Age-Related Macular Degeneration (AMD) is a degenerative disorder of the human
retina. The pathophysiological essence of AMD is closely related to senescence of
retinal tissues and the accumulation of uncleared cellular waste caused by
persistent activation of the complement cascade, inflammation, and oxidative stress.
It is the main cause of blindness in the population of elders (over 60 years old) in
developed countries, and accounts for 6% to 9% of all blindness globally. AMD is a
disease associated with multiple risk factors, among which diet has become
increasingly popular, being a modifiable one with a potential impact on its
treatment and prevention. We conducted a narrative review to summarize current
evidence on the relationship between dietary patterns, dietary components,
nutritional supplementation and the development and progression of AMD. We
observed a strong relationship between a broadly understood diet and risk of AMD.
Diet is potentially an important contributor to AMD pathogenesis and a valuable
part of its treatment. Evidence suggests that nutrients, such as polyphenols, like
resveratrol, carotenoids, especially lutein and zeaxanthin, omega-3 polyunsaturated
fatty acids, or the Mediterranean and Oriental dietary patterns, may have a
protective effect against AMD. The Western dietary pattern and high intake of
omega-6 polyunsaturated fatty acids may increase the risk of AMD progression.
Studies on saturated fatty acids remain inconclusive. Considering the fact that there
are still inconsistencies in the results, further studies are required for a thorough
understanding of this subject and to develop clear nutrition and supplementation
strategies for AMD prevention.
Keywords: age-related macular degeneration, diet, dietary pattern, dietary
nutrients, AMD
