Lutein / Zeazanthin
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Transcript Lutein / Zeazanthin
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
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
Spinach
Kale
Collard Greens
Broccoli
Romaine Lettuce
Green Beans
Green Peas
Lutein / Zeazanthin
Yellow/Orange
Fruit and Veggies
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
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
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:
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
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
Almonds
Pecans
Hazelnuts
Peanuts/Peanut Butter
Vitamin E
Other food sources:
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:
Red Meats
Liver
Seafood
Poultry
Eggs
Milk
Zinc
Other food sources:
Yogurt
Eggs
Peas
Baked Beans
Whole Grains
Visual Benefits of
Zinc
Slows the Progression and Stabilizes
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
•
•
•
•
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:
HA
Fatigue
Irregular Heart Beat
Depression
Low BP
Treatment:
Minimum of 8 Cups H2O/Day
(Calculation Weight / 2 = # oz. H2O)
Sleep Deficiency
Symptoms:
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]