Dr. Grossman’s Blog

Diabetic retinopathy, which can lead to progressively blurred vision, is a real concern for diabetes patients.  In truth, only 6% of those with diabetes will lose their vision entirely because blindness in diabetics is largely treatable.  Changes in diet and lifestyle can help control both diabetes and diabetic retinopathy.

Those with diabetic retinopathy are much more susceptible to dry eye symptoms.  Diabetics have decreased tear break-up time, which indicates poor tear film stability.  A review of a number of studies on diabetic retinopathy and its effects published in the Expert Review of Ophthalmology states that “patients whose dry eye symptoms worsened tended to be those whose serum glucose was poorly controlled.”  Get more information on how to treat dry eye syndrome naturally.

Learn more about how to treat diabetes naturally.

For more on how to prevent and treat diabetic retinopathy, visit our website.

Source: http://www.medscape.com/viewarticle/729120

In a pilot study, patients suffering from dry eye symptoms who exhibited a chronic need/use of lubricant drops were given X500 mg capsules of evening Primrose oil (Efamol-73% linoleic acid and 10% gamma-linolenic acid), 50 mg vitamin B6 (pyroxidine) and 1 g vitamin C three times a day. Over 50% of those in the study showed substantial improvement within 2-6 weeks. For more information on research on dry eye conditions, please visit our website.

About 33 million Americans in all age groups experience varying degrees of dry eye symptoms. The symptoms may include dryness, grittiness, irritation, burning and even the seeming contradiction of excessive watering or tearing.

Dry eyes are a condition of the entire body, not just the eyes, and should be addressed as such, meaning that those who suffer from this condition should consider making changes to their diet and introducing nutritional supplements.  One of the most important aspects for people who suffer from dry eyes is the prohibition against sugar and/or artificial sweeteners. Sugar increases the risk for dry eyes.

For further information, please visit Dr. Grossman’s page on Dry Eye treatment and prevention.

In this dry eye study, it shows that the GLA group showed a significant improvement in the specific symptom of ‘dryness’ at 3 and 6 months (p <0.01) as well as significant improvement in overall lens comfort at 6 months (p<0.01). Tear meniscus height was increased in the GLA group at 6 months relative to baseline (p<0.01), although all other objective signs were unchanged.

GLA (gamma-linolenic acid), an omega-6 fatty acid with anti-inflammatory properties can be found in oils derived from black currant seeds and the evening primrose plant. Several small trials testing GLA and linoleic (LA) oil in dry eye syndrome with an inflammatory component report reduced ocular surface inflammation and symptom improvement.

Related Studies:
1. Barabino, M et al. Systemic linoleic and gamma-linolenic acid therapy in dry eye syndrome with an inflammatory component. Cornea 22:97?101, 2003.
2. Aragona P, et al. Systemic omega-6 essential fatty acid treatment and PGE1 tear content in Sjogren’s syndrome patients. Invest Ophthalmol Vis Sci 46:4474?9, 2005
3. Kokke KH, et al. Oral omega-6 essential fatty acid treatment in contact lens associated dry eye. Contact Lens Anterior Eye 31:141-6, 2008.
4. Macri A, et al. Effect of linoleic acid and gamma-linolenic acid on tear production, tear clearance and on the ocular surface after photorefractive keratectomy. Graefes Arch Clin Exp Ophthalmol 241: 561-6, 2003.

For natural remedies for dry eye syndrome, go to Natural Eye Care

Almost 4% of men in the United States develop dry eye disease (DED) after age 50, while almost 7.7% of men over 80 develop the disease, making it one of the most common eye conditions in the country.  By the year 2030, DED is expected to affect more than 2.79 million US men.

Typical symptoms of dry eye include dryness, grittiness, irritation, difficulty reading for long periods of time, burning and even the seeming contradiction of excessive tearing or watering.

In the study, published in June issue of Archives of Ophthalmology, researchers analyzed data on 25,444 men over the age of 50 who participated in the Physicians’ Health Study I and II.  DED was defined as the presence of clinically diagnosed dry eye or severe symptoms (both dryness and constant or frequent irritation).   About 3% reported a previous diagnosis of dry eye, while 6.8% said they had constantly or frequently experienced at least one symptom such as dryness or irritation. Roughly 2.2% reported both symptoms constantly or frequently.

Although research has shown DED is more common among women, about 1.68 million men over age 50 in the United States now have the disease.

Researchers also noted that DED risk increases with age, hypertension, benign prostatic hyperplasia (a noncancerous enlargement of the prostate), and antidepressant use.

Learn about vitamins and other nutritional products recommended for dry eye, and review a list of drugs that can cause dry eye symptoms at the Natural Eye Care website

SOURCE:  “Prevalence of Dry Eye Disease Among US Men,” Schaumberg, et al, Arch Ophthalmol. 2009;127(6):763-768.

A recent study done at the Catholic University of Korea showed that using eyedrops containing retinal palmitate daily for 4 weeks can effectively relieve the symptoms of dry eyes and improve tear film production. 

Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea

Accepted 11 August 2008. published online 09 October 2008. Inquiries to Choun-Ki Joo, Department of Ophthalmology, KangNam St Mary’s Hospital, #505 Ban-Po Dong, Seocho-Ku, Seoul 137-040, Korea

For more information on dry eyes and eyedrops containing retinal palmitate, see the dry eye section at http://www.naturaleyecare.com/

Dry eye syndrome (DES) is a common ocular problem in the United States, particularly among older women.

The first large-scale study of DES among U.S. women reveals that DES leading to a clinical diagnosis or severe symptoms affects more than 3.2 million American middle-aged and older women, including many in their 40s and 50s.

Researchers with Boston’s Brigham and Women’s Hospital, Schepens Eye Research Institute, Massachusetts Eye and Ear Infirmary, and Harvard Medical School surveyed 39,876 U.S. women participating in the Women’s Health Study about a history of diagnosed DES and dry eye symptoms.  DES was defined as the presence of clinically diagnosed DES or severe symptoms (both dryness and irritation constantly or often).

Results showed that the prevalence of DES increased with age, from 5.7 percent among women less than 50 years old to 9.8 percent among women 75 or older.

The age-adjusted prevalence of DES was 7.8 percent, or 3.23 million women aged 50 or older in the United States.

Other findings:

• Compared with whites, Hispanic and Asian-American women were more likely to report severe symptoms, but not clinically diagnosed DES
• There were no significant differences by income, but more educated women were less likely to have DES
• Women from the South had the highest prevalence of DES, though the magnitude of geographic differences was modest.

The authors of the study noted that further research is necessary to better understand DES and its impact on public health and quality of life.

Learn more about dry eye syndrome, including advice on treatment and nutrition.
 
Source:  Prevalence of dry eye syndrome among US women, Schaumberg, et al, Am J Ophthalmol. 2003 Aug;136(2):318-26.