Download The Role of Diet and Nutrition in Vision Care

The Role of Diet
and Nutrition
in Vision Care
Dr. Kris Kerestan
[email protected]
Dr. Kerestan is a member of the Alcon Vision Care Speakers Alliance. Alcon,
however, has no financial interest in this course or its content.
Nutrition and Vision

40% of Americans worry about losing their
eyesight more than their ability to walk or hear.
 1 in 4 Americans age 40 years and
older suffer some sort of vision loss
 43 million Americans suffer from
AMD or Cataracts, the two leading
causes of vision loss and blindness
Age-Related Macular
Degeneration
 Leading cause of vision
loss and blindness in
Americans over age 65
 Gradual central vision loss
may occur in Dry ARMD
 Severe loss of vision in
Wet ARMD
Age-Related Macular
Degeneration
 Amsler grid testing
Cataracts
 Clouding of the eye's
natural lens
 Most common cause of
vision loss in people
over age 40
 Mild to Moderate Blur
 Increased Light
Sensitivity & Glare
 Dimming of Colors
Nutrition and Vision
American Eye-Q study shows ONLY
29% of Americans cope with vision loss
or other eye problems by increasing
nutrients for healthy eyes
Research shows a strong correlation
between good nutrition and
prevention of age related eye diseases
Nutritional Supplement
usage in the U.S.
 50% of all Americans use nutritional
supplements for general health
 $ 27 billion a year spent on
Multivitamins
Nutrition and Vision
Nearly 50% of
Americans still
believe that Carrots
are the best food for
good eye health
Actually Dark Leafy
Greens…Spinach
5 Essential Nutrients that can
Promote Healthy Vision and
Decrease the Risk of
Eye Disease
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Lutein and Zeazanthin
DHA/EPA
Vitamin C
Vitamin E
Zinc
Lutein / Zeazanthin
 The Most Powerful Combination
of Anti-Oxidants currently
available to maintain Healthy
Eyes and Vision
Lutein / Zeazanthin
 Best Food sources
include Bright
Colorful
veggies and fruit
 One cup 4X per week
Lutein / Zeazanthin
Dark Green
Leafy Veggies
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Spinach
Kale
Collard Greens
Broccoli
Romaine Lettuce
Green Beans
Green Peas
Lutein / Zeazanthin
Yellow/Orange
Fruit and Veggies
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Sweet Potatoes
Yams
Tangerines
Oranges
Corn
Lutein / Zeazanthin
The Absolute BEST source with highest
levels… The Incredible Edible
EGG!!
 Most easily absorbed by
the body due to the fats
they contain!
(2 eggs 3X/week)
Lutein / Zeazanthin
Recommended Dosage
Preventative Dose for Healthy Adults=
10 mg. Lutein / 2 mg. Zeazanthin
Family Hx. of AMD or Cataracts=
Between 10-20 mg. Lutein
Between 2-8 mg. Zeazanthin
Personal Dx. of AMD or Cataract=
20 mg. Lutein / 10 mg. Zeazanthin
What about Meso-Zeazanthin?
 Most potent anti-oxidant in the fovea
 Represents 30% of all Macular Pigment
 All are required to exert maximal
antioxidant effect and visual performance
NOT included in AREDS 2 study
Visual Benefits
of Lutein / Zeazanthin
 Helps increase macular pigment
 Functions like an internal pair of sunglasses
filtering blue light and absorbing damaging
UV light as it enters the eye
Visual Benefits
of Lutein / Zeazanthin
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
Helps to decrease the effects of glare and
glare recovery which is critical in night driving
Improves low-light vision
The QuantifEye MPS II
measures a patient’s MPOD
Primary benefits of MPOD
measurement are:
Identifies which patients
need supplementation
Confirms what EyePromise
supplementation is working
Visual Benefits
of Lutein / Zeazanthin
 Improves visual
clarity, performance
and contrast
sensitivity
 Decreases the
risk of AMD
and Cataracts
Alzeimer’s Disease Study
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Less Macular Pigment
Lower serum levels of L and Z
Poor Visual Function
Higher incidence of AMD
DHA / EPA
 Essential Fatty Acids (Omega 3)
DHA = Docosahexaenoic Acid
EPA = Eicosapentaenoic Acid
Recommended Dosage
 1500 mg/day in healthy
 2500 mg/day for Dry eye or AMD
DHA / EPA
Essential Fatty Acids
Cold water
fleshy oily fish:
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Wild Salmon
Tuna
Mackerel
Anchovies
Trout
DHA / EPA
Essential Fatty Acids
Other fish:
 Halibut
 Scallops
 Snapper
Other sources:
 Flax oil
 Lean Meat
 Eggs
Visual Benefits of
DHA / EPA
 Aids in Visual Development
and Retinal Function
(Neurological component)
 Decreases Dry Eye
Symptoms
(Anti-inflammatory component)
Visual Benefits of
DHA / EPA
 Decreases

