Original Investigation

Ocular Adverse Events With Semaglutide

JAMA Ophthalmology 10.1001/jamaophthalmol.2025.2489

August 14, 2025 at 11:00 AM EDT

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Does semaglutide increase the risk of ocular adverse events?In this systematic review and meta-analysis of randomized clinical trials, semaglutide was not associated with higher risk of ocular adverse events, including diabetic retinopathy. However, it was associated with nonarteritic anterior ischemic optic neuropathy (NAION).Future studies should implement standardized methods for assessing ocular adverse events to clarify the potential association of semaglutide with NAION.

Corresponding Author: Fernando Gerchman, MD, PhD, Division of Endocrinology and Metabolism, Hospital de ClĂ­nicas de Porto Alegre, Rua Ramiro Barcelos 2350, 4th Floor, Room 401, 90035-903 Porto Alegre, Rio Grande do Sul, Brazil (fgerchman@hcpa.edu.br).

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