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Nutritional Support for Eye and Vision Health

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (31 August 2020) | Viewed by 35790

Special Issue Editors

Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
Interests: myopia; dry eye; presbyopia; light; nonvisual photoreceptors; innovation

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Guest Editor
Laboratory of Photobiology, Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
Interests: retina; hypoxia response; myopia; optogenetics
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

There is evidence that nutritional support for the prevention and treatment of eye disorders is accumulating. Several well-known nutrients have been studied, such as lutein, EPA/DHA, and crocetin, which have been shown to provide beneficial effect for visual health. There have been several major studies for interventional dietary supplementation for ocular diseases such as the age-related eye disease study (AREDS) or the Dry Eye Assessment and Management (DREAM) Study, although several controversies remain. In our aging society, vision is one of the most important functions and is necessary for well-being and lifelong longevity. Nutritional support for eye and vision health is expected to expand in the future, and this Special Issue will provide the current knowledge and perspectives in this field.

Prof. Kazuo Tsubota
Assoc. Prof. Toshihide Kurihara
Guest Editors

Manuscript Submission Information

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Keywords

  • Nutrition
  • Antioxidants
  • PUFA
  • Carotenoids
  • Dry eye disease
  • Myopia
  • Age-related macular degeneration
  • Glaucoma

Published Papers (5 papers)

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Research

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16 pages, 807 KiB  
Article
Visual Function and Macular Carotenoid Changes in Eyes with Retinal Drusen—An Open Label Randomized Controlled Trial to Compare a Micronized Lipid-Based Carotenoid Liquid Supplementation and AREDS-2 Formula
by Pinakin Gunvant Davey, Thomas Henderson, Drake W. Lem, Rebecca Weis, Stephanie Amonoo-Monney and David W. Evans
Nutrients 2020, 12(11), 3271; https://doi.org/10.3390/nu12113271 - 26 Oct 2020
Cited by 12 | Viewed by 3502
Abstract
Purpose: To compare the changes in visual and ocular parameters in individuals with retinal drusen who were treated with two commercially available nutritional supplements. Methods: An open-label, single-center, randomized, parallel-treatment with an observational control group design was utilized. The treatment groups included individuals [...] Read more.
Purpose: To compare the changes in visual and ocular parameters in individuals with retinal drusen who were treated with two commercially available nutritional supplements. Methods: An open-label, single-center, randomized, parallel-treatment with an observational control group design was utilized. The treatment groups included individuals with fine retinal drusen sub-clinical age-related macular degeneration (AMD), while the control group consisted of ocular normal individuals. The treatment groups were randomly assigned to the micronized lipid-based carotenoid supplement, Lumega-Z (LM), or the PreserVision Age-Related Eye Disease Study 2 (AREDS-2) soft gel (PV). Visual performance was evaluated using the techniques of visual acuity, dark adaptation recovery and contrast sensitivity, at baseline, three months, and six months. Additionally, the macular pigment optical density (MPOD) was measured. The control group was not assigned any carotenoid supplement. The right eye and left eye results were analyzed separately. Results: Seventy-nine participants were recruited for this study, of which 68 qualified and 56 participants had useable reliable data. Of the individuals who completed this study, 25 participants belonged to the LM group, 16 belonged to the PV group, and 15 to the control group. The LM group demonstrated statistically significant improvements in contrast sensitivity function (CSF) in both eyes at six months (p < 0.001). The LM group displayed a positive linear trend with treatment time in CSF (p < 0.001), with benefits visible after just three months of supplementation. Although there was a trend showing improvement in CSF in the PV group, the change was not significant after a Bonferroni-corrected p-value of p < 0.00625. Visual acuity, dark adaptation recovery and MPOD did not significantly improve in either treatment groups. Conclusion: The LM group demonstrated greater and faster benefits in visual performance as measured by CSF when compared to the PV group. This trial has been registered at clinicaltrials.gov (NCT03946085). Full article
(This article belongs to the Special Issue Nutritional Support for Eye and Vision Health)
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12 pages, 1184 KiB  
Article
Clinical Effects of Dietary Supplementation of Lutein with High Bio-Accessibility on Macular Pigment Optical Density and Contrast Sensitivity: A Randomized Double-Blind Placebo-Controlled Parallel-Group Comparison Trial
by Naomichi Machida, Marie Kosehira and Nobuyoshi Kitaichi
Nutrients 2020, 12(10), 2966; https://doi.org/10.3390/nu12102966 - 28 Sep 2020
Cited by 12 | Viewed by 4453
Abstract
Improvements in macular pigment optical density (MPOD) and contrast sensitivity after administration of 12 mg lutein alone and the timing at which efficacy is observed remain unknown. Therefore, lutein (12 mg), a crystalline formulation, was used in this study, considering its bioaccessibility. This [...] Read more.
Improvements in macular pigment optical density (MPOD) and contrast sensitivity after administration of 12 mg lutein alone and the timing at which efficacy is observed remain unknown. Therefore, lutein (12 mg), a crystalline formulation, was used in this study, considering its bioaccessibility. This study aimed to determine the effects of lutein administration for 16 weeks on MPOD, contrast sensitivity, and glare sensitivity, and changes in serum lutein levels were determined. The study subjects comprised 59 healthy male and female adults aged 20–69 years. The study diet included a placebo (placebo group) or a diet supplemented with 12 mg of lutein (lutein group). Each study diet was continuously administered for 16 weeks. At weeks 8 and 16, MPOD, contrast sensitivity, glare sensitivity, and serum lutein levels were evaluated. Compared with the placebo group, the lutein group showed significantly improved MPOD, contrast sensitivity, and glare sensitivity at week 16 and significantly increased serum lutein levels at weeks 8 and 16. Continuous administration of lutein for 16 weeks, considering its bioaccessibility, increased MPOD; it made the outlines of visible objects clearer and was effective in inhibiting decreases in visual function caused by glare from light. Full article
(This article belongs to the Special Issue Nutritional Support for Eye and Vision Health)
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15 pages, 661 KiB  
Article
Effects of Consumption of Alcohol on Intraocular Pressure: Korea National Health and Nutrition Examination Survey 2010 to 2011
by Ji Eun Song, Joon Mo Kim, Mi Yeon Lee, Hye Joo Jang and Ki Ho Park
Nutrients 2020, 12(8), 2420; https://doi.org/10.3390/nu12082420 - 12 Aug 2020
Cited by 12 | Viewed by 3647
Abstract
This study researched the association between alcohol consumption, intraocular pressure (IOP), and risk of open-angle glaucoma (OAG) using nationwide population-based cross-sectional data from the Korean population based survey. Information on alcohol intake was obtained by questionnaire and comprehensive ophthalmic examinations were performed. Among [...] Read more.
This study researched the association between alcohol consumption, intraocular pressure (IOP), and risk of open-angle glaucoma (OAG) using nationwide population-based cross-sectional data from the Korean population based survey. Information on alcohol intake was obtained by questionnaire and comprehensive ophthalmic examinations were performed. Among a total of 6057 participants, the prevalence of OAG was 4.4% (6.0% for men and 3.0% for women). Multivariate adjusted models showed that alcohol consumption showed significant relationship with changes in IOP. In sex-stratified analyses, alcohol consumption more than 2 times per week was associated with increased IOP in men without OAG, while in women with OAG drinking alcohol more than 4 times per week was associated with increased IOP. This study showed significant differences between men and women without glaucoma who consumed alcohol more than four times per week (p-value: 0.03). Our results suggest that alcohol consumption is associated with risk of elevated IOP depending on sex and presence of glaucoma in Koreans. Therefore, patients who need to control IOP should consider the effects of alcohol consumption. Full article
(This article belongs to the Special Issue Nutritional Support for Eye and Vision Health)
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17 pages, 3768 KiB  
Article
Hypoxia-Inducible Factor Inhibitors Derived from Marine Products Suppress a Murine Model of Neovascular Retinopathy
by Chiho Shoda, Yukihiro Miwa, Kazumi Nimura, Kazutoshi Okamoto, Satoru Yamagami, Kazuo Tsubota and Toshihide Kurihara
Nutrients 2020, 12(4), 1055; https://doi.org/10.3390/nu12041055 - 10 Apr 2020
Cited by 13 | Viewed by 3800
Abstract
Neovascular retinal degenerative diseases are the leading causes of blindness in developed countries. Anti-vascular endothelial growth factor (VEGF) therapy is commonly used to treat these diseases currently. However, recent reports indicate that long term suppression of VEGF in the eye is associated with [...] Read more.
Neovascular retinal degenerative diseases are the leading causes of blindness in developed countries. Anti-vascular endothelial growth factor (VEGF) therapy is commonly used to treat these diseases currently. However, recent reports indicate that long term suppression of VEGF in the eye is associated with chorioretinal atrophy. Therefore, a physiological amount of VEGF is required for retinal homeostasis. Hypoxia-inducible factor (HIF) is a transcriptional factor upstream of VEGF. We previously reported that HIF regulated pathological angiogenesis in the retina of murine models of oxygen-induced retinopathy and laser-induced choroidal neovascularization. Most of the known HIF inhibitors are anti-cancer agents which may have systemic adverse effects in for clinical use; thus, there is a need for safer and less invasive HIF inhibitors. In this study, we screened marine products, especially fish ingredients, and found that six species of fish had HIF inhibitory effects. Among them, administration of Decapterus tabl ingredients significantly suppressed retinal neovascular tufts by inhibiting HIF expression in a murine oxygen-induced retinopathy model. These results indicate that particular fish ingredients can act as anti-angiogenic agents in retinal neovascularization diseases. Full article
(This article belongs to the Special Issue Nutritional Support for Eye and Vision Health)
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Review