Diabetic Retinopathy
Decreases progression
of AMD
 Protects against
skin cancer
Vitamin C
` Powerful Anti-oxidant
and Boost to the
Immune System
Food Sources
 Citrus Fruits
 Oranges / Juice
 Grapefruit / Juice
Vitamin C
Fruits
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Apples
Bananas
Strawberries
Peaches
Kiwi
Tomatoes
Papaya
Green peppers
Vitamin C
Veggies
 Spinach
 Cabbage
 Broccoli
 Peppers
 Potatoes
Recommended dosage is 500 mg/day
Visual Benefits of
Vitamin C
 Supports the
health of ocular
blood vessels
 Decreases the
risk of developing
AMD and Cataracts
 Slows the
progression of
AMD by 25 %
Vitamin E
 Powerful Anti-oxidant
 Vegetable oils
 Safflower or corn oil
 Recommended dosage 400 IU/day
Vitamin E
Food sources
 Fortified Cereals
 Whole Grains
 Various nuts
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Almonds
Pecans
Hazelnuts
Peanuts/Peanut Butter
Vitamin E
Other food sources:
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Safflower/corn oil
Sunflower Seeds
Pumpkin Seeds
Sweet Potatoes
Spinach
Lettuce
Beets
Visual Benefits of
Vitamin E
 Slows Progression of AMD by 25%
 Decreases the risk of developing
Cataracts
Zinc
 Trace mineral responsible for transporting
Vitamin A from the liver to the retina to
produce melanin
 Recommended dosages
Normal Healthy Adults = 8 - 11 mg. per day
High Risk or AMD Patient = 40 - 80 mg. per day
Zinc
Food Sources include:
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Red Meats
Liver
Seafood
Poultry
Eggs
Milk
Zinc
Other food sources:
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Yogurt
Eggs
Peas
Baked Beans
Whole Grains
Visual Benefits of
Zinc
 Slows the Progression and Stabilizes
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AMD along with Vits. C & E by
producing melanin to protect the eyes
Helps prevent Nyctalopia ( Night Blindness )
May decrease the formation of Cataracts
Alzheimer Study Results
Night Vision
 Bilberry - helps improve night vision
along with strengthening blood vessels in
the eyes.
 Grape seed extract - helps improve
night vision and slow down premature
aging of the eyes
Spices and Fennel
 Spices
 Turmeric
 Parsley
 Oregano
 Fennel
 Decreases IOP
 Prevents DIA Retinopathy
Benefits Of Food To
Certain Body Parts:
 Brain- salmon, tuna, sardines
 Bones- milk, fortified soy beverages
 Heart- baked potato, prune juice
 Lungs- broccoli, Brussel sprouts, bok choy
Benefits Of Food To
Certain Body Parts:
 Stomach- ginger
 Colon- beans and peas
 Prostate- green tea
 Ovaries- ice cream
Vitamin Supplementation
 USDA reports that 92 % of Americans
do NOT receive sufficient Nutrients
in their diets
 50 % of all Americans use nutritional
supplements for general health
$ 27 billion a year spent on Multivitamins
Professional AMD Supplements

