Visual Impairments & Aging

Common Vision Disorders - Cataracts & Macular Degeneration

© Cheryl La Rocque

May 13, 2009
Two common vision disorders in older people are cataracts and macular degeneration.

A cataract is a condition where the lens of the eye grows opaque. However, the sight can be restored with surgery, which is relatively simple and almost always successful by replacing the lens with a plastic one.

Age-related macular degeneration (AMC) is not so easily corrected. The macular is in the centre of the retina, in the back of the eye. If its cells break down, blurry vision results. As the disease progresses, severe vision loss occurs.

Experts indicate age-related macular degeneration is the leading cause of blindness in people over 65. No one understands why the disease occurs, and, unfortunately there is little that can be done to alleviate it.

Nutrition & Prevention for Age-Related Macular Degeneration

But don't despair. Research has produced some encouraging news suggesting a high consumption of certain vitamins and minerals, as well as beta carotene and related compounds that are found in leafy greens like spinach, may reduce the risk not only of cataracts, but of AMC as well.

Antioxidants, vitamin C and E, plus beta carotene and other carotenoids, seem to be the most powerful. There is some evidence suggesting minerals such as zinc may also be involved.

One old survey indicated people who ate the most beta carotene and other carotenoids, particularly as supplied by spinach and collard greens, had almost half the risk of macular degeneration, compared to those eating fewer carotenoids.

Experts suggested this may be due to the action of lutein and zeaxanthin, two carotenoids that appear to form a pigment that protects the macular from destructive forms of light.

Eye Disease Studies

The National Health and Nutrition Examination Survey, in the United States indicated a similar reduction in eye disease risk for those with a high fruit and vegetable intake.

Vegetables and fruits like:

  • Oranges
  • Carrots
  • Spinach
  • Pumpkins
  • Squash
  • Sweet potatoes, and other vegetables are high in these important nutrients.

Nutrition & Prevention of Cataracts

Nutrition studies concerning cataracts have been less clear. Some researchers have found that taking multivitamins reduces the risk of cataracts, and that a high intake of antioxidants appears to ward off cataracts in some studies, but not in others.

For example, one study of 50,000 nurses found no protection from a high dietary intake of vitamins C and E, but a 30 per cent risk reduction with a high intake of beta carotene, and a 40 per cent reduction with a high intake of vitamin A, which the body also makes from beta carotene. However, this study also demonstrated if the nurses had taken vitamin C supplements for more than 10 years, their risk was reduced by 45 per cent.

One could interpret these results and conclude that a high intake of carotenoids and other antioxidants does prevent eye disease in some people, but some other element in the foods consumed by the nurses surveyed, or other health habits, may also be responsible.

In any event, good nutrition is associated with a reduce risk of heart disease, diabetes, and other ills, and maybe even eye disease. The best advice anyone could follow is to eat a diet rich in dark green leafy vegetables, as well as a variety of other vegetables, berries and fruits.

Eyesight is one of the most precious of the senses, and as we grow older, its preservation is important. So take care of your eyes and eyesight with regular yearly eye exams.


The copyright of the article Visual Impairments & Aging in General Medicine is owned by Cheryl La Rocque. Permission to republish Visual Impairments & Aging in print or online must be granted by the author in writing.




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Comments
May 13, 2009 8:01 PM
Guest :
As people continue to live longer, the incidence of eye disease such as macular degeneration is on the rise. These types of debilitating eye diseases rob people of vision, and can result in individuals losing their independence.

It is believed that the visual system requires up to 25% of the nutrients we take into our bodies in order to stay healthy. Impaired circulation and/or poor absorption of nutrients can significantly contribute to eye disease. Regular exercise and management of emotional stress are also critical for maintaining health.

Eye conditions/diseases such as macular degeneration, glaucoma, diabetic retinopathy, cataracts and may others can be responsive to specific nutritional supplementation

For example. there is a great deal of peer review research now showing the vision can be preserved through a proper diet and specific nutritional supplementation, and that macular degeneration is a nutritionally responsive eye disease.

The recent B vitamin study showing that those that supplement with B6, B12 and folic acid have a significant lower risk of getting macular degeneration is one of many studies proving macular degeneration to be a nutritionally responsive eye disease.

Archives of Ophthalmology recently published a meta analysis on omega-3 fatty acid and fish intake and its effect on the prevention of age-related macular degeneration (AMD).
This study identified 274 abstracts, 3 prospective cohort, 3 case-control, and 3 cross-sectional studies.

Using quantitative methods, a high dietary intake of omega-3 fatty acids was associated with a 38% reduction in the risk of late AMD. Fish intake (2x per week) was associated with reduced risk of early and late AMD.

More omega-3 and AMD specific studies need to be conducted to further investigate omega-3¹s effect on AMD.

Ref: Arch Ophthalmol. 2008;126(6):826-833.

Essential nutrients include lutein, zeaxanthin, omega-3 fatty acids, taurine, gingko biloba, lycopene, vitamin A, E, zinc, copper, selenium for example, that can help both prevent the onset of eye disease such as macular degeneration as well as help preserve vision for those with macular degeneration.

For more information on nutrition and macular degeneration and related research studies, go to <a href="http://www.naturaleyecare.com">Natural Eye Care for Macular Degeneration</a>
Jul 8, 2009 9:54 PM
Guest :
These are helpful information. Thanks for sharing. When it comes to our eye sight we should regularly see our <a href=" http://www.youreyesite.com">eye doctor</a> to see how our vision is doing.
2 Comments