Usage of topical insulin for the treatment of diabetic keratopathy,including corneal epithelial defects
作者机构:Department of OphthalmologyUniversiti Kebangsaan Malaysia Medical CentreKuala Lumpur 56000Wilayah PersekutuanMalaysia
出 版 物:《World Journal of Diabetes》 (世界糖尿病杂志(英文版)(电子版))
年 卷 期:2023年第14卷第6期
页 面:930-938页
核心收录:
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100212[医学-眼科学] 10[医学]
主 题:Diabetes mellitus Diabetic keratopathy Topical insulin Healing
摘 要:BACKGROUND Diabetic keratopathy(DK)occurs in 46%-64%of patients with diabetes and requires serious *** patients with diabetes,the healing of corneal epithelial defects or ulcers takes longer than in patients without *** is an effective factor in wound *** ability of systemic insulin to rapidly heal burn wounds has been reported for nearly a century,but only a few studies have been performed on the effects of topical insulin(TI)on the *** with TI is effective in treating *** To review clinical and experimental animal studies providing evidence for the efficacy of TI to heal corneal *** National and international databases,including PubMed and Scopus,were searched using relevant keywords,and additional manual searches were conducted to assess the effectiveness of TI application on corneal wound *** articles published from January 1,2000 to December 1,2022 were *** relevancy of the identified citations was checked against predetermined eligibility standards,and relevant articles were extracted and *** A total of eight articles were found relevant to be discussed in this review,including four animal studies and four clinical *** to the studies conducted,TI is effective for corneal re-epithelialization in patients with diabetes based on corneal wound size and healing *** Available animal and clinical studies have shown that TI promotes corneal wound healing by several *** use of TI was not associated with adverse effects in any of the published *** studies are needed to enhance our knowledge and understanding of TI in the healing of DK.