Should You Take 30mg of Lutein for High Myopia? - Ophthalmology

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Supplementing with lutein for high myopia?


Bilateral congenital hereditary high myopia is present, with both eyes approaching a prescription of -2000 diopters.
The vitreous body has begun to degenerate, and there is a family history of diabetes and hypertension.
The patient is considering supplementing with lutein but is unsure if a dosage of 30 mg is necessary.
(In addition to the aforementioned family history, the patient has favism and no other diseases.)

Mianli, 20~29 year old female. Ask Date: 2022/06/16

Dr. Gao Pilin reply Ophthalmology


Hello, Mianli: Excessive intake of lutein is not beneficial; it is recommended to supplement with a daily dose of 6 to 10 mg of lutein, which is sufficient.
The daily intake should not exceed 30 mg, and maintaining a long-term and stable dosage is key.

Reply Date: 2022/06/16

More Info


When considering the supplementation of lutein for high myopia, particularly at a dosage of 30mg, it is essential to understand both the potential benefits and the appropriate dosage based on individual health conditions and needs.

Lutein is a carotenoid found in high concentrations in the macula of the eye, where it plays a crucial role in protecting against oxidative stress and filtering harmful blue light. Research suggests that lutein may help improve visual function and reduce the risk of age-related macular degeneration (AMD), but its specific effects on myopia (nearsightedness) are still being studied. High myopia, defined as a refractive error greater than -6.00 diopters, can lead to serious ocular complications, including retinal detachment, glaucoma, and cataracts.

For individuals with high myopia, particularly those with a family history of diabetes and hypertension, it is crucial to approach supplementation cautiously. The recommended daily intake of lutein varies, but studies often use doses ranging from 6mg to 20mg per day. A dosage of 30mg is considered high and may not be necessary for everyone. In fact, excessive intake of lutein can lead to a condition known as carotenemia, where the skin takes on a yellowish hue due to the accumulation of carotenoids in the body.

Given your specific health background, including congenital high myopia and a family history of diabetes and hypertension, it is advisable to consult with a healthcare professional before starting any supplementation. This is particularly important because you also have a history of favism (a condition that can cause hemolytic anemia in individuals with G6PD deficiency), which may complicate your overall health management.

In addition to lutein, consider the following recommendations for managing high myopia:
1. Regular Eye Exams: Frequent check-ups with an ophthalmologist are essential to monitor the progression of myopia and any potential complications.

2. Dietary Considerations: A balanced diet rich in antioxidants, vitamins, and minerals can support overall eye health. Foods high in lutein include leafy greens (like spinach and kale), corn, and eggs. Incorporating these foods into your diet may provide benefits without the need for high-dose supplements.

3. Protective Measures: Wearing UV-blocking sunglasses and blue light filters can help protect your eyes from harmful light exposure, especially if you spend significant time in front of screens.

4. Lifestyle Modifications: Engaging in outdoor activities and reducing prolonged near-work (like reading or using electronic devices) can help slow the progression of myopia in children and adolescents.

5. Consultation with Specialists: Given your complex medical history, working with a healthcare team that includes an ophthalmologist, a nutritionist, and possibly a genetic counselor can provide a comprehensive approach to managing your eye health.

In summary, while lutein may offer some benefits for eye health, particularly in protecting against certain conditions, the necessity and safety of taking 30mg daily should be evaluated by a healthcare professional. A balanced diet, regular eye care, and protective measures are equally important in managing high myopia and maintaining overall eye health.

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