Macular Degeneration by Ray Sahelian, M.D. natural health and beauty information

Age related macular degeneration is an eye disorder that can result in irreversible visual loss and is the commonest cause of blindness in the Western world.
The retina is particularly susceptible to oxidation as its need for oxygen is large, it is exposed to high levels of light, and its membranes are rich in readily oxidized polyunsaturated fatty acids, particularly DHA found in fish oils.
   Age-related macular degeneration appears to share several carbohydrate-related mechanisms and risk factors with diabetes-related diseases, including retinopathy and cardiovascular disease. This indicates that a healthy diet over a lifetime with good blood sugar control would reduce the risk of this eye condition. People who smoke cigarettes are several times more likely to develop age-related macular degeneration than non-smokers.

Macular Degeneration treatment options, natural
Macular degeneration is a condition in which there is progressive deterioration of the central area of the retina, resulting in gradual sight loss in the center of the field of vision.
    
Macular degeneration treatment is still evolving  and advancing. Unfortunately little macular degeneration treatment research is focused on natural approaches.  Some basic nutritional treatments for macular degeneration are being overlooked. For instance macular degeneration vitamin therapy is rarely used by eye specialists. I have tried to gather as much information as I can regarding natural ways to treat or prevent macular degeneration.

Eyesight Rx
Supports Healthy Vision
Physician Formulas
Developed by Ray Sahelian, M.D.

Unlike some vision products that provide nutrients and herbs for long term healthy vision support, and prevention of visual impairment, but don't seem to have much of an immediate effect on visual acuity, Eyesight Rx was formulated to provide a quick and noticeable eyesight improvement within hours.

Reports from Eyesight Rx users indicate enhanced clarity of vision, colors being brighter, better focus, and overall improvement in close and distance vision. We've had reports of some people noticing this effect within 10 minutes, while most people notice improved eyesight within hours. Still others will realize their vision is sharper the next morning when they take their second dose.

Supplement Facts:
Vitamin C (Ascorbic acid)
Citrus bioflavonoids (eriocitrin, hesperidin, flavonols, flavones,
flavonoids, naringenin, and quercetin)
Mixed carotenoids (astaxanthin, beta carotene, cryptoxanthin, lutein,
lycopene, zeaxanthin)
Bilberry extract (Vaccinium myrtillus)
Eyebright extract (Euphrasia officianales)
Jujube extract (Zizyphus jujube)
Ginkgo biloba (Ginkgo biloba)
Suma extract (Pfaffia paniculata)
Mucuna pruriens extract (Cowhage)
Cinnamon (Cinnamomum zeylanicum)
Lycium berry extract (Lycium Barbarum) also known as gobi berry
Sarsaparila (Sarsaparilla Smilax)
Alpha Lipoic Acid

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Subscribe to a FREE Supplement Research Update newsletter  Once or twice a month we email you a brief abstract of several new studies on various supplements and natural medicine topics, including macular degeneration and vision enhancement, and their practical interpretation by Ray Sahelian, M.D.

Nutrients and herbs that could be helpful
Eating fish or taking Fish oils supplements could reduce the risk for macular degeneration. Consume more fresh fruits and vegetables which contain lots of flavonoids and carotenoids. Vitamin D may also be helpful in reducing the risk of age-related macular degeneration.

Vitamin E Evidence from in vitro and animal studies suggests that the antioxidants Vitamins C and natural Vitamin E complex can protect the retina against photochemical damage. Vitamin E in the range of 30 to 200 units a few times a week of the mixed tocopherols and tocotrienols is a good option. It is not necessary to take vitamin E daily since it is stored in fat tissue.

Vitamin C with bioflavonoids — 100 to 500 mg a day.


R- Alpha Lipoic acid — 10 to 50 mg a few times a week, in the morning with breakfast. R- alpha lipoic acid is quite a powerful antioxidant and can improve vision in some people.
Many studies have shown that antioxidant supplements, such as alpha lipoic acid help reduce the progression of macular degeneration.


 


Carotenoids
also have antioxidant properties and reduce the risk of retinal cells from being oxidized and damaged. Two of these carotenoids, Lutein and Zeaxanthin, are particularly important.
    
