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Updated: Jul 7, 2026

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Measurement of Carotenoids in Perifovea using the Macular Pigment Reflectometer
Published on: January 29, 2020
Macular pigment and visual performance under glare conditions
James M Stringham1, Billy R Hammond
1Vision Science Laboratory, University of Georgia, Athens, GA 30602-3013, USA.
Summary
Supplementing with lutein and zeaxanthin (L+Z) for six months significantly boosts macular pigment (MP) levels. This increase in MP improves visual performance under glare conditions and speeds photostress recovery.
Area of Science:
- Ophthalmology
- Nutritional Science
- Visual Neuroscience
Background:
- Visual performance, including contrast sensitivity, is often impaired by glare.
- Macular pigment (MP) is hypothesized to mitigate glare disability and enhance photostress recovery due to its light-filtering properties.
Purpose of the Study:
- To investigate the causal relationship between macular pigment (MP) and visual performance under glare conditions.
- To assess the effects of lutein and zeaxanthin supplementation on MP density, glare disability, and photostress recovery.
Main Methods:
- Forty healthy subjects received lutein and zeaxanthin supplementation for six months.
- Macular pigment optical density (MPOD) was measured using heterochromatic flicker photometry.
- Disability glare and photostress recovery were quantified using standardized visual tasks.
Main Results:
- Baseline MPOD correlated with improved visual performance in glare tasks.
- Six months of lutein and zeaxanthin supplementation significantly increased average MPOD.
- The increase in MPOD led to a significant reduction in the negative effects of glare on visual performance.
Conclusions:
- Macular pigment plays a crucial role in improving glare disability and photostress recovery, consistent with its optical properties.
- Supplementation with lutein and zeaxanthin for 4-6 months effectively increases MPOD and enhances visual performance in glare.
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