ABSTRACT

The biological mechanisms by which carotenoids could protect the human eye

against degenerative conditions of aging such as cataract and macular degene-

ration are described in chapter 22 (1). In the present chapter, epidemiologic

evidence to evaluate a protective influence on these common eye conditions of

aging and on other adult eye diseases is discussed. Epidemiology provides

perspective about whether the influence of carotenoids on eye pathology can be

generalized from the short term conditions used in experiments in culture dishes

and in animals to longer time periods in people under a variety of environ-

mental conditions and genetic make-ups. Further, results of epidemiologic

studies form the basis to predict how important these influences are likely to be,

relative to other general lifestyle or diet factors that influence disease risk.

Evidence from both clinical trials and observations in large populations will be

discussed.