Lutein and Zeaxanthin make up the macular pigment that is thought to limit retinal oxidative damage by filtering out blue light. Supplementation with lutein has been shown to improve macular degeneration. In a study of healthy women younger than 75 years, consumption of diets rich in lutein and zeaxzanthin, which are found in green leafy vegetables, corn, and squash, seemed to stave off intermediate age-related macular degeneration. The researchers' findings appear in the August, 2006 issue of Archives of Ophthalmology.

Diet and Macular Degeneration
Several epidemiologic studies and clinical trials suggest that diets high in antioxidant nutrients (vitamins C and E, carotenoids such as lutein and zeaxanthin, fruit and vegetables that contain these nutrients, and nonnutritive antioxidants) or zinc are associated with a decreased occurrence of early or late
age related macular degeneration. A high dietary intake of fat is associated with a higher prevalence or incidence of early or late age related macular degeneration, whereas higher intakes of fish or n–3 fatty acids are associated with lower rates of AMD.

Macular degeneration and fish intake
Dietary fat and the risk of age-related maculopathy: the POLANUT Study.
Eur J Clin Nutr. 2007 Feb 14; Inserm, Research Unit U593 for Epidemiology, Public Health and Development, Bordeaux, France, Universite Victor Segalen Bordeaux 2, Bordeaux, France.
This French study aimed at assessing the associations of dietary fat with the risk of age-related macular degeneration, in the framework of a population-based study from southern France. Nutritional data were collected using a dietitian-administered food-frequency questionnaire. A
ge-related macular degeneration was classified from retinal photographs using the international classification and included neovascular age-related macular degeneration, geographic atrophy, soft indistinct drusen, soft distinct drusen associated with pigmentary abnormalities. After multivariate adjustment, high total, saturated and monounsaturated fat intake were associated with increased risk for age-related macular degeneration. Total polyunsaturated fatty acid was not significantly associated with age-related macular degeneration. Total and white fish intake was not significantly associated with age-related macular degeneration, but fatty fish intake (more than once a month versus less than once a month) was associated with a 60% reduction in risk for age-related macular degeneration.

Exercise and Macular Degeneration
Keeping an active lifestyle can reduce the risk of developing
macular degeneration. Physical activity such as walking and climbing stairs has a protective effect . Exercise helped to reduce the odds of suffering from wet," or exudative, AMD — a form of the condition in which new blood vessels grow behind the eye causing bleeding and scarring which leads to distorted vision and impaired sight.

Cause of macular degeneration
Normal damage to cells in the eye as we age. Poor diet over the years, diabetes or poor blood sugar control, excessive sun exposure, lack of adequate omega 3 oils or fish oils in the diet.
Smoking contributes to macular degeneration. Older adults who smoke are twice as likely to suffer from macular degeneration as their non-smoking peers. Genetics is probably another cause of macular degeneration.
   Smoking cigarettes, or living with someone who does, increases a person's risk of developing age-related macular degeneration.
   A newly discovered cause of macular degeneration are statin drugs. See the study below.
   The herb St. John's wort may be phototoxic to the retina if used for prolonged periods and eyes exposed to sunlight. Those with macular degeneration may wish to avoid the use of St. John's wort if they are exposed to strong sunlight daily.

Macular Degeneration Symptoms and Signs
Age-related macular degeneration is a chronic eye disease that occurs when tissue in the macula, the part of your retina that's responsible for central vision, deteriorates. Degeneration of the macula causes blurred central vision or a blind spot in the center of your visual field. The first sign of macular degeneration may be a need for more light when you do close-up work. Fine newsprint may become harder to read and street signs more difficult to recognize. Gray or blank spots may mask the center of your visual field. Macular degeneration affects your central vision, but not your peripheral vision; thus it doesn't cause total blindness. Still, the loss of clear central vision — critical for reading, driving, recognizing people's faces and doing detail work — greatly affects your quality of life.
    
Macular degeneration of the eye  may be recognized by a physician in its early stages by the appearance (with an opthalmoscope) of pigment changes and drusen within the retina.

