A 2026 narrative review in J Obes Metab Syndr consolidates the GLP-1 ocular picture: transient early diabetic retinopathy worsening is real but driven by metabolic transition, age-related macular degeneration and glaucoma show protective signals, and a new NAION safety signal has emerged in specific cohorts. A 2025 multidisciplinary consensus replaces avoidance with risk-stratified monitoring.