A 173,216-patient cohort with type 2 diabetes and pre-existing diabetic retinopathy showed GLP-1 users had lower progression to proliferative retinopathy (HR 0.78), retinal vein occlusion (HR 0.70), and neovascular glaucoma (HR 0.65). NAION risk was null (HR 0.88, CI 0.54-1.44).