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Tobacco and Sight

Generality/Definition
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    Smoking can cause or worsen several eye disorders, particularly cataract and Age-related Macular Degeneration(AMD), and may lead to blindness.
    Tobacco smoke is composed of as many as 4,000 active compounds, most of them toxic and potentially damaging to the eye.
    Source: ASH - Action on Smoking and Health UK (ash.org.uk)

Epidemiology

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  • Among smokers age 35 to 69 smoking accounts for a three fold increase in the death rate, and approximately half of all regular smokers that begin smoking during adolescence will be killed by tobacco(Who).
  • In 1985 it was estimated that more than one in every six deaths in the USA was the result of smoking.
  • Smokers have more acute and chronic illnesses than never smokers, more bed disability days, and miss more school and work days .
  • Smokers make greater use of inpatient and outpatient hospital services and lower use of preventive care services (Sherman).
  • Of all cancer deaths in the USA, 30% could be prevented if cigarette smoking was eliminated.

  • Source: The Health Consequences of Smoking (sprojects.mmi.mcgill.ca)
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Prevention

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    Stopping smoking can halt or reverse damage to the eyes, depending on the severity and type of disease.
    In the case of AMD, former smokers have only a slightly increased risk compared with never smokers. Stopping smoking reduces the risk of developing cataracts. A US study found that, compared with men who continued to smoke, those who had quit 10 years or less before study entry had an approximately 20% reduced risk of cataract diagnosis.
    Source: ASH - Action on Smoking and Health UK (ash.org.uk)

Symptoms

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  • Cataracts : Studies have shown that people who quit smoking earlier (rather than later) decrease their risk of developing cataracts.
  • Diabetic Retinopathy : Study results appear mixed about a direct association between smoking and diabetic retinopathy, but most experts agree that smoking should be avoided to help help stop progression of the disease.
  • Glaucoma :Smoking causes shrinkage or constriction of blood vessels, shown to be directly linked to rising inner eye pressure (intraocular pressure) that can lead to glaucoma and accompanying optic nerve damage.
  • Graves ophthalmopathy : This is a condition in which muscle control of the eye is disrupted, often associated with thyroid disease. Smoking has been shown to increase risk of developing thyroid disease.
  • Optic neuritis : A landmark study found a strong association between factors such as poor nutrition and smoking linked to a 1992-1993 epidemic of optic nerve damage among Cuban citizens.
    Source: Smoking and Eye Damage (vision.about.com)

Treatment

Illustrations

Source: Home of Health Promotion North Staffordshire (hpromo.northstaffs.nhs.uk)


Association

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Scientific articles: All recent articles for "Tobacco"

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Last modified: Jun 2010
Creation: Mar 2007