Vitamin D and its Relationship to Ocular Diseases: A Systematic Review

Abstract Introduction  Vitamin D plays a vital role in the proper functioning of various systems of the human body. Conventionally, it is known that its deficiency can impair, among other factors, calcium homeostasis, bone metabolism, and immune system regulation. Besides having anti-inflammatory and antiangiogenic properties, 25(OH)D also acts in maintaining the integrity of the human retina, favoring the idea of it being a protective factor for certain ocular diseases. Objective  Therefore, the purpose of this review was to collect data from the literature which support the importance of vitamin D for ocular health. Methods  Through the Scientific Electronic Library Online and the National Library of Medicine databases, a compendium was created on the subject. Results  In total, 31 articles in English published between 2016 and 2020 were found. These articles were reviewed and categorized by diseases in order to study each disorder thoroughly. It is noticed that 25(OH) D is, in fact, a potential protective factor against such diseases, including diseases that affect both the surface of the cornea and the ocular tissues that have vitamin D receptors. Conclusion  Vitamin D is a protective hormone in the eye, and its deficiency is related to a variety of ocular diseases. Therefore, the supplementation of 25(OH)D can be considered as a complementary treatment for patients with these diseases, since it brings relevant benefits.

[1]  P. Ip,et al.  Vitamin D and Ocular Diseases: A Systematic Review , 2022, International journal of molecular sciences.

[2]  A. García-Layana,et al.  Vitamin D Protects against Oxidative Stress and Inflammation in Human Retinal Cells , 2020, Antioxidants.

[3]  K. Atalay,et al.  SERUM VITAMIN D LEVELS IN DIFFERENT MORPHOLOGIC FORMS OF AGE RELATED CATARACT. , 2020, Acta endocrinologica.

[4]  D. Jee,et al.  Association between serum 25-hydroxyvitamin D levels and myopia in general Korean adults , 2019, Indian journal of ophthalmology.

[5]  J. Bloomberg,et al.  Reply: , 1964, American Journal of Neuroradiology.

[6]  K. Taylor,et al.  Association of severity of primary open-angle glaucoma with serum vitamin D levels in patients of African descent , 2019, Molecular vision.

[7]  Pan Xiao,et al.  Association Between Single Nucleotide Polymorphisms in the Vitamin D Receptor and Incidence of Dry Eye Disease in Chinese Han Population , 2019, Medical science monitor : international medical journal of experimental and clinical research.

[8]  R. Shetty,et al.  Dysregulated Tear Fluid Nociception-Associated Factors, Corneal Dendritic Cell Density, and Vitamin D Levels in Evaporative Dry Eye. , 2019, Investigative ophthalmology & visual science.

[9]  Hung-Chang Lee,et al.  Vitamin D and health - The missing vitamin in humans. , 2019, Pediatrics and neonatology.

[10]  Eman H Salama,et al.  Association of Serum 25-Hydroxyl Vitamin D Deficiency and Age-Related Cataract: A Case-Control Study , 2019, Journal of ophthalmology.

[11]  R. Klein,et al.  Serum 25-Hydroxyvitamin D Concentrations and Incidence of Age-Related Macular Degeneration: The Atherosclerosis Risk in Communities Study , 2019, Investigative ophthalmology & visual science.

[12]  L. Azzalis,et al.  Determination of vitamin D in tears of healthy individuals by the electrochemiluminescence method , 2019, Journal of clinical laboratory analysis.

[13]  S. Gandini,et al.  Vitamin D serum levels in children with vernal keratoconjunctivitis and disease control , 2019, International journal of immunopathology and pharmacology.

[14]  Y. Shin,et al.  Vitamin D Enhances the Efficacy of Topical Artificial Tears in Patients With Dry Eye Disease , 2018, Cornea.

[15]  S. P. Park,et al.  Association between serum vitamin D deficiency and age-related macular degeneration in Koreans , 2018, Medicine.

[16]  E. Çakal,et al.  Vitamin D Replacement Improves Tear Osmolarity in Patients with Vitamin D Deficiency , 2018, Seminars in ophthalmology.

