According to lead author Biljana Miljanovic, MD, of the Divisions of Preventive Medicine and Aging at BWH, "Dry eye syndrome impacts quality of life, productivity and safety for millions of people. Unfortunately, there is little advice clinicians can offer about its prevention. Our study set out to examine how changing dietary habits in America, primarily a shift in the balance of essential fatty acids we are consuming, may be associated with onset of this eye disease. We found that a high intake of omega 3 fatty acids, often referred to as a 'good' fat, commonly found in fish and walnuts, is associated with a protective effect. Conversely, a higher ratio of omega 6, a fat found in many cooking and salad oils and animal meats, compared to omega 3 in the diet, may increase the risk of dry eye syndrome."
Dry eye syndrome is characterized by a decline in the quality or quantity of tears that normally bathe the eye to keep it moist and functioning well. The condition causes symptoms such as pain, irritation, dryness, and/or a sandy or gritty sensation. If untreated, severe dry eye syndrome can eventually lead to scarring or ulceration of the cornea, and loss of vision. Victims can experience symptoms so constant and severe that reading, driving, working and participating in other vision-related activities of daily life are difficult or impossible.
In this study, the researchers report the following specific findings:
- Women with the highest levels of omega 3 in their diets reduced their risk of dry eye syndrome by 20 percent compared to women with the lowest levels of this fat in their diet.
- A dietary ratio of omega 6 to omega 3 greater than 15:1 was associated with a 2.5-fold increased risk of dry eye syndrome in women. Currently, the average American diet consists of a similarly high ratio of omega 6 to omega 3 fatty acids.
- Tuna consumption reduced the risk of dry eye syndrome. Women who reported eating at least five servings of tuna per week had a 68 percent reduced risk of dry eye syndrome compared to women who consumed one serving per week.
- Other fish types that have lower levels of omega 3 fatty acids did not appear to protect against dry eye syndrome.
"We are accustomed to the mantra 'you are what you eat' and our study suggests that this also applies to a person's vision," said Debra Schaumberg, ScD, OD, MPH, the senior author of the study, clinical associate scientist at SERI, and associate epidemiologist at BWH. "Based on this report, preventing dry eye syndrome is another potential reason to follow a diet rich in tuna and other foods plentiful in omega 3 fatty acids."
These findings are based on surveys completed by more than 37,000 women enrolled in the landmark, BWH-based Women's Health Study. Survey questions were designed to elicit information about an individual's history of diagnosed dry eye syndrome and dietary habits.
BWH is a 755-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners HealthCare System, an integrated health care delivery network. Internationally recognized as a leading academic health care institution, BWH is committed to excellence in patient care, medical research, and the training and education of health care professionals. The hospital's preeminence in all aspects of clinical care is coupled with its strength in medical research. A leading recipient of research grants from the National Institutes of Health, BWH conducts internationally acclaimed clinical, basic and epidemiological studies. www.brighamandwomens.org
Schepens Eye Research Institute is an affiliate of Harvard Medical School and is the largest independent eye research institute in the world.