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Aging Eyes Blamed For Seniors' Health Woes

Hugh Pickens writes "Scientists have looked for explanations as to why certain conditions occur with age, among them memory loss, slower reaction time, insomnia and even depression looking at such suspects as high cholesterol, obesity, heart disease and an inactive lifestyle. Now Laurie Tarkan writes that as eyes age, less and less sunlight gets through the lens to reach key cells in the retina that regulate the body's circadian rhythm, its internal clock that rallies the body to tackle the day's demands in the morning and slows it down at night, allowing the body to rest and repair. 'Evolution has built this beautiful timekeeping mechanism, but the clock is not absolutely perfect and needs to be nudged every day,' says Dr. David Berson, whose lab at Brown University studies how the eye communicates with the brain. Dr. Patricia Turner, an ophthalmologist who with her husband, Dr. Martin Mainster has written extensively about the effects of the aging eye on health, estimate that by age 45, the photoreceptors of the average adult receive just 50 percent of the light needed to fully stimulate the circadian system, by age 55, it dips to 37 percent, and by age 75, to a mere 17 percent and recommend that people should make an effort to expose themselves to bright sunlight or bright indoor lighting when they cannot get outdoors and have installed skylights and extra fluorescent lights in their own offices to help offset the aging of their own eyes. 'In modern society, most of the time we live in a controlled environment under artificial lights, which are 1,000 to 10,000 times dimmer than sunlight and the wrong part of the spectrum,' says Turner. 'We believe the effect is huge and that it's just beginning to be recognized as a problem.'"

33 of 149 comments (clear)

  1. Basement lighting by Anonymous Coward · · Score: 5, Funny

    I usually keep the lights here in the basement off.

    1. Re:Basement lighting by UnknowingFool · · Score: 2

      Did you read the summary much less the article or the study? The amount of light assists in the body's internal clock. The amount of light is not the only regulator and her research has never indicated what you proscribe to it. It may be a factor and worth some more research. Your personal anecdote is just that, a personal anecdote. That's like saying your uncle was a two-a-pack smoker; he didn't die of cancer so all the studies linking smoking to cancer from these "biologists" and "doctors" are hogwash.

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    2. Re:Basement lighting by sjames · · Score: 2

      It only takes one eye being stimulated to reset the clock, so a cataracts in one eye shouldn't have a lot of effect.

      The question of those born blind and with disease of the retinas does need to be answered. Of course, a lot of blind people do retain some residual awareness of light and dark and still others might have an in-tact pathway to the SCM while having no conscious awareness of it.

    3. Re:Basement lighting by godel_56 · · Score: 5, Informative

      The question of those born blind and with disease of the retinas does need to be answered. Of course, a lot of blind people do retain some residual awareness of light and dark and still others might have an in-tact pathway to the SCM while having no conscious awareness of it.

      Total blindness certainly DOES cause disruptions of body circadian rhythms. Just Google "blindness circadian" and get an eyeful.

      www.ncbi.nlm.nih.gov/pubmed/10085469

      www.nejm.org/doi/full/10.1056/NEJM200010123431503

      jcem.endojournals.org/content/75/1/127

      Those above are just a few of the available references.

  2. Does staring at a Computer Screen all day count? by na1led · · Score: 3, Funny

    What are the effects of too much exposure to light? Should I use a screen filter for my monitor?

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  3. another reason to get cholsterol under control by circletimessquare · · Score: 2
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  4. what about the blind? by j2.718ff · · Score: 2

    I wonder, do the blind have the same "health woes" when aging as the sighted?

    1. Re:what about the blind? by Maximum+Prophet · · Score: 3, Interesting

      "Life expectancy of the blind is usually less than half that of someone with eyesight the same age."

      That's according to http://www.cureblindness.org/world-blindness/ which probably includes lots of accidents which are non-health related deaths. (Wow, there's a concept. He's dead, but a *healthy* sort of dead.)

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    2. Re:what about the blind? by Anonymous Coward · · Score: 2, Funny

      (Wow, there's a concept. He's dead, but a *healthy* sort of dead.)