EyePromise
(Zeavision)
 Restore Formula
 Zeazanthin
Formula

MaxiVision
( MedOp)
 Ocular Formula
 Eye Formula
 Whole Body
 Eye and Body
ZeaVision
 Eye Promise Restore Formula
4 mg. Lutein 8 mg. Zeathanthin
ZeaVision

Eye Promise Zeaxanthin
4 mg. Lutein 10 mg. Zeaxanthin
MaxiVision
 Ocular Formula
 Whole Body
Maximal Visual
Support with
20 mg. Lutein
4 mg. Zeaxanthin
MacuHealth
 Botanical and natural, a derivative of the
Marigold flower grown in Mexico
OTC AMD Supplements
 Ocuvite
 PreserVision
 Icaps
 Others????
Ocuvite
 Lutein
Formula
• 6 mg of lutein
• Vitamins C and E
• Zinc and copper

Adult 50+
Formula
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•
250 mg of omega-3
5 mg of lutein
Vitamins C and E
1 mg. zeaxanthin
PreserVision AREDS 2
 New formula based on the original B&L
PreserVision AREDS Formula, adding omega3 fatty acids, lutein and zeaxanthin (replacing
beta-carotene).
 1,000 mg Omega-3
10 mg. Lutein
2 mg. Zeaxanthin
Vitamins C and E
ICaps
 AREDS Formula
Vitamins A, E, C,
and Zinc
Multi Vitamin AREDS
7 mg. Lutein
3 mg. Zeaxanthin
ICaps
 Lutein & Omega 3
 Lutein & Zeaxanthin
Vits. A,C,E, Zinc +
10 mg lutein, 2 mg
zea. + 280 omega 3
Vits A, C, E, Zinc +
4 mg lutein/zeaxanthin
Nutrition & Eye Health
Counseling
 Personal eye health history
 Family eye health history
 Educate patients about the
importance of diet and nutrition
on both eye and general
health
Nutrition & Eye Health
Counseling
 Provide professional in-office
nutritional supplements
 Provide Dietary Counseling
on eating a well balanced
and nutritious diet
Nutrition & Eye Health
Counseling
 Advise against Smoking
***Increased risk of Lung Cancer
with current and previous
smokers and Betacarotene
 Educate about importance
of sun protection with
eyewear, sunglasses,
CL’s, hats and visors
Annual Comprehensive
Vision Exams
 Detailed personal & family case hx.
 Pretest procedures
BP / VA’s / Amsler grid
 Auxillary procedures
Retinal photos / OCT
Foods to Avoid
 Refined Flour
 Refined Sugars
Mediterranean Diet
Includes:
 Olive oil
 Nuts
 Wine
 Fish
Five year study showed 30% less
development of cardiovascular disease
than general low-fat diet.
Mediterranean Diet
Linked To Reduced Heart Risks
 Extensively covered in print, online and
all national news broadcasts
 Study was stopped early after finding that
the Mediterranean diet was so clearly
beneficial.
General Health Deficiencies
1. Water Deficiency/Dehydration
2. Sleep Deficiency
3. Exercise Deficiency
4. Vitamin D Deficiency
Water Deficiency/Dehydration
Symptoms:
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HA
Fatigue
Irregular Heart Beat
Depression
Low BP
Treatment:
Minimum of 8 Cups H2O/Day
(Calculation Weight / 2 = # oz. H2O)
Sleep Deficiency
Symptoms:
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HBP
Diabetes
Obesity
Depression
Heart Attack
Stroke
Treatment:
7 to 9 hours / night
Sleep Deficiency or Excess
4 new studies show a strong link between
sleep patterns and mental deterioration and
Alzheimer's disease.
Data on more than 15,000 women in the US
Nurses' Health Study, suggested “that those
who slept 5 hours a day or less or 9
hours a day or more, had lower average
mental functioning than participants who slept
seven hours per day."
Exercise Deficiency
Symptoms:
 Weight gain
 Tired
 Low energy
Treatment:
Minimum of
20 mins./day
5 days/week
Vitamin D Deficiency
Treatment:
10 to 30 mins of sunlight per day
Thank You!!
Any Questions??
Have a Wonderful and
Blessed Day!!
[email protected]