Macular degeneration is the leading cause of irreversible blindness in Americans age 50 and older.1,2
The risk of contracting macular degeneration is reduced in those ingesting higher amounts of certain plantcarotenoids. These carotenoids also delay early-stage macular degeneration from worsening.
What’s missing has been an effective strategy for countering typical forms of vision loss that impact all maturing individuals.1,3
That limitation is about to change.
Recent clinical studies show vision-enhancing benefits using extracts from a flower-derived spice called saffron.
Scientists first discovered that saffron can improve visual acuity as well as sensitivity to light, even in people withearly macular degeneration.4-6 More impressively, patients experienced improvement in vision that was measured by them seeing an average of two additional lines on the eye chart commonly used by physicians to test vision.6
In another recent finding, people with the highest intake of alpha-carotene had a 32% lower risk for developingadvanced age-related macular degeneration.7
By supplementing with
saffron extracts and
alpha-carotene—in addition to other nutrients recognized for their ability to protect retinal structures—we can actively protect our eyesight before symptoms of visual loss appear.
4-7
Natural Sunglasses for the Eyes
Up to 11 million people in the United States have at least some degree of age-related macular degeneration.2,8 While2% of 50 to 59 year olds suffer from the disease, that number surges to 30% in those over 75 years.2
The
macula, the small spot at the center of the retina, is particularly rich in light-sensing cells, which are essential for our ability to sharply see things that are directly in front of us.
1 Because of its yellow color, the macula absorbs excess blue and ultraviolet light in order to prevent their destructive effects on light-sensing cells.
9-11 Think of it as protective sunglasses for the retina.
Age-related macular degeneration occurs in response to prolonged exposure of the eye to visible and ultraviolet light, as well as chemical stresses from a glucose- and oxygen-rich blood supply. Over time, these factors all contribute to the breakdown of our retinal light-sensing cells.
As degeneration of cells in the macula progresses, victims lose their central vision and become less able to see what they are trying to focus on.1,12 Consequently, the ability to read, drive, do intricate work, and perform many other daily tasks can become impaired, even before the onset of legal blindness.
It is important to protect the structural integrity of the macula early in order to prevent it from degenerating to its more advanced stages.
Saffron Benefits Early Age-Related Macular Degeneration
Saffron is a culinary spice derived from parts of the crocus (
Crocus sativus) flower. Newly published scientific studies demonstrate its ability to improve visual acuity and to improve sensitivity of the retina to light in people with
early macular degeneration.
4-6
Saffron protects and prevents the steady breakdown of light-sensitive cells in the center of the retina, the macula. This addresses the root cause of age-related macular degeneration and improves light sensitivity, a major manifestation of the disease.
In the first study, patients with early age-related macular degeneration were randomly assigned to receive either
20 mgper day of
saffron or a
placebo.
During the supplement phase, patients had stronger electrical responses to light overall.4 Researchers were able to determine these improvements by using sophisticated testing that measures the electrical output of retinal cells in response to light stimulation. If these tests show relatively poor responses to light, it is an indicator of ailing retinal cells.13
The patients also had a better response to dim light during the supplement phase (meaning that their eyes were more sensitive to dim light images). No such changes were apparent during the placebo phase. This means that saffronsupplementation improved the light-sensing abilities of retinal cells in early age-related macular degeneration.4 This is an unprecedented finding.
In a second observation of this study, subjects who took saffron had a significant increase in visual acuity, a term that refers to the sharpness of vision at a distance. After three months of supplementation, patients had an average increase in visual acuity at a distance of one full line (14.3% better than baseline) on the familiar Snellen vision chart which measures visual acuity at a distance of 20 feet.4 That means, for example, that someone whose visual acuity at a distance was 20/40 prior to supplementation would see with 20/30 vision afterwards. Once again, no improvement in distance vision was seen in placebo recipients.
These findings were replicated after three months, when the supplement/placebo treatments were reassigned and then continued for another three months.4 This suggests consistency and reproducibility of benefit for the dietary supplement with improving visual acuity at a distance.
Longer-Term Benefits of Saffron
While these initial observations demonstrated meaningful and rapid visual improvements, scientists wanted to see if
saffron could produce more long-term effects. That’s why, in a follow-up study, the same researchers examined saffron supplementation (
20 mg per day) in subjects with
early macular degeneration over an average treatment period of
14 months.
6
In a similar finding to the first study, retinal sensitivity to light increased significantly by the end of three months—and impressively, it remained elevated for the entire course of the study. Even more impressive, the average visual acuity improved by not one, but two lines on the Snellen chart.6 This shows us that longer supplementation periods produce further vision improvement.
A third human study confirms the previous findings and demonstrates nearly identical improvements in retinal light sensitivity over an average 11-month period. This study went a step further because it determined that
saffron produces improvements in early age-related macular degeneration regardless of one’s heredity.