[17]  James McMillan Spectrum of Darkness, Agent of Light: Myopia, Keratoconus, Ocular Surface Disease, and Evidence for a Profoundly Vitamin D-dependent Eye , 2018, Cureus.

[18]  K. Schmid,et al.  Impact of oral vitamin D supplementation on the ocular surface in people with dry eye and/or low serum vitamin D. , 2018, Contact lens & anterior eye : the journal of the British Contact Lens Association.

[19]  M. Eliaçık,et al.  Dry Eye Assessment in Patients With Vitamin D Deficiency , 2016, Eye & contact lens.

[20]  K. Gil,et al.  The role of vitamin D in the pathogenesis of ocular diseases. , 2018, Folia medica Cracoviensia.

[21]  P. Mitchell,et al.  Genetically low vitamin D concentrations and myopic refractive error: a Mendelian randomization study. , 2017, International journal of epidemiology.

[22]  N. Choi,et al.  Serum 25-hydroxyvitamin D and Age-Related Cataract , 2017, Ophthalmic epidemiology.

[23]  Xinghuai Sun,et al.  Lack of Association between Serum Vitamin B6, Vitamin B12, and Vitamin D Levels with Different Types of Glaucoma: A Systematic Review and Meta-Analysis , 2017, Nutrients.

[24]  Michael F. Holick,et al.  The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention , 2017, Reviews in Endocrine and Metabolic Disorders.

[25]  W. Wee,et al.  Correlation of vitamin D levels with tear film stability and secretion in patients with dry eye syndrome , 2017, Acta ophthalmologica.

[26]  P. D. de Jong,et al.  Associations between Serum Vitamin D and Genetic Variants in Vitamin D Pathways and Age-Related Macular Degeneration in the European Eye Study. , 2017, Ophthalmology.

[27]  A. Fletcher,et al.  Association Between Myopia, Ultraviolet B Radiation Exposure, Serum Vitamin D Concentrations, and Genetic Polymorphisms in Vitamin D Metabolic Pathways in a Multicountry European Study , 2017, JAMA ophthalmology.

[28]  Mi Yeon Lee,et al.  The Relationship between Vitamin D and Glaucoma: A Kangbuk Samsung Health Study , 2016, Korean journal of ophthalmology : KJO.

[29]  Jin A. Choi,et al.  Serum 25-hydroxyvitamin D level is associated with myopia in the Korea national health and nutrition examination survey , 2016, Medicine.

[30]  W. Wee,et al.  Vitamin D Supplementation for Patients with Dry Eye Syndrome Refractory to Conventional Treatment , 2016, Scientific Reports.

[31]  R. Shetty,et al.  Correlation between tear fluid and serum vitamin D levels , 2016, Eye and Vision.

[32]  Xiaorong Li,et al.  Associations of vitamin D deficiency and vitamin D receptor (Cdx-2, Fok I, Bsm I and Taq I) polymorphisms with the risk of primary open-angle glaucoma , 2016, BMC Ophthalmology.

[33]  O. Franco,et al.  Low serum vitamin D is associated with axial length and risk of myopia in young children , 2016, European Journal of Epidemiology.

[34]  Seungbum Kang,et al.  Serum 25-Hydroxyvitamin D Levels and Dry Eye Syndrome: Differential Effects of Vitamin D on Ocular Diseases , 2016, PloS one.

[35]  P. Yıldırım,et al.  Dry eye in vitamin D deficiency: more than an incidental association , 2016, International journal of rheumatic diseases.

[36]  C. Annweiler,et al.  Serum vitamin D status is associated with the presence but not the severity of primary open angle glaucoma. , 2015, Maturitas.

[37]  M. Watsky,et al.  Effects of vitamin D receptor knockout on cornea epithelium gap junctions. , 2014, Investigative ophthalmology & visual science.

[38]  R. Wallace,et al.  Vitamin D status and early age-related macular degeneration in postmenopausal women. , 2011, Archives of ophthalmology.

[39]  A. Banker,et al.  Ocular Manifestations of Viral Diseases , 2010 .

[40]  H. Pols,et al.  Vitamin D , 1928, Calcified Tissue International.