Black America Web Featured Video
CLOSE

For iPhone:

 

Dr. Neal Adams is the former Chief of the Division of Visual Physiology at the Wilmer Eye Institute of the Johns Hopkins Hospital, Johns Hopkins University School of Medicine and the former Chairman of the Department of Ophthalmology at the Paul L. Foster School of Medicine at the Texas Tech University Health Sciences Center.

His private practice, DC Retina, focuses on providing patients with surgical and nutrition-based care.

Dr. Adams earned his Bachelors in Chemistry from Yale University and his M.D. from Johns Hopkins University. He is a graduate of the Wilmer Eye Institute Residency Program. Following completion of a Retina Fellowship at Wilmer, he was selected to join the Faculty at Johns Hopkins and honored with Johns Hopkins Wilmer Eye Institute’s highest award to a junior faculty member – the Maumenee Scholar. He was then selected to lead the Division of Visual Physiology. Dr. Adams is Board-Certified in ophthalmology.

Dr. Adams has received many honors as a highly skilled surgeon, clinician, academician, and researcher. He also devotes time to research endeavors focused on retinal disorders. Dr. Adams has coined a new category of retinal degenerations, called the “retinal ciliopathies.”

Adams is the author of Healthy Vision, which aims to raise awareness about eye health.

Why and when did you decide that you needed to be active in educating people about the link between nutrition and eye health?

When I started my career on the faculty at Johns Hopkins, many times my patients would ask me, ‘What can I eat to help protect my eyes? Carrots? Broccoli?’ I soon realized there was a real need for good information. And the answer goes way beyond carrots. So, I spent about 8 years reviewing the medical literature and the science on nutrition for the eye. The proven links between nutrition and eye health went beyond what I had ever imagined.

What is the most surprising thing you found in your research into nutrition and the eye?

In our bodies, the level of nutrients is higher in the eye than anywhere else. For example, the level of vitamin C in our bodies is highest in the back of the eye, about 100 times higher than in our blood stream. We often talk about vitamin C and the common cold, but there is little scientific evidence that vitamin C helps protect against the common cold. However, there is a tremendous amount of scientific evidence that vitamin C protects against cataract formation; study after study shows vitamin C decreases the risk of cataract by 50%, 60%, 85% (depending on the study). But if you take vitamin C pills by themselves, you’ll increase the risk of cataracts, because without the appropriate balance of antioxidants, vitamin C becomes a toxic chemical dehydroascorbate that damages the eye.  The book teaches the reader these important lessons.

What illnesses are possible to detect by just looking at someone’s eyes without equipment?

Without specialized equipment to look inside the eye, we can focus on the eyelids and front of the eye, and detect a wide-range of illnesses that affect other parts of the body-conditions ranging from neurologic disorders such as myasthenia gravis, to hormone and endocrine disorders such thyroid disease, to inflammatory and vascular disorders such as sarcoid or rheumatoid arthritis.

For example, we can look at the white of the eye and we can see red spots or patches on the white of the eye.  These can be signs of high blood pressure (most commonly) or of excessive heavy exercise, blood-thinning medications (such as aspirin or ibuprofen), smoking, diabetes, bleeding disorders, viral infections (such as influenza or the “flu”), vitamin C deficiency in infants, and inflammatory disorders such as lupus. With equipment to look inside the eye, we can see over a hundred common conditions and dozens more uncommon ones.

What is the most common eye illness that can be reversed with good nutrition?

Diabetes is the leading cause of blindness in the U.S. Diabetes affects some 30 million Americans. When we think of reversing a common eye illness, diabetes is the first thing to come to mind. However, more common than diabetes is dry eye, which affects 1 out 6 people, and can be reversed with some simple good nutrition. Beyond that, macular degeneration, which affects over 1/3 of people over the age of 75 and affects nearly 1 out of 10 people in their 40’s and 50’s, certainly benefits from a dose of healthy nutrition.

Do we know everything there is to know about the eye?  Are there any mysteries that we’re trying to solve?

The most fascinating mystery is how to turn on cells to regenerate our retinas when they degenerate. There are certain fish and amphibians that constantly regrow their retinas, just like a lizard may regrow its tail when it gets cut off.  Well, guess what?  In our eyes, we have those same cells that regrow in fish and amphibians. These are a type of adult stem cell that we all have in our own eyes, and if we could figure out how to jump-start them, then we could use our own stem cells to maintain the health of our retinas.

Do you recommend eye vitamins?

Patients often ask me about taking eye vitamins. Nutrition for the eye can be a complex solution and you need to balance your nutrients-not too much and not too little-but make sure that you get enough of the ones you need. Unlike pills, whole foods often naturally have a broad complex spectrum of vitamins and nutrients that work in tandem and we don’t know enough about all those interactions to mimic them in pills. And there’s no one-size-fits-all solution when it comes to pills.

What about the role of exercise in eye health?  What exercises can you do that help your eyes?

