维生素补充剂对干眼症的治疗潜力:全面回顾

Santosh Kallur, Aditya Suryawanshi, Shruti Kashid, Aishwarya Gawade, Anushka Papade, Tanaya Bhise, Sujata Shendage
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摘要

干眼症(DED)是一个普遍的全球性健康问题,严重影响人们的生活质量、工作效率和经济稳定。干眼症的特征是泪液分泌减少、泪液蒸发增加或出现低质量泪液。这些因素共同导致炎症、眼球表面损伤和异常疼痛感。DED 的发展涉及泪膜不稳定、泪液浓度升高(高渗透性)和炎症。这种循环往往会持续下去。事实证明,人工泪液替代品和皮质类固醇等传统治疗方法无法有效解决这一问题。除了传统的抗炎药物外,同时具有抗炎和抗氧化特性的营养素作为潜在的 DED 治疗方法也受到了关注。新出现的数据显示,维生素缺乏与 DED 的重大风险之间存在联系,这凸显了维生素在眼部健康中的作用。有证据表明,维生素可阻断 DED 发病的恶性循环并改善炎症。综述探讨了维生素 A、维生素 D、维生素 C 和维生素 E 等维生素在减轻 DED 并发症方面的功效。研究结果表明,维生素补充剂有望成为治疗 DED 的辅助方法。
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Therapeutic potential of vitamin supplements in dry eye disease: A comprehensive review
Dry eye disease (DED) stands as a widespread global health issue that impacts people's quality of life, productivity at work, and financial stability significantly. It is identified by either a decrease in tear production, heightened evaporation of tears, or the presence of low-quality tears. These factors collectively contribute to inflammation, damage to the surface of the eye, and unusual perception of pain. The development of DED involving instability in the tear film, increased tear fluid concentration (hyperosmolarity), and inflammation. This cycle tends to sustain itself. Conventional treatments like artificial tear replacements and corticosteroids have proven to be ineffective in addressing this condition. Alongside conventional anti-inflammatory medications, nutrients that possess both anti-inflammatory and antioxidant properties have gained attention as potential DED treatments. Emerging data shows a connection between vitamin deficiencies and a significant DED risk, highlighting the role of vitamins in ocular health. Evidence supports that vitamins may interrupt the vicious cycle of DED pathogenesis and ameliorate inflammation. The review explores the efficacy of vitamins like vitamin A, vitamin D, vitamin C, and vitamin E in mitigating the Complications of DED. The findings suggest that vitamin supplementation holds promise as a complementary approach to managing DED.
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