From Medscape Ophthalmology

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Alcohol and AMD

Posted 05/08/2008

C. Robert Bernardino, MD
Author Information

Introduction

Much of the research in age-related macular degeneration (AMD) involves analysis of lifestyle modifiers that can affect the clinical course of AMD. For example, it has been demonstrated that smoking has an associated risk for the development of AMD, and therefore, as a modifiable factor is important for physicians to help patients curb their smoking if they are at risk for or have AMD.[1] The current analysis attempted to determine the role of alcohol consumption in the risk for or progression of AMD.

Alcohol Consumption and the Risk of Age-Related Macular Degeneration: A Systematic Review and Meta-Analysis

Chong EW, Kreis AJ, Wong TY, Simpson JA, Guymer RH
Am J Ophthalmol. 2008;145:707-715

Summary

A meta-analysis of 5 cohort studies that pooled results from 136,946 subjects was performed. Out of these subjects, 1923 developed AMD. All 5 studies found an association between the early development of AMD and heavy alcohol consumption (3 or more standard drinks a day). However, this association was not found for late development of AMD.

Comment

The results of this study suggest that heavy alcohol consumption may be a risk factor for developing AMD. This information may be useful in counseling patients. However, this study could not determine dosage curve; it is still feasible that moderate consumption might be protective against the development of AMD, similar to how it functions in cardiovascular disease.[2,3]

Abstract

 

References  |  Related Links

References

  1. Thornton J, Edwards R, Mitchell P, Harrison RA, Buchan I, Kelly SP. Smoking and age-related macular degeneration: a review of association. Eye. 2005;19:935-944. Abstract
  2. Rimm EB, Klatsky A, Grobbee D, Stampfer MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits. BMJ. 1996;312:731-736. Abstract
  3. Stampfer MJ, Colditz GA, Willett WC, Speizer FE, Hennekens CH. A prospective study of moderate alcohol consumption and the risk of coronary disease and stroke in women. N Engl J Med. 1988;319:267-273. Abstract

Author Information

C. Robert Bernardino, MD, Associate Professor, Residency Program Director, Yale University School of Medicine, New Haven, Connecticut; Director, Ophthalmic Plastics and Orbital Surgery, Yale Eye Center, Yale New Haven Hospital, New Haven, Connecticut

Disclosure: C. Robert Bernardino, MD, has disclosed that he has served as a paid lecturer for Porex Surgical.

Medscape Ophthalmology.  2008; ©2008 Medscape

 
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