Can Ozempic Affect Eye Health?
The Impact of Semaglutide on Eye Health: What Optometry Patients Should Know
Semaglutide, a diabetes medication, has gained significant attention following its FDA approval for blood sugar control and obesity treatment. Available under brand names like Ozempic, Wegovy, and Rybelsus, semaglutide has shown promise in managing diabetes, but its effects on eye health, particularly for those with pre-existing conditions like diabetic retinopathy, are worth exploring.
Understanding Semaglutide and Its Effects on Vision
Semaglutide works by stimulating the release of a hormone called GLP-1, which helps regulate blood sugar levels by making individuals feel full and prompting the body to produce more insulin. However, fluctuations in blood sugar can influence the shape of the eye’s lens, potentially leading to blurred vision—a common side effect associated with semaglutide.
As Dr. Raj Maturi, a retina specialist, explains, "Older patients are more likely to experience blurred vision when starting semaglutide. This is due to the reduced flexibility of the eye’s lens with age, which can delay vision stabilization as blood sugar levels fluctuate."
The good news is that this blurred vision is typically temporary, often resolving within three to four months.
Can Semaglutide Cause Vision Loss?
Recent studies have raised concerns about a possible link between semaglutide use and a rare eye condition known as non-arteritic anterior ischemic optic neuropathy (NAION), which can lead to vision loss. However, experts, including neuro-ophthalmologist Dr. Andrew Lee, caution that there is not enough evidence to confirm a direct causal relationship.
"It is premature to conclude that semaglutide use causes NAION," says Dr. Lee. "Patients should be informed of the potential risks but continue their medication unless advised otherwise by their healthcare provider."
For those already using semaglutide without any eye-related symptoms, it is recommended to maintain the treatment and consult with a primary care physician or optometrist if concerns arise.
Semaglutide and Diabetic Retinopathy: What You Need to Know
Diabetic retinopathy is a condition where high blood sugar levels cause damage to the blood vessels in the retina, leading to vision impairment. While semaglutide aims to control blood sugar, some studies suggest it may exacerbate diabetic retinopathy in certain individuals.
Dr. Maturi notes, "It may seem counterintuitive, but a drug designed to manage diabetes could potentially worsen diabetic retinopathy. However, the risk is minimal for most people, and symptoms are manageable with regular monitoring."
Patients with diabetes should inform their optometrist about any medications they are taking, including semaglutide. Regular eye exams are crucial to detect any changes in vision and address them promptly.
Considering Semaglutide for Weight Loss?
While semaglutide can effectively promote weight loss by curbing appetite, it should be part of a broader health management plan. Optometrists emphasize that maintaining overall health through a balanced diet, regular exercise, and consistent medical care remains essential.
"For patients struggling with diet and blood sugar control, semaglutide can be a valuable tool," says Dr. Maturi. "However, it's important to use the medication as prescribed and to be patient with any side effects, including temporary blurred vision."
Ongoing research, including the FOCUS study, is expected to provide further insights into the long-term effects of semaglutide on eye health, particularly in individuals with type 2 diabetes. This study is set to conclude in 2027 and will help clarify the risks and benefits of semaglutide concerning diabetic retinopathy.
Final Thoughts
Semaglutide offers significant benefits for diabetes and weight management, but like all medications, it comes with potential risks. Patients should work closely with their healthcare team, including their optometrist, to make informed decisions about their treatment plan and ensure regular eye health monitoring.
Get the skinny at your next eye exam!
You know we know all of this. So choose The Eye Place Optometry in Midlothian, VA for your next eye exam. Schedule online or leave us a voicemail at 804-794-3937