There are many health benefits of exercise. Increasing your blood flow is one of the top health benefits and a research study that came out this year showed that being physically active over a 20-year period decreases your risk of having poor vision by a whopping 60%! Exercise is really about keeping your health in tip-top shape. Combined with nutrition, it is a simple and powerful tool to healthy vision.

Who should wear sunglasses and why?

The surface of the eye contains powerful ultraviolet blocking capability, so not much ultraviolet light really gets into the eye.  However, the heat energy from light gets into the eye, and the heat energy from the sun burns.  You may recall as a kid holding a magnifying glass up to the sun and burning a hole in a leaf.  Well, the eye acts just like that magnifying glass. It makes sense to limit sun exposure and limit the heat energy from the sun with sunglasses.

Dr. Neal Adams’ Eye Healthy Dinner Menu:

Below is a dinner menu Dr. Adams created that would provide the maximum nutrition for healthy eyes.

APPETIZER: A delicious kale salad filled with red, yellow, and green peppers and a light dressing of olive oil and balsamic vinegar.

Kale is full of lutein and zeaxanthin, loaded with bioflavonoids and a super serving of vitamin A.  It also has a very powerful anti-inflammatory agent call diindolylmethane (DIM for short). The peppers give you a variety of powerful antioxidants:  glutathione, troxerutin, and quercetin as well as being loaded with vitamin C.  Peppers have more vitamin C than any other common fruit or veggie — 3 times more than oranges and twice the amount as kiwis!

ENTRÉE: Garlic-ginger marinade grilled wild-caught salmon with a side of cinnamon-crusted sweet potato.

Salmon is the all-star of fish with 1,600 mg of DHA per serving, benefiting many eye conditions, ranging from dry eye to retinitis pigmentosa to macular degeneration. Ginger contains bioactive compounds called gingerols that are quite beneficially potent! Garlic contains bioflavonoids and a compound called allicin which promotes good health. Cinnamon is packed with bioflavonoids and sweet potatoes are loaded with vitamin A and the antioxidant coenzyme Q10 that helps produce energy and digest debris.

DESSERT (can’t forget desert): A little bit of lightly-honey-sweetened frozen yogurt flavored with natural dark chocolate, topped with a fresh fruit compote and fresh mint.

Chocolate packs in a ton of antioxidant bioflavonoids….in fact the top two sources of bioflavonoids by far are cocoa beans and unsweetened dark chocolate! The honey also has bioflavonoids, yogurt has vitamin B2, and mint promotes the survival of neural cells. Fruits are super-antioxidants.

TEA: Whether herbal, green, white, or black, tea is packed with a varied range of different bioflavonoids. So be sure to include tea in your diet!

———————————————————————————————————————————————————————

The Tom Joyner Morning Show audience had a lot of questions for Dr. Adams! Here are the questions and his answers. 

What is a good detox regimen that’s both healthy and effective?

Regardless of detox, for most people, the best regimen is a healthy diet full of fruits and vegetables….and don’t forget your fish. I’ve included lots of details in my book, Healthy Vision on good healthy foods to eat that can help the eyes and vision.

Can we stop wearing glasses by eating right?

You may not be able to stop wearing glasses through a healthy diet, but you can help prevent other conditions that could decrease your vision or cause blurriness that cannot be corrected by glasses.

My son is 21, recently diagnosed with progressive retinal dystrophy. He has no family history but he is a weed smoker. Is there any side affect from the weed smoking?

It can cause fluctuations in the pressure in the eye, which may be harmful. For most patients, eating a healthy diet is tremendously important.

My left eye only has been watering consistently for the past few weeks. What could this be?

There are several conditions it could represent. You’ll need an eye exam to make a determination. Sometimes watering can be a chronic condition, sometimes it’s an urgent condition. Seek medical advice and call your doctor this morning.\

My eye doctor tells me that my eyesight is going from nearsighted to farsighted. How do I slow the process down?

There are several things that could cause that. Ask your doctor. Depending on the condition, you may or may not be able to slow or stop the process through a healthy diet, but you can help prevent other conditions that could decrease your vision or cause blurriness that cannot be corrected by glasses.

Each year I go to my eye doctor, he changes my prescription even though my vision hasn’t changed. Why does he do that?

Go ahead and ask your doctor. You are entitled to have your questions and concerns answered by your doctor.

My son started wearing glasses at 16. He is a little nearsighted, but I have a significant astigmatism. How can we prevent his eyes from getting worse?

You may not be able to stop his need to wear glasses through a healthy diet, but you can help prevent other conditions that could decrease your vision or cause blurriness that cannot be corrected by glasses. It’s hard for me to tell without examining him, so go ahead and talk to your doctor about your son and what to expect.

 What can I do or take for early signs of glaucoma?

There is a misconception that glaucoma is a disorder of pressure in the eye. It is actually a disorder of the health of the nerve behind the eye. Keeping that nerve in good health is essential. Nutrition can go a long way to help keeping the nerve in back of the eye healthy.