Statin Drugs and Macular Degeneration
Contrary to the expectations of some scientists, cholesterol-lowering 'statin' drugs (such as Lipitor or Zocor) do not appear to stave off age-related macular degeneration (AMD) in the eye. In fact, a review of data from the Cardiovascular Health Study suggests that taking a statin may slightly increase the risk of age-related macular degeneration. SOURCE: Archives of Ophthalmology, January 2006.


Macular Degeneration Research and Treatment
Update
Associations between intermediate age-related macular degeneration and lutein and zeaxanthin in the Carotenoids in Age-related Eye Disease Study (CAREDS): ancillary study of the Women's Health Initiative.
Arch Ophthalmol. 2006 Aug;124(8):1151-62.
Women aged 50 to 79 years in Iowa, Wisconsin, and Oregon with intake of lutein plus zeaxanthin above the 78th (high) and below the 28th (low) percentiles at baseline in the Women's Health Initiative Observational Study were recruited 4 to 7 years later into the Carotenoids in Age-Related Eye Disease Study (CAREDS), when the presence of AMD was determined by fundus photographs. RESULTS: The prevalence of intermediate AMD was not statistically different between the high and low lutein plus zeaxanthin intake recruitment groups after adjusting for age (odds ratio, 0.96; 95% confidence interval, 0.75-1.23). Limiting analyses to women younger than 75 years with stable intake of lutein plus zeaxanthin, without a history of chronic diseases that are often associated with diet changes, substantially lowered odds ratios (0.57; 95% confidence interval, 0.34-0.95). Exploratory analyses of advanced AMD in 34 participants resulted in protective, but statistically nonsignificant, associations in the overall sample and in women younger than 75 years. CONCLUSION: Diets rich in lutein plus zeaxanthin may protect against intermediate AMD in healthy women younger than 75 years.

Macular carotenoids: lutein and zeaxanthin.
Dev Ophthalmol. 2005;38:70-88.
The yellow color of the macula lutea is due to the presence of the carotenoid pigments lutein and zeaxanthin. In contrast to human blood and tissues, no other major carotenoids including beta-carotene or lycopene are found in this tissue. The macular carotenoids are suggested to play a role in the protection of the retina against light-induced damage. Epidemiological studies provide some evidence that an increased consumption of lutein and zeaxanthin is associated with a lowered risk for age-related macular degeneration, a disease with increasing incidence in the elderly. Protecting ocular tissue against photooxidative damage carotenoids may act in two ways: first as filters for damaging blue light, and second as antioxidants quenching excited triplet state molecules or singlet molecular oxygen and scavenge further reactive oxygen species like lipid peroxides or the superoxide radical anion.

Improvement of visual functions and fundus alterations in early age-related macular degeneration treated with a combination of acetylcarnitine, n-3 fatty acids, and coenzyme Q10.
Ophthalmologica. 2005 May-Jun;219(3):154-66.
The aim of this randomized, double-blind, placebo-controlled clinical trial was to determine the efficacy of a combination of acetyl-L-carnitine, n-3 fatty acids, and coenzyme Q10 on the visual functions and fundus alterations in early age-related macular degeneration. One hundred and six patients with a clinical diagnosis of early macular degeneration were randomized to the treated or control groups. The primary efficacy variable was the change in the visual field mean defect (VFMD) from baseline to 12 months of treatment, with secondary efficacy parameters: visual acuity (Snellen chart and ETDRS chart), foveal sensitivity as measured by perimetry, and fundus alterations as evaluated according to the criteria of the International Classification and Grading System for macular degeneration. The mean change in all four parameters of visual functions showed significant improvement in the treated group by the end of the study period. In addition, in the treated group only 1 out of 48 cases (2%) while in the placebo group 9 out of 53 (17%) showed clinically significant worsening in VFMD. Decrease in drusen-covered area of treated eyes was also statistically significant as compared to placebo when either the most affected eyes or the less affected eyes were considered. These findings strongly suggested that an appropriate combination of compounds which affect mitochondrial lipid metabolism, may improve and subsequently stabilize visual functions, and it may also improve fundus alterations in patients affected by early macular degeneration.

