The Analysis Study of Effectiveness of Vitamin D Supplementation for Prevention of Open Angle Glaucoma: A Comprehensive Systematic Review
Keywords:
Primary open-angle glaucoma (POAG), Vitamin D, Prevention, SupplementationAbstract
Background: Over 70 million people worldwide suffer from glaucoma. Over the next 20 years, this is anticipated to rise to 111 million. Primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) are the two principal subtypes of glaucoma. The most prevalent glaucoma subtype is POAG. The aim: The aim of this study to show about effectiveness of vitamin D supplementation for prevention of open angle glaucoma. Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Sciencedirect were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: Seven publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: Despite being mostly unknown, the relationship between vitamin D and POAG is particularly intriguing because, when taken as directed, vitamin D is a reasonably priced and safe supplement. It seems that vitamin D protects against oxidative damage and the generation of reactive oxygen species (ROS). Consequently, hypotheses linking vitamin D to POAG include the vitamin's antioxidant properties and its function in inhibiting inflammatory gene expression.
References
Han FF, Fu XX. Vitamin intake and glaucoma risk: A systematic review and meta-analysis. J Fr Ophtalmol. 2022;45(5):519–28.
Lee JY, Kim JM, Lee KY, Kim B, Lee MY, Park KH. Relationships between obesity, nutrient supply and primary open angle glaucoma in Koreans. Nutrients. 2020;12(3):1–13.
Robert NW, Tin A, Felipe AM. The Pathophysiology and Treatment of Glaucoma: A Review. Jama. 2015;311(18):1901–11.
Goncalves A, Milea D, Gohier P, Jallet G, Leruez S, Baskaran M, et al. Serum Vitamin D status is associated with the presence but not the severity of primary open angle glaucoma. Maturitas [Internet]. 2015;81(4):470–4. Available from: http://dx.doi.org/10.1016/j.maturitas.2015.05.008
Abouzeid H, Samer CF. Vitamin D and Glaucoma: A Critical Review of the Literature. J Ophthalmol. 2020;2020.
Li S, Li D, Shao M, Cao W, Sun X. Lack of association between serum vitamin b6, vitamin b12, and vitamin d levels with different types of glaucoma: A systematic review and meta-analysis. Nutrients. 2017;9(6):1–13.
Chan HN, Zhang XJ, Ling XT, Bui CHT, Wang YM, Ip P, et al. Vitamin D and Ocular Diseases: A Systematic Review. Int J Mol Sci. 2022;23(8):1–58.
Wu CM, Wu AM, Tseng VL, Yu F, Coleman AL. Frequency of a diagnosis of glaucoma in individuals who consume coffee, tea and/or soft drinks. Br J Ophthalmol. 2018;102(8):1127–33.
Kanso N, Hashimi M, Amin HA, Day AC, Drenos F. No Evidence That Vitamin D Levels or Deficiency Are Associated with the Risk of Open-Angle Glaucoma in Individuals of European Ancestry: A Mendelian Randomisation Analysis. Genes (Basel). 2024;15(8).
Bokhary KA, Alqahtani LY, Aljaser FS, Abudawood M, Almubarak F, Algowaifly S, et al. Association of Vitamin D deficiency with primary glaucoma among Saudi population – A pilot study. Saudi J Ophthalmol [Internet]. 2021 Oct;35(4):299–303. Available from: https://journals.lww.com/10.4103/sjopt.sjopt_109_21
Ayyagari R, Chen Y der I, Zangwill LM, Holman M, Dirkes K, Hai Y, et al. Association of severity of primary open-angle glaucoma with serum vitamin D levels in patients of African descent. Mol Vis. 2019;25(August):438–45.
Yoo TK, Oh E, Hong S. Is vitamin D status associated with open-angle glaucoma? A cross-sectional study from South Korea. Public Health Nutr. 2014;17(4):833–43.
Malik A, Malik YI. Primary open angle glaucoma and serum vitamin D levels. 2024;(June).
Lv Y, Yao Q, Ma W, Liu H, Ji J, Li X. Associations of Vitamin D deficiency and Vitamin D receptor (Cdx-2, Fok I, Bsm i and Taq I) polymorphisms with the risk of primary open-angle glaucoma. BMC Ophthalmol [Internet]. 2016;16(1):1–7. Available from: http://dx.doi.org/10.1186/s12886-016-0289-y
Salem T, elhabbak ashraf, El behasi Y, Awwad M. Association of the Severity of Primary Open-Angle Glaucoma with Serum Vitamin D Levels. Benha Med J. 2023;0(0):0–0.
Cho Y, Yun SP, Yoo WS, Kim RB, Cho MC, Kim SJ. Reduced 25-hydroxyvitamin D concentration in the aqueous humor of cataract patients with open-angle glaucoma. Sci Rep [Internet]. 2021;11(1):1–8. Available from: https://doi.org/10.1038/s41598-021-98342-9
Murugeswari P, Firoz A, Murali S, Vinekar A, Krishna L, Anandula VR, et al. AND. 3.
Beidoe G, Mousa SA. Current primary open-angle glaucoma treatments and future directions. Clin Ophthalmol. 2012;6(1):1699–707.
Ramdas WD, Schouten JSAG, Webers CAB. The effect of vitamins on glaucoma: A systematic review and meta-analysis. Nutrients. 2018;10(3).
Yang Y, Zhou H, Hong Z. Glaucoma and dietary links: insights from high-salt intake, the Mediterranean diet, and specific nutrients. Front Nutr. 2024;11(October):1–10.
Morelli-Batters A, Lamont HC, Elghobashy M, Masood I, Hill LJ. The role of Vitamin D3 in ocular fibrosis and its therapeutic potential for the glaucomatous trabecular meshwork. Front Ophthalmol. 2022;2(August):1–8.
Zhang H, Deng W, Yang Y, Wei S, Xue L, Tao S. Pharmaceutic application of vitamin D3 on particle-induced fibrotic effects through induction of Nrf2 signals. Toxicol Res (Camb). 2021;9(1):55–66.
Karabulut M, Karabulut S, Canbek TD, Sül S, Karalezli A. The effect of vitamin D deficiency on the retinal microvasculature: an observational case-control study. Arq Bras Oftalmol. 2022;85(6):584–9.
Huynh B, Shah P, Sii F, Hunter D, Carnt N, White A. Low systemic vitamin D as a potential risk factor in primary open-angle glaucoma: A review of current evidence. Br J Ophthalmol. 2021;105(5):595–601.
Layana AG, Minnella AM, Garhöfer G, Aslam T, Holz FG, Leys A, et al. Vitamin D and age-related macular degeneration. Nutrients. 2017;9(10):1–15.
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