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Impact of smoking on glaucoma
Golnoush Mahmoudinezhad1, Leo Meller, Sasan Moghimi
1Hamilton Glaucoma Center, Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, California, USA.
Current Opinion in Ophthalmology
|November 29, 2023
Summary
Heavy smoking may worsen primary open-angle glaucoma (POAG) progression. Long-term smoking cessation might offer protection against POAG progression, warranting further research.
Area of Science:
- Ophthalmology
- Public Health
- Epidemiology
Background:
- Lifestyle factors, particularly smoking, are increasingly investigated for their role in primary open-angle glaucoma (POAG).
- Smoking is a known contributor to other ocular diseases via ischemic and oxidative pathways.
- Understanding smoking's impact on POAG is crucial for clinical management and public health strategies.
Approach:
- This review synthesizes current evidence on the relationship between smoking and glaucoma.
- It examines smoking's influence on POAG pathogenesis, incidence, and progression.
- The potential benefits of smoking cessation for glaucoma patients are also evaluated.
Key Points:
- Evidence suggests a potential role for smoking, especially heavy smoking, in the progression of POAG.
- Smoking cessation may be associated with reduced glaucoma progression.
- A dose-response relationship between smoking and glaucoma requires further investigation.
Conclusions:
- Smoking may influence the progression of primary open-angle glaucoma.
- Long-term smoking cessation could be linked to slower glaucoma progression.
- Further preclinical and clinical studies are needed to validate these findings and explore the therapeutic potential of smoking cessation.
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