      Below the neck, he's perfectly healthy.
      What about above the neck?
      Perfectly healthy there too.
      So why is he dead?
      My guess is that the two perfectly healthy parts don't work quite as well when they're on different sides of the room.
      Oh.

    3. Re:what about the blind? by iggymanz · · Score: 2

      that's because the blind are a gift to Shal-Hulud

    4. Re:what about the blind? by turtledawn · · Score: 2

      Many non-photosensitive congenitally blind people have what is called non-24 hour sleep-wake disorder, where their circadian rhythm is basically free floating. Blind people who are still photosensitive have lower incidence of this disorder, as long as they get some light each day (preferably morning sunlight).

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  5. Cataract Surgery by wisebabo · · Score: 4, Interesting

    I believe the article mentions that cataract surgery will fix this problem, allowing the full amount of light (in the correct part of the spectrum) back in. (In fact, as a recent slashdot story mentioned, it sometimes allows you to see in the UV!).

    I wonder if people will choose to have cataract surgery done even if they have no cataracts. My mom was recently evaluated for the surgery, evidently it's a (relatively) simple procedure; the patient goes home the same day and only has mild discomfort for a few days.

    Hi Carl!

    1. Re:Cataract Surgery by Anonymous Coward · · Score: 2, Interesting

      My mom had cataract surgery done and was shocked at how much brighter the world was. While they were at it they fixed her vision so she only really needed reading glasses. She was used to wearing bifocals at all times. This totally screwed her up for about a year. Her vision was one way for 60+ years (well aside from the gradual changes over time) and suddenly was completely different. She actually hated it at the time. The plus side was that her seasonal depression went away. Now that she is used to the change it does not bother her and she is actually much happier.

    2. Re:Cataract Surgery by mcgrew · · Score: 2

      I wonder if people will choose to have cataract surgery done even if they have no cataracts.

      Actually, they already do. "Cataract surgery" is an amputation; your eye's lens is removed and replaced with an artificial one. The newest one can even focus, as it sits on struts inside the lens capsule. These will not only cure cataracts, but nearsightedness, farsightedness (even age-related), and astigmatism.

      I wore thick glasses all my life until steroid eye drops gave me a cataract in my left eye. Now I wear no corrective lenses at all, not even reading glasses, and I'll be 60 in a couple of months.

      If you have the cash you can get the surgery without having cataracts. It's painless (I had no discomfort at all and could read the clock on the wall of the recovery room) but it does kind of freak you out when they stick that needle in your eye.

  6. Re:Does staring at a Computer Screen all day count by MozeeToby · · Score: 5, Interesting

    It wouldn't be a bad idea, but honestly if you had a problem you'd know it by now, take it from someone with a circadian rhythm disorder. During my bad spells I have every symptom of an 80 year old man; lack of concentration, poor memory, poor reaction time, moodiness and anger, physical exhaustion, and of course extreme drowsiness. And that's even if I manage to get a decent 6 hours of sleep, when your body is determined that it is time to sleep it does not appreciate being kept awake. You can push through it for a day or two, maybe a week with enough willpower, but 3 weeks into a stretch where your body thinks that 5AM to 1PM is the perfect time to sleep when family, work, and friends all think differently... well... yeah... you'd know if you had circadian rhythm problems.

  7. Re:I always thought it was the other way around... by Hatta · · Score: 2

    Same for vision, while I do notice in the dark...that the exact center spot of my eye, blocks the weakest of light

    It's not quite "blocking" the light. The center of your eye has the highest concentration of cones, which are optimized for colors and bright light. It also has the lowest concentration of rods, which are optimized for dim light of any color.

    So it's not that there's anything blocking dim light in the center of your eyes. It's that there just aren't sensitive light detectors in that area.

