Scientists Discover Surprising Eye Benefit of Widely Used Diabetes Drug

By University of Liverpool March 17,

A common diabetes medication may offer an unexpected clue in the fight
against one of the world’s leading causes of blindness. Researchers
studying thousands of retinal images found that people taking metformin
were significantly less likely to develop intermediate age-related macular
degeneration over several years.

Metformin use in people with diabetes was linked to a significantly lower
risk of developing intermediate age-related macular degeneration.

Metformin, a medication widely prescribed to manage diabetes, may also be
linked to the slower progression of age-related macular degeneration (AMD),
the leading cause of blindness in Western countries.

Among people with diabetes who were older than 55, those taking metformin
had a 37% lower chance of developing intermediate AMD over a five-year
period compared with individuals who were not using the medication.

A major cause of vision loss

AMD affects the central portion of the retina, known as the macula, located
at the back of the eye. As the disease advances, it damages the
light-sensitive tissue that allows the eye to detect fine detail. In some
cases, this tissue gradually deteriorates (geographic atrophy, a form of
‘dry’ AMD).

Age Related Macular Degeneration

Age-related macular degeneration (AMD) is a progressive eye disease that
affects the macula, the central part of the retina responsible for sharp,
detailed vision. It primarily occurs in adults over the age of 50 and is
one of the leading causes of vision loss in high-income countries. Credit:
Stock

In other cases, abnormal blood vessels develop and damage the retina (‘wet’
AMD). Intermediate and advanced AMD occurs in about 10 to 15 percent of
people over the age of 65 (1.1 to 1.8 million people in the UK), and it
remains the most common cause of blindness in high-income countries.

AMD also carries a substantial economic burden. In the UK alone, the
condition is estimated to cost £11.1billion each year. Geographic atrophy
currently has no approved treatments in the UK or Europe, and therapies
available for wet AMD can be difficult for patients because they often
require repeated injections directly into the eye.

Eye screening data reveals protective link

The University of Liverpool conducted the study using retinal photographs
from about 2,000 people who participated in Liverpool’s routine diabetic
eye disease screening program over a period of five years. The images were
examined to determine whether AMD was present and to measure how advanced
the disease had become. The analysis compared participants who were taking
metformin with those who were not.

The investigators also adjusted their analysis to account for factors that
might influence the results, including age, sex, and how long a person had
lived with diabetes. Over the five-year observation period, the likelihood
of developing intermediate AMD in people taking metformin was 0.63 compared
with those not taking the medication (95% confidence range 0.43 to 0.92).

Scientists have previously suggested that metformin might have protective
effects against AMD. However, earlier research relied on indirect
indicators such as general practitioner diagnostic codes or insurance claim
records in the United States. This study is the first to evaluate AMD
severity directly by grading retinal photographs.

Common diabetes drug may protect vision

Dr Nick Beare, an eye doctor who led this research, says: “Most people who
suffer from AMD have no treatment, so this is a great breakthrough in our
search for new treatments. What we need to do now is test metformin as a
treatment for AMD in a clinical trial. Metformin has the potential to save
many people’s sight.”   KR IRS 23326

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