Dietary supplementation with bilberry extract prevents macular degeneration and cataracts in senesce-accelerated OXYS rats.
Adv Gerontol. 2005;16:76-9.
Cataracts and macular degeneration remain the major cause of blindness and acuity of vision deterioration in the elderly. Both pathology have been attributed to damage by free radicals, there has been a great deal of interest in antioxidants. Bilberry's flavonoids are known as potent antioxidants, scavenging free radicals and used for multiple age-releted ocular disorders. There are no experimental studies, devoted to estimation of bilberry effect. To explore this one the senescence-accelerated OXYS rats with early senile cataract and macular degeneration were used. From 1.5 to 3 month OXYS rats were given control diets or those supplemented with 25% bilberry extract (BE, 20 mg on kg of body weight including 4.5 mg of antocianidin) or vitamin E (40 mg/kg) as drag for comparison. The testing at 3 month have showed that more then 70% of control OXYS rats had cataract and macular degeneration while the supplementation of BE completely prevented impairments in the lenses and retina. The VE had no significant effects but both antioxidants decreased lipid peroxides in the retina and serum of OXYS rats. The results suggest that the OXYS rat strain is the useful model for macular degeneration and senile cataract and long-term supplementation with bilberry extract is effective in prevention of macular degeneration and cataract.

Resveratrol reduces oxidation and proliferation of human retinal pigment epithelial cells via extracellular signal-regulated kinase inhibition.
Chem Biol Interact. 2005 Jan 15;151(2):143-9. King RE, Kent KD, Bomser JA.
Department of Food Science and Technology, Ohio State University, Columbus, OH
Epidemiological evidence suggests that moderate wine consumption and antioxidant-rich diets may protect against age-related macular degeneration, the leading cause of vision loss among the elderly. Development of age-related macular degenerationnd other retinal diseases, such as proliferative vitreoretinopathy (PVR), is associated with oxidative stress in the retinal pigment epithelium (RPE), a cell layer responsible for maintaining the health of the retina by providing structural and nutritional support. We hypothesize that resveratrol, a red wine polyphenol, may be responsible, in part, for the health benefits of moderate red wine consumption on retinal disease. To test this hypothesis, the antioxidant and antiproliferative effects of resveratrol were examined in a human RPE cell line (designated ARPE-19). These results suggest that resveratrol can reduce oxidative stress and hyperproliferation of the RPE.

Age related macular degeneration and micronutrient antioxidants.
Curr Eye Res. 2004 Dec;29(6):387-401.
Hogg R, Chakravarthy U. Ophthalmology & Vision Science, Institute of Clinical Science, The Royal Victoria Hospital, Belfast, Northern Ireland.
Age-related macular degeneration is a common clinical entity. The late-stage manifestations of age-related macular degeneration have devastating consequences for vision. Various risk factors have been identified in the development of the condition, which are consistent with the premise that oxidative stress plays an important role in its pathogenesis. Thus, the possibility that antioxidant balance can be manipulated through diet or supplementation has created much interest. Associations between diet and nutrition and the clinical features of macular degeneration have been described. Scrutiny of the literature shows consistency in the report of notable reductions in serum micronutrients in wet Age related macular degeneration, however, the evidence for causation is still circumstantial. In this comprehensive review of the clinical literature, we have assessed the evidence for a link between diet and nutrition as risk factors for the development of macular degeneration. All published case control, population-based, and interventional studies on macular degeneration were examined. Although initial support appeared to be moderate and somewhat contradictory, the evidence that lifetime oxidative stress plays an important role in the development of ARM is now compelling. The positive outcomes in the Age-Related Eye Diseases Study, a major controlled clinical trial, have given hope that modulation of the antioxidant balance through supplementation can help prevent progression to Age related macular degeneration.

