Table 4

Summary of recent investigations on potential therapeutic agents for treating diabetic corneal complications

SourceCountryAnimal modelMethods of injuryOutcomes
Li et al50ChinaSTZ-treated diabetic mice.Central cornea epithelium debrided via Alger brush.
  • Safflower extract and aceglutamide injection reduces ameliorates diabetic cornea neuropathy.

  • Its protective effect is associated with the elevated cornea epithelial secretion of vascular endothelial growth factor-B (VEGF–B), nerve growth factor (NGF) and Glial cell line-derived neurotrophic factor (GDNF).

Morishige et al51JapanSTZ-treated diabetic rats.A portion of corneal epithelium is debrided by a scraper.
  • Administration of Pro-His-Ser-Arg-Asn significantly facilitated healing of corneal epithelial wounds in both diabetic rats and controls.

  • The effect is postulated to be due to increased cornea epithelial cell migration response after injury.

Atiba et al28EgyptSTZ-treated diabetes rats.Alkali-burn injury with 0.01 M NaOH on it for 45 s.
  • Aloe vera enhances corneal re-epithelialization rate and attenuates the ocular surface inflammatory response after alkali burn in both diabetic rats.

Zhang et al23ChinaSTZ-treated diabetic mice.Central cornea epithelium debrided by Alger brush.
  • Topical application of Resolvin D1 (RvD1) promoted corneal epithelial wound healing and reduced ocular surface inflammation after injury in diabetic eyes.

  • Furthermore, RvD1 promoted regeneration of corneal nerves and significantly sped up restoration of normal corneal sensation after injury.

  • The underlying mechanism is purported to be related to RvD1’s ability in reducing AGE-mediated oxidative stress.

He et al57USASTZ-treated diabetic mice.A 2 mm diameter cornea epithelial injury with corneal rust ring remover.
  • Topical treatment with pigment epithelium-derived factor+docosahexaenoic acid promoted corneal nerve regeneration and epithelial wound healing after injury in diabetic mice.

  • Furthermore, it increased tear production and attenuated the ocular surface inflammatory response after injury.

Sun et al58USASTZ-treated diabetic miceCorneal epithelial debridement.
  • Topical application of Serpine1 accelerated corneal wound healing after injury and reduced secretion of proteolytic enzymes like MMP-3.

  • AGE, advanced glycation end products; MMP-3, matrix metalloproteinase 3; STZ, streptozocin.