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Delaying Progression

The Retinal Oxidative Stress Cascade
What is oxidative stress?
Free radicals initiate local molecular instability leading to cellular damage. Formation of free radicals is caused by: metabolism, sunlight (blue light spectrum), other free radicals, lack of antioxidants and other factors.
* Age, Smoking, Poor diet, Excessive light exposure, systemic diseases, Hereditary predisposition
The retina is particularly vulnerable to oxidative stress. Contributing factors include1
• high consumption of oxygen
• a diet high in polyunsaturated fatty acids
• cumulative exposure to irradiation
1. Beatty et al. The Role of Oxidative Stress in the Pathogenesis of Age-Related Macular Degeneration. Surv Opthalmol 2000; 45:115-34.
 
Nutrients Blocking the Oxidative Stress Cascade
Replenishing the antioxidant potential of the retina may effectively1
• decrease oxidant stress
• slow or decrease retinal deterioration
1. Seddon et al. Dietary Carotenoids, Vitamins A. C, and E, and Advanced Age-Related Macular Degeneration. JAMA 1994; 272:1413-20.
 
Nutritional Supplementation and Retinal Oxidative Stress
Free radical exposure and retinal disease development hypothesis1
Oxidative stress may increase susceptibility to disease. Appropriate intervention may2
• delay disease onset
• protect against further damage
1. Adapted from Cai et al. Oxidative Damage and Protection of the RPE. Progress in Retinal and Eye Research 2000; 19(2): 205-21. 2. Seddon et al. Dietary Carotenoids, Vitamins A. C, and E, and Advanced Age-Related Macular Degeneration. JAMA 1994; 272:1413-20.

 

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