TY - JOUR
T1 - Antioxidants in the prevention and treatment of diabetic retinopathy – a review
AU - Silva, Sara Baptista da
AU - Costa, João Paulo
AU - Pintado, Manuela Estevez
AU - Ferreira, Domingos de Carvalho
AU - Sarmento, Bruno
PY - 2010/12/9
Y1 - 2010/12/9
N2 - Diabetic retinopathy is a disease resulting from diabetic chronic hyperglycemia characterized by microvascular complications in the retina, where neuronal elements responsible for vision are located. It is the main cause of adult blindness in developed countries. Oxidative stress has been widely regarded as the key factor for the emergence of ocular disease and has been involved in increased vascular permeability, disruption of blood-retinal barrier, apoptotic loss of retinal capillary cells, microvascular abnormalities and retinal neovascularization. Dietary supplementation with antioxidants has been related with inhibition of diabetes-induced abnormalities of retinal metabolism, reduction of apoptosis and partial restoration of pericytes. Moreover, the use of topical antioxidants to treat or delaying oxidative stress-related ocular manifestations is still poorly explored, while current diabetic retinopathy therapy includes invasive methods, like surgery. Ocular antioxidant potential therapy represents a non-invasive, safe and less painful methodology, which slows the natural progress of the disease and improves the effectiveness of treatment without significant systemic toxicity. This review underlines the innovative medicines exploited for ocular conditions, a further insight on ocular delivery, benefiting from the advantages of the eye for drug delivery and, additionally, offering new potential applications of antioxidants for the prevention, treatment and control of diabetic retinopathy.
AB - Diabetic retinopathy is a disease resulting from diabetic chronic hyperglycemia characterized by microvascular complications in the retina, where neuronal elements responsible for vision are located. It is the main cause of adult blindness in developed countries. Oxidative stress has been widely regarded as the key factor for the emergence of ocular disease and has been involved in increased vascular permeability, disruption of blood-retinal barrier, apoptotic loss of retinal capillary cells, microvascular abnormalities and retinal neovascularization. Dietary supplementation with antioxidants has been related with inhibition of diabetes-induced abnormalities of retinal metabolism, reduction of apoptosis and partial restoration of pericytes. Moreover, the use of topical antioxidants to treat or delaying oxidative stress-related ocular manifestations is still poorly explored, while current diabetic retinopathy therapy includes invasive methods, like surgery. Ocular antioxidant potential therapy represents a non-invasive, safe and less painful methodology, which slows the natural progress of the disease and improves the effectiveness of treatment without significant systemic toxicity. This review underlines the innovative medicines exploited for ocular conditions, a further insight on ocular delivery, benefiting from the advantages of the eye for drug delivery and, additionally, offering new potential applications of antioxidants for the prevention, treatment and control of diabetic retinopathy.
KW - Diabetes
KW - Diabetic retinopathy
KW - Oxidative stress
KW - Antioxidant activity
U2 - 10.4172/2155-6156.1000111
DO - 10.4172/2155-6156.1000111
M3 - Article
SN - 2155-6156
VL - 1
JO - Journal of Diabetes & Metabolism
JF - Journal of Diabetes & Metabolism
IS - 3
M1 - 1000111
ER -