Double-masked, placebo-controlled, randomized trial of lutein and antioxidant supplementation in the intervention of atrophic age-related macular degeneration: the Veterans LAST study (Lutein Antioxidant Supplementation Trial).
Richer S, Stiles W, Statkute L et al. Optometry. 2004;75:216-30.
Age-related macular degeneration is the leading cause of vision loss in aging Westem societies. The objective of the lutein antioxidant supplementation trial (LAST) is to determine whether nutritional supplementation with lutein or lutein together with antioxidants, vitamins, and minerals, improves visual function and symptoms in atrophic Age-related macular degeneration. The study was a prospective, 12-month, randomized, double-masked, placebo-controlled trial conducted at an urban midwestern Veterans Administration Hospital from August 1999 to May 2001. Ninety patients with atrophic macular degeneration were referred by ophthalmologists at two Chicago-area veterans medical facilities. Patients in Group 1 received lutein 10 mg (L); in Group 2, a lutein 10 mg/antioxidants/vitamins and minerals broad spectrum supplementation formula (L/A); and in Group 3, a maltodextrin placebo (P) over 12 months.  CONCLUSION: In this study, visual function in macular degeneration is improved with lutein alone or lutein together with other nutrients. Further studies are needed with more patients, of both genders, and for longer periods of time to assess long-term effects of lutein or lutein together with a broad spectrum of antioxidants, vitamins, and minerals in the treatment of atrophic age-related macular degeneration.

Fasting plasma zeaxanthin response to Fructus barbarum L. (wolfberry; Kei Tze) in a food-based human supplementation trial.
Br J Nutr. 2005 Jan;93(1):123-30.
Age-related macular degeneration is a common disorder that causes irreversible loss of central vision. Increased intake of foods containing zeaxanthin may be effective in preventing AMD because the macula accumulates zeaxanthin and lutein, oxygenated carotenoids with antioxidant and blue light-absorbing properties. Lycium barbarum L. is a small red berry known as Fructus lycii and wolfberry in the West, and Kei Tze and Gou Qi Zi in Asia. Wolfberry is rich in zeaxanthin dipalmitate, and is valued in Chinese culture for being good for vision. The aim of this study, which was a single-blinded, placebo-controlled, human intervention trial of parallel design, was to provide data on how fasting plasma zeaxanthin concentration changes as a result of dietary supplementation with whole wolfberries.  This human supplementation trial shows that zeaxanthin in whole wolfberries is bioavailable and that intake of a modest daily amount markedly increases fasting plasma zeaxanthin levels. These new data will support further study of dietary strategies to maintain macular pigment density.

Biologic Mechanisms of the Protective Role of Lutein and Zeaxanthin in the Eye.
Krinsky NI, Landrum JT, Bone RA.  Annu Rev Nutr 2003 Feb 27.Department of Biochemistry, Tufts University Medical School, Boston, MA
The macular region of the primate retina is yellow in color due to the presence of the macular pigment, composed of two dietary xanthophylls, lutein and zeaxanthin, and another xanthophyll, meso-zeaxanthin. The latter is presumably formed from either lutein or zeaxanthin in the retina. By absorbing blue-light, the macular pigment protects the underlying photoreceptor cell layer from light damage, possibly initiated by the formation of reactive oxygen species during a photosensitized reaction. There is ample epidemiological evidence that the amount of macular pigment is inversely associated with the incidence of age-related macular degeneration, an irreversible process that is the major cause of blindness in the elderly. The macular pigment can be increased in primates by either increasing the intake of foods that are rich in lutein and zeaxanthin, such as dark-green leafy vegetables, or by supplementation with lutein or zeaxanthin. While the concept that increasing the intake of lutein or zeaxanthin might prove to be protective against the development of age-related macular degeneration, a causative relationship has yet to be experimentally demonstrated.

Prospective study of intake of fruits, vegetables, vitamins, and carotenoids and risk of age-related maculopathy.

Arch Ophthalmol. 2004 Jun;122(6):883-92.
To examine the intake of antioxidant vitamins and carotenoids as well as fruits and vegetables in relation to the development of age-related macular degeneration. METHODS: We conducted a prospective follow-up study of women in the Nurses' Health Study and men in the Health Professionals Follow-up Study. We followed 77 562 women and 40 866 men who were at least 50 years of age and had no diagnosis of macular degeneration or cancer at baseline for up to 18 years for women and up to 12 years for men. Fruit and vegetable intakes were assessed with a validated semiquantitative food-frequency questionnaire up to 5 times for women and up to 3 times for men during follow-up. RESULTS: A total of 464 (329 women and 135 men) incident cases of early macular degeneration and 316 (217 women and 99men) cases of neovascular macular degeneration, all with visual loss of 20/30 or worse due primarily to macular degeneration, were diagnosed during follow-up. Fruit intake was inversely associated with the risk of neovascular macular degeneration. Participants who consumed 3 or more servings per day of fruits had a pooled multivariate relative risk of 0.64 (95% confidence interval, 0.44-0.93; P value for trend =.004) compared with those who consumed less than 1.5 servings per day. The results were similar in women and men. However, intakes of vegetables, antioxidant vitamins, or carotenoids were not strongly related to either early or neovascular macular degeneration. CONCLUSION: These data suggest a protective role for fruit intake on the risk of neovascular macular degeneration.