My doctor says I have astigmatism in my left eye that gets worse each year. What can I do to improve it or is there a cure?

Good healthy nutrition is essential for the cornea, the window in the front of the eye, often the source of astigmatism. In addition, a healthy diet can help prevent other conditions that could decrease your vision or cause blurriness that cannot be corrected by glasses.

 Why is it harder for me to see far away and focus? Is it because I’m in my 40’s?

Go ahead and get your eyes checked. There are many things that can cause difficulty seeing far away, and probably not be related to reaching age 40, when the lens in the eye has difficulty focusing.

I know that you can get migraines with an aura with the flashes of light in the eye. But can you get the aura without the migraine? Is that normal?

Yes, it is certainly common and possible to get the lights without the headache. Talk to your doctor and get a good eye exam to make sure you’re not missing anything else that needs treatment.

I don’t smoke or drink but my eyes are very red and the left one aches. Sometimes I have blurry vision.

Red, achy, blurry vision — go see your doctor. Eye doctors are a wonderful asset and we’re here to help, but it needs to start with an eye exam. So, yes, go to your doctor.

Should a diabetic take lutein to take to help with eye health?

Lutein is a powerful antioxidant and in the back of the eye, it forms a layer that acts like natural sunglasses to protect your eyes from damaging effects of the sun and sunlight. And it’s not only good for diabetics. There’s a lot in lutein in my book.

Is there a cure for diabetic retinopathy?

Depending on the type and severity, yes, sometimes there is, and a healthy diet is an essential component of the treatment. There is a chapter devoted to diabetes and diabetic retinopathy in the book.

How does high blood pressure and smoking effect your sight?

Believe it or not, the highest blood flow of anywhere in your body, per square millimeter, is in the back of your eyes, so toxins from smoking can accumulate and cause damage to the back of your eyes. High blood pressure can damage all those delicate blood vessels in your eyes. Stop smoking and see your doctor to help you control your blood pressure.

I am 33 with keratoconus. I see my eye doctor yearly. Do you have any advice for me?

A good healthy diet can go a long ways. The eye demands high levels of nutrients, so help out your eyes and vision with good foods. There are a lot of good nutrient choices in my book. And keep going to your eye doctor….we’re here to help!

 Did I hear you say coffee is good for your eyes?

Yes, coffee is loaded with bioflavonoids that act as antioxidants to protect your eyes. Chocolate (unsweetened) is another top source. There are lot more exciting delicious nutrient sources in the book.

I’ve always heard carrots are good for your eyes.

Carrots are wonderful and loaded with a powerful nutrient called beta-carotene. But don’t just limit yourself to carrots.  A broad spectrum of vegetables can do wonders for the body and the eyes specifically.

What types of fish are best for eye health?

The best fish are those with higher amounts of omega-3 oils, particularly one called DHA. Salmon is one of the best sources. There’s a nice table in the book with various fish and how much fish oils they have.

If you’re over 50, can you really improve eye health with diet?

It is possible. There are many conditions of the eyes that can be improved, alleviated, prevented, or protected against, such as dry eye, glaucoma, cataract, diabetes, or macular degeneration.

My eye pressure readings are always high, but I always pass the vision field test. What can I do to keep my pressure down?

There is a misconception that glaucoma is a disorder of pressure in the eye. It is actually a disorder of the health of the nerve behind the eye. Keeping that nerve in good health is essential. Nutrition can go a long way to help keeping the nerve in back of the eye healthy.

What are the effects of taking insulin on your eyes?

In some people, the body does not produce enough insulin so it cannot control sugars well, resulting in diabetes. Insulin helps control sugar levels in the bloodstream. High sugars can damage the eyes, particularly the blood vessels in the back of the eyes.

Do you have any suggestions for retinitis pigmentosa patients?

There is a lot of good advice for those with retinitis pigmentosa, and nutrition does indeed go a long way. There’s quite a bit in the book about nutrition and retinitis pigmentosa.

 Is macular degeneration correctable?

There are different forms of macular degeneration. There was one good study that showed that good nutrition can reverse some of the changes in macular degeneration. While, in many people, macular degeneration may not be reversible, it may certainly be stopped in its tracks or its progression may be slowed. There are also other measures for macular degeneration that I talk about in the book.

I am diabetic, but not on insulin. How often should I have my eyes dilated to check for eye damage?

You should have an eye exam soon if you haven’t already. Then, depending on what is found, the follow-ups may range from weeks to up to a year.

I suffer from advanced glaucoma. I had surgery 15 years ago to relieve pressure. What can I do to keep it stable?

There is a misconception that glaucoma is a disorder of pressure in the eye. It is actually a disorder of the health of the nerve behind the eye. Keeping that nerve in good health is essential. Nutrition can go a long way to help keeping the nerve in back of the eye healthy.

Like BlackAmericaWeb.com on Facebook. Follow us on Twitter.

Guilty Pleasures: Turn Your Fave Fat-Girl Food Into Salads
8 photos

More From BlackAmericaWeb