Nonarteritic anterior ischemic optic neuropathy

Disease4 papers9 findings

A human trial links liraglutide and semaglutide to higher nonarteritic anterior ischaemic optic neuropathy risk than with non-GLP-1RA treatments. A pharmacovigilance analysis in the same paper associates both drugs with the condition, and a separate human trial reports an association with semaglutide.

  • Humans1

Interventions

1

GLP-1 receptor agonists

no changein humans1HR 1.86Low certainty

1 study
  1. GLP-1 receptor agonists have no effect on nonarteritic anterior ischemic optic neuropathy in humans (HR: 1.86; 95% CI: 0.84-4.09).

    Humansin patients with type 2 diabetes

    Glucagon-Like Peptide-1 Receptor Agonist Use and Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients with Type 2 Diabetes · Ophthalmology. Retina · 3 Sep 2026

GLP-1 receptor agonists →

Associations

3

Semaglutide

upin humans2HR 1.538High certainty

2 studies
  1. Semaglutide is associated with nonarteritic anterior ischemic optic neuropathy in humans (ROR = 94.534, 95% CI: 83.093-107.552).

    HumansFAERS pharmacovigilance analysis

    Comparative Risk of Nonarteritic Anterior Ischemic Optic Neuropathy Among Glucagon-Like Peptide-1 Receptor Agonists: An Integrated Safety and Mechanistic Analysis · Diabetes, obesity & metabolism · 21 Sep 2026

  2. Semaglutide raises the risk of nonarteritic anterior ischemic optic neuropathy in humans (HR = 1.538, 95% CI: 1.305-1.816).

    Human trialcompared with non-GLP-1RA treatments

    Comparative Risk of Nonarteritic Anterior Ischemic Optic Neuropathy Among Glucagon-Like Peptide-1 Receptor Agonists: An Integrated Safety and Mechanistic Analysis · Diabetes, obesity & metabolism · 21 Sep 2026

  3. Semaglutide is associated with nonarteritic anterior ischemic optic neuropathy in humans.

    Human trialin a patient with obesity, diabetes mellitus, hypertension, dyslipidemia, and rapid weight loss2 monthsmalesn = 1

    Nonarteritic anterior ischemic optic neuropathy after rapid weight loss during semaglutide therapy: a case report · Korean journal of family medicine · 18 Sep 2026

Semaglutide →

Liraglutide

upin humans2HR 1.251High certainty

2 studies
  1. Liraglutide is associated with nonarteritic anterior ischemic optic neuropathy in humans (ROR = 4.519, 95% CI: 2.617-7.802).

    HumansFAERS pharmacovigilance analysis

    Comparative Risk of Nonarteritic Anterior Ischemic Optic Neuropathy Among Glucagon-Like Peptide-1 Receptor Agonists: An Integrated Safety and Mechanistic Analysis · Diabetes, obesity & metabolism · 21 Sep 2026

  2. Liraglutide raises the risk of nonarteritic anterior ischemic optic neuropathy in humans (HR = 1.251, 95% CI: 1.080-1.450).

    Human trialcompared with non-GLP-1RA treatments

    Comparative Risk of Nonarteritic Anterior Ischemic Optic Neuropathy Among Glucagon-Like Peptide-1 Receptor Agonists: An Integrated Safety and Mechanistic Analysis · Diabetes, obesity & metabolism · 21 Sep 2026

  3. Liraglutide raises the risk of nonarteritic anterior ischemic optic neuropathy in humans.

    Humanswithin 12 or 18 months of follow-up in patients with type 2 diabeteswithin 12 or 18 months

    Glucagon-Like Peptide-1 Receptor Agonist Use and Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients with Type 2 Diabetes · Ophthalmology. Retina · 3 Sep 2026

Liraglutide →

GLP-1 receptor agonists

upin humans2Low certainty

2 studies
  1. GLP-1 receptor agonists raise the risk of nonarteritic anterior ischemic optic neuropathy in humans.

    Humansin patients with type 2 diabetesmales

    Glucagon-Like Peptide-1 Receptor Agonist Use and Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients with Type 2 Diabetes · Ophthalmology. Retina · 3 Sep 2026

  2. GLP-1 receptor agonists are associated with nonarteritic anterior ischemic optic neuropathy in humans.

    Review

    GLP-1 receptor agonists and ocular disease: Therapeutic promise, mechanistic insights and emerging safety signals · Drug discovery today · 24 Aug 2026

GLP-1 receptor agonists →

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