Double-masked, placebo-controlled, randomized trial of lutein and antioxidant supplementation in the intervention of atrophic age-related macular degeneration: the Veterans LAST study (Lutein Antioxidant Supplementation Trial).
Optometry. 2004 Apr;75(4):216-30.
Age-related macular degeneration is the leading cause of vision loss in aging Westem societies. The objective of the lutein antioxidant supplementation trial (LAST) is to determine whether nutritional supplementation with lutein or lutein together with antioxidants, vitamins, and minerals, improves visual function and symptoms in atrophic macular degeneration. METHODS: The study was a prospective, 12-month, randomized, double-masked, placebo-controlled trial conducted at an urban midwestern Veterans Administration Hospital from August 1999 to May 2001. Ninety patients with atrophic macular degeneration were referred by ophthalmologists at two Chicago-area veterans medical facilities. Patients in Group 1 received lutein 10 mg (L); in Group 2, a lutein 10 mg/antioxidants/vitamins and minerals broad spectrum supplementation formula (L/A); and in Group 3, a maltodextrin placebo (P) over 12 months. CONCLUSION: In this study, visual function is improved with lutein alone or lutein together with other nutrients. Further studies are needed with more patients, of both genders, and for longer periods of time to assess long-term effects of lutein or lutein together with a broad spectrum of antioxidants, vitamins, and minerals in the treatment of atrophic age-related macular degeneration.

Chemistry, distribution, and metabolism of tomato carotenoids and their impact on human health.
Exp Biol Med (Maywood). 2002 Nov;227(10):845-51.
Recent epidemiological studies have suggested that the consumption of tomatoes and tomato-based food products reduce the risk of prostate cancer in humans. This protective effect has been attributed to carotenoids, which are one of the major classes of phytochemicals in this fruit. The most abundant carotenoid in tomato is lycopene, followed by phytoene, phytofluene, zeta-carotene, gamma-carotene, beta-carotene, neurosporene, and lutein. Detailed qualitative and quantitative analysis of human serum, milk, and organs, particularly prostate, have revealed the presence of all the aforementioned carotenoids in biologically significant concentrations. Two oxidative metabolites of lycopene, 2,6-cyclolycopene-1,5-diols A and B, which are only present in tomatoes in extremely low concentrations, have been isolated and identified in human serum, milk, organs (liver, lung, breast, liver, prostate, colon) and skin. Carotenoids may also play an important role in the prevention of age-related macular degeneration, cataracts, and other blinding disorders. Among 25 dietary carotenoids and nine metabolites routinely found in human serum, mainly (3R,3'R,6'R)-lutein, (3R,3'R)-zeaxanthin, lycopene, and their metabolites were detected in ocular tissues. In this review we identified and quantified the complete spectrum of carotenoids from pooled human retinal pigment epithelium, ciliary body, iris, lens, and in the uveal tract and in other tissues of the human eye to gain a better insight into the metabolic pathways of ocular carotenoids. Although (3R,3'R,6'R)-lutein, (3R,3'R)-zeaxanthin, and their metabolites constitute the major carotenoids in human ocular tissues, lycopene and a wide range of dietary carotenoids have been detected in high concentrations in ciliary body and retinal pigment epithelium. The possible role of lycopene and other dietary carotenoids in the prevention of age-related macular degeneration and other eye diseases is discussed.

