Smoking May Hurt Eyes

The long list of health risks associated with smoking just
got a little longer.

New research shows that smokers are more likely than nonsmokers to develop
the late stages of age-related macular degeneration (AMD).

AMD is the leading cause of blindness in Western nations, according to
researcher Jennifer Tan, MBBS, and colleagues.

Tan works in Sydney, Australia, at the University of Sydney's Centre for
Vision Research and Westmead Hospital's ophthalmology department.

Tan's team followed 2,454 Australians aged 49 and older for a decade.
Participants got their eyes checked, reported their smoking habits, and
completed a survey about their diets at the start, midpoint, and end of the
10-year study.

Most participants -- 51.5%
- - were lifelong nonsmokers. An additional 35.5% w ere former
smokers. The remaining 13%
were current smokers.

Smoking and AMD

The researchers adjusted the data based on participants' age, sex, and other
AMD risk factors. Despite those adjustments, current smokers were four times
more likely than nonsmokers to develop late AMD.

On average, smokers developed late AMD when they were nearly 69 years old.
That's about five years earlier than nonsmokers.

The study shows no association between smoking and the early stages of
age-related macular degeneration.

The data also suggest that low levels of HDL ("good") cholesterol
and rarely eating fish may team up with smoking to make late AMD more likely.
But that's not certain.

The findings appear in the Archives of Ophthalmology.

By Miranda Hitti
Reviewed by Louise Chang
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