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27 pages, 548 KiB  
Review
Lutein Supplementation for Eye Diseases
by Long Hin Li, Jetty Chung-Yung Lee, Ho Hang Leung, Wai Ching Lam, Zhongjie Fu and Amy Cheuk Yin Lo
Nutrients 2020, 12(6), 1721; https://doi.org/10.3390/nu12061721 - 09 Jun 2020
Cited by 67 | Viewed by 19581
Abstract
Lutein is one of the few xanthophyll carotenoids that is found in high concentration in the macula of human retina. As de novo synthesis of lutein within the human body is impossible, lutein can only be obtained from diet. It is a natural [...] Read more.
Lutein is one of the few xanthophyll carotenoids that is found in high concentration in the macula of human retina. As de novo synthesis of lutein within the human body is impossible, lutein can only be obtained from diet. It is a natural substance abundant in egg yolk and dark green leafy vegetables. Many basic and clinical studies have reported lutein’s anti-oxidative and anti-inflammatory properties in the eye, suggesting its beneficial effects on protection and alleviation of ocular diseases such as age-related macular degeneration, diabetic retinopathy, retinopathy of prematurity, myopia, and cataract. Most importantly, lutein is categorized as Generally Regarded as Safe (GRAS), posing minimal side-effects upon long term consumption. In this review, we will discuss the chemical structure and properties of lutein as well as its application and safety as a nutritional supplement. Finally, the effects of lutein consumption on the aforementioned eye diseases will be reviewed. Full article
(This article belongs to the Special Issue Nutritional Support for Eye and Vision Health)
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