28 000 Cases of age related macular degeneration causing visual loss in people aged 75 years and above in the United Kingdom may be attributable to smoking.
Br J Ophthalmol. 2005 May;89(5):550-3.
Age related macular degeneration causing visual impairment is common in older people. Previous studies have identified smoking as a risk factor for Age related macular degeneration. However, there is limited information for the older population in Britain. METHODS: Population based cross sectional analytical study based in 49 practices selected to be representative of the population of Britain. Cases were people aged 75 years and above who were visually impaired (binocular acuity <6/18) as a result of macular degeneration. Controls were people with normal vision (6/6 or better). Smoking history was ascertained using an interviewer administered questionnaire. RESULTS: After controlling for potentially confounding factors, current smokers were twice as likely to have macular degeneration compared to non-smokers. Ex-smokers were at intermediate risk (odds ratio 1.13, 0.86 to 1.47). People who stopped smoking more than 20 years previously were not at increased risk of AMD causing visual loss. Approximately 28 000 cases of macular degeneration in older people in the United Kingdom may be attributable to smoking. CONCLUSION: This is the largest study of the association of smoking and macular degeneration in the British population. Smoking is associated with a twofold increased risk of developing macular degeneration. An increased risk of macular degeneration, which is the most commonly occurring cause of blindness in the United Kingdom, is yet another reason for people to stop smoking and governments to develop public health campaigns against this hazard.

Plasma homocysteine and total thiol content in patients with exudative age-related macular degeneration.
Eye. 2005 Apr 1;
Exudative age-related macular degeneration is one of the debilitating ocular complications, which results in permanent blindness. Elevated homocysteine levels have been associated in the development of several vascular diseases. Vascular and oxidative stress theories have been implicated for the development of choroidal neovascularization in exudative macular degeneration. The aim of the present study was to investigate the possible role of plasma homocysteine and thiol content (tSH) as a risk factor for the development of exudative macular degeneration. CONCLUSION: Results from our present study revealed that there is an elevated homocysteine level and diminished thiol pool content in exudative age related macular degeneration that are significant.

Types of Macular Degeneration
There are two major types of macular degeneration: wet macular degeneration and dry macular degeneration.

Age Related Macular degeneration symptom
Loss of central vision is the most serious symptom of macular degeration. The first sign or symptom of macular degeneration may be a need for more light during close-up work. Fine newsprint may become harder to read and street signs, particularly at night, more difficult to recognize. Gray or blank spots may mask the center of your visual field. Symptoms of macular degeneration usually develop gradually, but may sometimes progress rapidly, leading to severe vision loss in one or both eyes.

Where to find information on macular degeneration
Usually an internet search can yield a lot of information.

Macular Degeneration Treatment
Photodynamic therapy is a new treatment modality available for choroidal neovascularisation (CNV) secondary to age-related macular degeneration.
Age related macular degeneration is an eye disorder that can result in irreversible visual loss and is the commonest cause of blindness in the Western world.

New Macular Degeneration Drug
Lucentis treats the wet form of age-related macular degeneration, a disorder where blood vessels behind the retina leak blood and fluid, worsening vision and often causing blindness. An estimated 90 percent of the 1.4 million Americans who have lost their eyesight due to the disorder have the wet form. Lucentis, made by the South San Francisco, Calif., biotechnology company Genentech Inc., inhibits the growth of blood vessels when injected into the eye.

Age Related Macular Degeneration Treatment questions
Q. Does CoQ10 help in macular degeneration treatment?
   A. I am not aware of CoQ10 having been tested as a macular degeneration treatment option.

Q. Do you recommend vitamin E for macular degeneration treatment?
   A. Yes, vitamin E may be helpful in macular degeneration treatment, but use the whole vitamin E complex and limit intake to 30 to 200 units a few times a week.

Q. My partner has aged related macular degeneration and is also on medication for blood pressure, cholestoral and gout. Would Eyesight-Rx be of help to his sight. I think he has the dry type AMD.
   A. We cannot predict any person's response to a particular supplement. If your partner plans to use Eyesight Rx for macular degeneration, a low dose should be tried.

Q. Can a person take serrapeptase if they have macular degeneration?
   A. Not enough is known about this interaction to give any advice on using serrapeptase in those who have macular degeneration.

Q. I got 2 bottles of Eyesight Rx, a great product, does seem to help with my macular degeneration. Eyesight Rx has
clearly helped my color perception and clarity. I believe Dr. Sahelian's Eyesight RX is probably the best product of its kind. I was so excited to find it and try it, and am interested in promoting it to others with vision problems.