeutic use
  • Thiazolidinediones / therapeutic use
  • Vision Disorders / physiopathology
  • Vision Disorders / prevention & control*

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Thiazolidinediones
  • hemoglobin A1c protein, human
  • Sitagliptin Phosphate