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Nutrition and the eye
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Nutrition and the eye
=====================

On this page:
Introduction

Importance of good nutrition
Nutrition for the eye

Conclusion
Useful contacts

About this guide
Introduction
------------

There has been a lot of interest in the role of nutrition and
nutritional supplements, such as vitamin tablets, and their effect on
vision. The main focus has been on how vitamins and minerals might
affect age-related eye conditions such as age-related
macular-degeneration (AMD) and cataracts.
This page explores these issues and looks at the importance of good
nutrition and how the eye can be affected by it.

Importance of good nutrition
----------------------------
Good nutrition is very important for both your general and eye health.
Good nutrition helps our body to grow, repair wear and tear, protect
against infection and to function properly.

An eye condition called 'xerophthalmia', which is a common cause of
childhood blindness in developing countries, is a good example of how
nutrition and eye health go hand in hand. This condition is caused by
a lack of vitamin A in a person's diet and could be prevented by
eating fresh vegetables, fat (animal and plant) and protein (eg meat,
eggs, cheese, fish, poultry, milk, yoghurt, dairy products, nuts,
seeds, pulses and grains).
There are many books on nutrition and eating a balanced diet. This
topic will only be looked at briefly here. For further information on
nutrition and healthy eating contact the British Nutrition Foundation
(BNF).

Nutrition for the eye
---------------------
Vitamins and the eye

In various studies and clinical trials antioxidant vitamins found in
certain foods have been linked with eye health. They help to maintain
healthy cells and tissues in the eye.
The main focus has been on the anti-oxidant vitamins A, C and E. These
vitamins can be found in many different sources of fruit and
vegetables such as:

oranges
kiwis

grapefruit
dried apricots

tomatoes
peppers

raw carrots
green leafy vegetables including kale and spinach

green peas
green beans

brussel sprouts.
They can also be found in nuts, seeds, dairy products and eggs.

These are only a few of the food types in which antioxidant vitamins
can be found. The British Nutrition Foundation can provide you with
further information on this.
Lutein and eye health

More recently it has been suggested that two types of antioxidants,
known as 'carotenoids', called Lutein (pronounced Loo-teen) and
Zeaxanthin (pronounced Zay-a-za-thin) may also help with eye health.
Some studies have found that people who have a good diet rich in
carotenoids, particularly lutein and zeaxanthin, have a lower risk of
developing AMD.
Lutein and Zeaxanthin can be found naturally in vegetables and fruit.
For example, Lutein can be found in yellow peppers, mango, bilberries,
and green leafy vegetables such as kale, spinach, chard and broccoli.

Zeaxanthin can be found in orange sweet peppers, broccoli, corn,
lettuce (not iceberg), spinach, tangerines, oranges and eggs.
Many of these overlap with food types in which vitamins A, E and C are
present.

Vitamins supplements and diet
Age-related macular degeneration (AMD)

A large research trial, called the 'Age-Related Eye Disease Study'
(AREDS), showed that high quantities of the antioxidant vitamins A, C,
E, beta-carotene and the minerals zinc as zinc oxide, and copper as
cupric oxide, can help to slow down the progression of AMD.
It would be very hard to obtain the large quantity of vitamins used in
the trial from your diet. Therefore some people who have AMD may
consider supplementation with vitamins and anti-oxidants. Such high
dosages of vitamins and minerals might have possible side effects on
the body.

For this reason it is very important to consult your doctor first
before taking a supplement.
Eye health

Following the AREDS research trial there have been over 150 smaller
scale studies looking at how vitamins and minerals, both from food and
in a vitamin supplement, can help eye health in general, and in
particular AMD and cataracts. A number of these studies have looked
specifically at the carotenoids Lutein and Zeaxanthin which have been
particularly associated with healthy eyes.
Some of these studies have shown how certain vitamin and mineral
supplements can have a positive effect on eyes and sight. Others have
shown there to be no or little benefit. For this reason various
organisations are calling for further, larger scale research.

As a result of these studies there are now a number of different
supplements for eye health on the market. There is still divided
medical opinion on the use of supplements for both eye health and for
preventing, or slowing down, the progression of AMD and cataracts in
particular.
The general consensus of opinion is that with a good balanced diet
that includes sufficient fresh fruits and vegetables there should be
no need to use supplements.

However, research has shown that many people in the UK do not get
enough vitamins and minerals from their diet. Some people might
consider taking a supplement for their general and eye health when:
their diet does not include enough fresh fruit and vegetables

diet does not include enough vitamins and minerals
vitamins and minerals from food are not adequately absorbed by
the body

it is hard to obtain or prepare fresh fruit and vegetables
they have been told to take a supplement by their doctor or
nutritionist.

However, experts agree that taking supplements is not a substitute for
a healthy diet.
Conclusion
----------

Evidence regarding the benefits of nutritional supplements against eye
disease is conflicting and there is no real agreement among
researchers on this subject at present.
However, a consensus has been reached on the importance of a healthy,
balanced diet full of fresh fruits and vegetables, particularly leafy
green vegetables such as kale and spinach.

Key points to remember:
eat a good, balanced diet with lots of fresh fruit and vegetables

discuss changing your diet or taking vitamin supplements with
your GP
discuss your diet or taking a vitamin supplement with your GP if
you believe that your diet may be inadequate

the biggest avoidable risk is smoking
protect your eyes from sunlight. Use good quality sunglasses, ie
those that have the 'CE' mark, which means they meet the European
Union Quality Standards. Wearing a brimmed hat also offers very
good protection

get your eyes tested at least every two years and more frequently
if necessary.
Useful contacts
---------------

The RNIB Helpline (0303 123 9999 / helpline@rnib.org.uk) can:
put you in touch with specialist advice services

send you free information and leaflets
give you details of support groups and services in your area.

British Nutrition Foundation
High Holborn House
52-54 High Holborn
London
WC1V 6RQ
Tel: 020 7404 6504
Fax: 020 7404 6747
Email: postbox@nutrition.org.uk

The British Nutrition Foundation provides information on healthy
eating and nutrition via its website.
Macular Disease Society
Darwin House
13a Bridge Street
Andover
Hampshire
SP6 1BE

Tel: 0845 241 2041
About this guide
----------------

This information was written by:
Nita Odedra, RNIB Service Development

Anna Mitman, RNIB Eye Health Information.
This page is based on a factsheet that was last updated in August 2006
and has been medically approved by Professor Usha Chakravarthy.

Contact: eyehealth@rnib.org.uk
Last updated: 10 December 2009

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Looking after your eyes
-----------------------

Smoking and sight loss
Safe eyes

Nutrition and the eye
Vegetables for vision

Obesity and sight loss
Protect your eyes from the sun

Eye health
----------
Eye conditions

Visiting an optician
Visiting a hospital

Looking after your eyes
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