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OPEN<br />

YOUR<br />

EYES<br />

MARCH 2017<br />

DID YOU<br />

KNOW?<br />

Over 7,000<br />

new cases of<br />

Age-Related Macular Degeneration (AMD)<br />

are diagnosed in Ireland each year<br />

often at a stage when damage has<br />

already been caused to vision 1<br />

In Ireland,<br />

about 1,000 people<br />

have chronic open-angle<br />

glaucoma 2<br />

Reference: 1. http://www.amd.<strong>ie</strong>/ 2. http://www.hse.<strong>ie</strong>/eng/health/az/G/Glaucoma/<br />

Supported by<br />

Reference accessed February 2017


This month we are setting our sights on eye health, in particular<br />

age-related macular degeneration (AMD) and glaucoma.<br />

AMD is the leading cause of sight loss <strong>for</strong> those aged over 50 in<br />

Ireland. 1 Thankfully, there are lifestyle changes your pat<strong>ie</strong>nts can<br />

OPEN<br />

YOUR<br />

EYES<br />

make that will help strengthen and protect their eyes. Some changes are simple, like<br />

wearing sunglasses, whereas others, like smoking cessation, are more challenging.<br />

However, encouraging your pat<strong>ie</strong>nts to make these changes now could help protect<br />

their eyesight <strong>for</strong> the future.<br />

To coincide with World Glaucoma Week, taking place during<br />

March 12-18, we’ve also included a checklist of risk factors <strong>for</strong><br />

glaucoma below. With 85-90 new cases of open-angle glaucoma<br />

occurring each year in Ireland 2 , it’s important that your pat<strong>ie</strong>nts<br />

know their risks and get tested frequently.<br />

Eating <strong>for</strong><br />

your eyes 3<br />

Vitamins A, C and E found in oranges,<br />

tomatoes and green leafy vegetables are all<br />

thought to maintain healthy cells and tissue<br />

in the eye. Another antioxidant, lutein, has<br />

recently gained attention and is thought<br />

to play an important role in absorbing<br />

damaging blue wavelengths of light. It acts<br />

as a natural sunblock <strong>for</strong> the macula.<br />

The human body cannot make lutein itself<br />

so it must be eaten. Stud<strong>ie</strong>s suggest that<br />

consuming at least 10mg of lutein per day<br />

has the most beneficial effects on macular<br />

pigment levels. Stud<strong>ie</strong>s suggest that people<br />

with lower levels of macular pigment may be<br />

more likely to develop AMD.<br />

Lutein in<br />

vegetables<br />

milligrams (mg)/<br />

100g (fresh) 3<br />

KALE................ 11.4 mg<br />

RED PEPPER...... 8.5 mg<br />

SPINACH........... 7.9 mg<br />

LETTUCE.......... 4.7 mg<br />

LEEK................. 3.6 mg<br />

BROCCOLI.......... 3.3 mg<br />

PEAS................. 1.7 mg<br />

References: 1. http://www.amd.<strong>ie</strong>/ 2. http://www.hse.<strong>ie</strong>/eng/health/az/G/Glaucoma/<br />

3. https://www.macularsoc<strong>ie</strong>ty.org/sites/default/files/downloads/Macular%20Soc<strong>ie</strong>ty%20Nutrition%20and%20<strong>Eye</strong>%20<strong>Health</strong>%20March%202016.pdf<br />

References accessed February 2017


PROTECT YOUR SIGHT<br />

FROM UV LIGHT! 1<br />

OPEN<br />

YOUR<br />

EYES<br />

We all know the damaging effects of ultra-violet (UV) light to<br />

our skin, but many people don’t realise the damage it causes<br />

to our eyes. It’s important that your pat<strong>ie</strong>nts protect their eyes<br />

from UV light all year round, not just during the summer:<br />

Wear sunglasses. When<br />

choosing sunglasses<br />

look out <strong>for</strong> the European<br />

CE mark to ensure the<br />

lens quality is good.<br />

Lenses with insuffic<strong>ie</strong>nt<br />

UV protection are more<br />

harmful than not wearing<br />

sunglasses at all!<br />

Wear broad<br />

brimmed<br />

hats or caps<br />

to protect your<br />

eyes<br />

If you wear<br />

prescription<br />

glasses, add a<br />

clear UV filter to<br />

your lenses<br />

UIT<br />

SMOKING &<br />

SEE the benefits 2<br />

DID YOU<br />

KNOW?<br />

80 %<br />

of eye damage from<br />

Around<br />

UV and blue light occurs<br />

be<strong>for</strong>e the age of 18 1<br />

Smoking is the biggest risk factor <strong>for</strong> AMD:<br />

• Exposure of delicate retinal cells to the oxidants in<br />

cigarette smoke fast-<strong>for</strong>wards the ageing process.<br />

• Smoking causes blood vessels to narrow in the eye,<br />

increasing overall blood pressure.<br />

• Some research suggests that smokers have<br />

lower levels of macular pigments lutein<br />

and zeaxanthin, which are thought<br />

to protect the macula from<br />

the damaging effects<br />

of sunlight<br />

DID YOU<br />

KNOW?<br />

References: 1. https://www.macularsoc<strong>ie</strong>ty.org/sun-protection<br />

2. https://www.macularsoc<strong>ie</strong>ty.org/smoking<br />

3. http://jamanetwork.com/journals/jamaophthalmology/fullarticle/419696<br />

References accessed February 2017<br />

Current smokers<br />

are up to 4 times more likely<br />

to have AMD than people who<br />

have never smoked 3


GLAUCOMA<br />

Glaucoma is a group of diseases that damage the eye’s optic<br />

nerve and can result in vision loss and blindness. Un<strong>for</strong>tunately<br />

there is no cure, however, with early detection and treatment,<br />

you can often protect your eyes against serious vision loss.<br />

It’s important to encourage your pat<strong>ie</strong>nts to get a<br />

comprehensive dilated eye exam once every two years! 1<br />

OPEN<br />

YOUR<br />

EYES<br />

Anyone can develop glaucoma, but pat<strong>ie</strong>nts who fall into<br />

the following risk categor<strong>ie</strong>s are more likely than others to<br />

develop the disease:<br />

AGE<br />

you are 6 times more likely to get<br />

glaucoma if you are over 60 years old 2<br />

RACE<br />

those of African and Hispanic descent are<br />

at an increased risk of glaucoma 2<br />

CHECKLIST<br />

FAMILY HISTORY<br />

of glaucoma 2<br />

MEDICAL CONDITIONS<br />

stud<strong>ie</strong>s suggest that diabetes, high blood<br />

pressure and heart disease may increase risk 3<br />

INJURY TO THE EYE<br />

can result in increased eye pressure 3<br />

SEVERE NEAR-SIGHTEDNESS 2<br />

HYPERTENSION 2<br />

CENTRAL CORNEAL THICKNESS<br />

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