5 This is important because it means that the results of these studies can be generalized to all adults with early age-related
macular degeneration, not just those with specific genetic risk factors.
Reducing Risk of Advanced Age-Related Macular Degeneration
Alpha-carotene is another yellow pigment that offers a complement to saffron. Similar to saffron’s key components,alpha-carotene is a carotenoid that protects the pigmented cells of the retina from light-induced oxidative damage. People who consume the most dietary alpha-carotene have a 32% reduced risk for developing advanced age-related macular degeneration compared to those with the lowest consumption.7
This was demonstrated in the Nurses’ Health Study and Health Professionals Follow-Up Study, which analyzed data from 63,443 women and 38,603 men 50 years old or older. These findings make it clear that alpha-carotene may be the perfect complement to saffron’s ability to improve retinal function in early age-related macular degeneration.7
Additional Nutrients for Eye Health
Lutein and
zeaxanthin are found in high concentrations in several components of the eye, including the lens, the retina, and the sensitive macula.
14,15
As with saffron and alpha-carotene,
lutein and
zeaxanthin are yellow pigments that efficiently absorb higher-energy (blue and ultraviolet) light, preventing it from damaging retinal tissues. As an added benefit, lutein and zeaxanthin scavenge oxygen free radicals and reduce their damaging impact on retinal cells.
14-17
Studies of adults with age-related macular degeneration show that supplementing with
10 to
12 mg of
lutein per day raises the density of protective pigmented cells in the retina by up to
175% compared with patients taking
placebo.
18,19 This means that it enhances the eye’s own ability to protect against damaging blue and ultraviolet light. It is important to note that lower doses, such as
6 mg per day, have proved insufficient to significantly improve pigment density, and have only borderline effects on vision.
20
In patients with early age-related macular degeneration, 48 weeks of supplementation with lutein at
10 or
20 mgalone (or at
10 mg in combination with
zeaxanthin) produced significant increases in
electroretinogram signals. This is a measure of the power of light-sensitive cells to produce electrical impulses after stimulation by light.
21
Multiple large clinical studies have now demonstrated that supplementation with lutein and/or zeaxanthin can improve retinal function, increase the ability to see contrasting colors and shapes, and improve visual acuity.19,21-24
Protect against Night-Blindness
Cyanidin-3-glucoside (C3G) is a flavonoid compound found in many berries25,26 that is particularly beneficial for night vision.
That’s because cyanidin-3-glucoside enhances both the quality and function of rhodopsin, a light-sensitive protein found in the rod cells of the retina.26-29 Rod cells are the eye’s most sensitive cells and they allow us to see in very dim light. Loss of rod cells is associated with night-blindness or reduced vision in dim light.30
Cyanidin-3-glucoside hastens the ability of rhodopsin to regenerate.28,29
It is this rapid regeneration of rhodopsin that has vision scientists excited about its potential benefits to enhance night vision.
A study of healthy volunteers showed that just 50 mg of a berry extract concentrate containing cyanidin-3-glucosideallowed aging individuals to see better in darkness after 30 minutes.31
Protect against Retinal Cell Death
Astaxanthin is a reddish carotenoid molecule derived from marine algae. It has powerful free radical scavenging and anti-apoptotic properties that help protect retinal cells from death induced by chemical and physical stresses.
32-34
Astaxanthin has been found to prevent the vision-damaging effects of wet macular degeneration and can also prevent cell damage related to increased pressure in the eye (glaucoma).32,35,36
Astaxanthin could be especially beneficial for diabetics. Eighty percent of people who have had diabetes for more than 10 years suffer from diabetic retinopathy, a condition that occurs when high blood sugar concentrations cause progressive damage to the retina. Studies in mice have demonstrated that astaxanthin prevents the early cell death in retinal nerve cells that results from high blood sugar concentrations.33
Two human studies have shown that the combination of astaxanthin, lutein, and zeaxanthin led to significant improvements in visual acuity in supplemented patients compared with untreated patients.37,38
Summary
Macular degeneration threatens every American over 50 with vision loss.
Certain carotenoids have been shown to help prevent this condition and delay progression in its intermediate to advanced (blinding) stages. The dilemma up until now was how to protect against so-called “normal” loss of visual acuity that occurs with aging.
New human studies indicate that supplementing with
saffron can, for the first time, produce meaningful changes in the retina and improve visual acuity, even in people with
early macular degeneration. This knowledge should allow everyone to protect their vision before symptoms appear, and before significant breakdown of retinal light-sensing cells occurs.
Saffron and alpha-carotene are now available in combination with other vision-protecting nutrients, including lutein,zeaxanthin (and their related compounds), and astaxanthin. These plant pigments powerfully absorb blue and ultraviolet light, which are the most damaging to retinal cells. The addition of cyanidin-3-glucoside helps protect against night blindness and reduced vision in dim light.
Widespread use of these plant-derived extracts could have enormous public health implications in providing meaningful ocular support as populations move into older age.