Alpha-lipoic acid in non-proliferative diabetic retinopathy treatment
https://doi.org/10.14341/2072-0351-5823
Abstract
The aim of this study is to assess the therapeutic efficacy of alpha-lipoic acid in patients with type 2 diabetes mellitus (DM) and non-proliferativediabetic retinopathy.
Materials and methods.
47 patients with mild to moderate non-proliferative diabetic retinopathy were included in this trial. Dynamics of ophthalmologicparameters were assessed by means of stereoscopic photography of ocular fundus. Patients were examined every 6 months in order to registernew cases of clinically significant macular oedema.
Results.
During 24 months follow-up period, patients treated with 600 mg of alpha-lipoic acid showed stabilization in development of diabetic retinopathy.New cases of macular oedema, as well as transition into a more severe stage of retonopathy were less common in those patients. Vision andcontrast sensation also remained stable in the majority of participants from experimental group.Conclusions. 600 mg of alpha-lipoic acid may be recommended for patients with type 2 DM as part of complex therapy
About the Authors
Tatiana Yul'evna DemidovaYulia Alexandrovna Trakhtenberg
References
1. National Diabetes Statistics, 2010. National Diabetes Information Clearinghouse, 2008.
2. Ingerman A., Dewey-Mattia D. Emerging Treatments for Diabetic Macular Edema // Retina Today. - 2010. - Р. 52-54.
3. Балашевич Л.И., Бржеский В.В. и др. Глазные проявления диа- бета // СпбМАПО. - 2004. - С. 123-199.
4. Early Treatment Diabetic Retinopathy Study Research Group. Grading diabetic retinopathy from srereoscopic color fundus photographs - an extension of the modified Airlie House classificacion. ETDRS Report №10 // Ophthalmology. - 1991. - Vol. 98. - P. 786-806.
5. Chaturvedi N., Porta M., Klein R. et al. Effect of candesartan on prevention (DIRECT-Prevent1) and progression (DIRECT-Protect1) of retinopathy in type 1 diabetes: randomized, placebo-controlled trials // Lancet. - 2008. - № 372. - Р. 1394-1402.
6. ACCORD Eye Study Group. Effects of medical therapies on retinopathy progression in type 2 diabetes // N. Engl. J. Med. - 2010. - № 363. - Р. 233-244.
7. Sacks F.M. After the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study: implications for fenofibrate //Am. J. Cardiol. - 2008. - 102(12A). - 34L-40L.
8. Yilmaz T., Weaver C.D., Gallagher M.J. Intravitreal triamcinolone acetonide injection for treatment of refractory diabetic macular edema: a systematic review // Ophthalmology. - 2009. - № 116(5). - Р. 902-911.
9. Haller J.A., Kuppermann B.D., Blumenkranz M.S. Randomized controlled trial of an intravitreous dexamethasone drug delivery system in patients with diabetic macular edema // Arch. Ophthalmol. - 2010. - № 128(3). - Р. 289-296.
10. Nicholson B.P., Schachat A.P. A review of clinical trials of anti-VEGF agents for diabetic retinopathy // Graefes Arch. Clin. Exp. Ophthalmol. - 2010. - № 248(7). - Р. 915-930.
11. Donnelly R. Vascular complications of diabetes // Blackwell Publishing. - 2005. - P. 189-213.
12. Балаболкин М.И., Креминская В.М., Клебанова Е.М. Роль окисли- тельного стресса в патогенезе диабетической нейропатии и возможность его коррекции препаратами -липоевой кислоты // Проблемы эндокринологии. - 2005. - Т. 51, № 3. - С. 22-32.
13. Reljanovic M., Reichel G., Lobisch M. et al. Treatment of diabetic polyneuropathy with the antioxydant thioctic acid (alfa-lipoic acid): a two year multicenter randomized double-blind placebo-controlled trial (ALADIN II) Alfa-lipoic acid in diabetic neuropathy // Free Radical Reseach. - 1999. -Vol. 31, P. 171-179.
14. Ziegler D., Hanefild M., Ruhnau K. et al. The ALADIN III Study Group. Treatment of symptomatic diabetic polyneuropathy with the antioxydant alfa-lipoic acid. A 3 week multicenter randomized controlled trial // Diabetes Care. - 1999. - Vol. 22, P. 1296-1301.
15. Дедов И.И., Удовиченко О.В., Галстян Г.Р. Диабетическая стопа. - М.: Практическая медицина. - 2005. - С. 48.
16. Morcos M., Borcea V., Isermann B. et al. Effect of -lipoic acid on the progression of endothelial cell damage and albuminuria in patients with diabetes mellitus // Diab. Res. Clin. Pract. - 2001. - Vol. 52. - P. 175-183.
Review
For citations:
Demidova T.Yu., Trakhtenberg Yu.A. Alpha-lipoic acid in non-proliferative diabetic retinopathy treatment. Diabetes mellitus. 2011;14(4):82-86. (In Russ.) https://doi.org/10.14341/2072-0351-5823

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).