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  8. Re:Does staring at a Computer Screen all day count by Sevalecan · · Score: 5, Interesting

    I actually have a circadian rhythm disorder myself. Between 2005 and 2010 my sleep 'schedule' would go around the clock fully over a period of every 1-2 weeks. So, part of the time I was up during only the night, sometimes in between, sometimes during normal parts of the day. I have a greater than 24-hour sleep cycle naturally it would seem. However, I've been maintaining a pretty normal schedule for 1.5 years now. I started using sublingual 2.5mg melatonin lozenges after my sister told me about them. It totally did the trick in my case.

    Of course, more relevant to the article, there are lamps you can also buy for bright light therapy. I actually just got myself one about 11 days ago. It can take up to a few weeks to have an effect, and I think I've finally started to feel a measurable effect over the past 3 days, but I'll see how it goes before I make a final determination. According to what I've read, it can help with circadian rhythm disorders, but I personally bought it for the antidepressant effect. Perhaps I'll be able to switch over to using only the light, which would be pretty neat. But I wouldn't complain if I still had to use melatonin.

  9. It's simpler than that.... by John+Murdoch · · Score: 5, Informative

    I had cataract surgery in my left eye (which is the dominant eye) four years ago, at age 49. I had cataract surgery in the right eye 18 months later.

    Simply put--as your eyes cloud over, your brain has to work substantially harder to compensate. Your brain has to decipher blurred vision, compensate for the "halo" effect cataracts give you around bright lights (the reason why older people don't drive at night is the halo effect of oncoming headlights--completely blinding them).

    All of that changes with cataract surgery--you don't just see better. (And you see MUCH better--if you wore corrective lenses beforehand they implant a custom-fit lens that corrects your vision to 20/20 or better.) All of the "clock cycles" that your brain was devoting to countering the effects of cataracts (even things like keeping your balance) are all of a sudden freed up. The change is dramatic--it really is life-transforming.

    My mother-in-law is 90--she had cataract surgery last fall. Last summer, before the surgery, her daughters were wondering about "what are we going to do about Mom"--at the time I suggested that they wait till after the cataract surgery; I was sure it would have a big impact. Boy, did it--my mother-in-law is active, alert, far more capable, and busy with plans for an expanded vegetable garden this summer.

    Until you go through the experience, you can't really understand how much effort your brain puts into interpreting what you see. The impact of cataract surgery is unbelievable.

  10. Correlation with the Move to AZ and FL? by Anonymous Coward · · Score: 5, Interesting

    Is there any psychological correlation with this phenomena and the desire to move to the brighter sunnier states - like Arizona and Florida - when one hits 75?

  11. Re:I always thought it was the other way around... by Samantha+Wright · · Score: 4, Informative

    I have some good news for you: everyone is blind in the middle of their field of vision in a dark environment. The centre of the retina is extremely crowded with bright-light/colour vision cones, which is what gives us our excellent ability to see detail. There's just no room for rods left over, so we get a dark spot in our night vision instead.

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  12. Re:Does staring at a Computer Screen all day count by Sponge+Bath · · Score: 4, Funny

    What are the effects of too much exposure to light?

    Combustion.

  13. Re:Does staring at a Computer Screen all day count by Venner · · Score: 4, Informative

    Cataracts are one possible effect; clouding of the lens due to exposure to bands of UV light. Certain medication can also contribute to the effects of light on the eye, but the common one that many people use without knowing the potential effect is St. John's Wort.

    I'm profoundly affected by the shortened (and usually sunless) days beginning in the fall, through the awful winter, and into the spring. (I'm self-diagnosing, but I'd say it qualifies as SAD.) I've used St. John's Wort in the winter months with a reasonable degree of success, but I think adding bright light to my work area helped a lot more. As in, four 300W fluorescent bulbs.

    Much to my chagrin, however, I learned that St. John's Wort and Bright Light don't Mix.

    Cataracts are (generally) easily treated, thankfully, but that might not be the extent of the possible effect. And I don't particularly want cataracts before I hit 40.

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  14. Re:Does staring at a Computer Screen all day count by durrr · · Score: 2

    Melatonin is considered a supplment in some parts of the world, and prescription drug in others. If considered a supplement where you live, go to the pharmacy and pick up ~1mg pills, should do the trick(effective dose is something like 0,1mg)

  15. Re:Does staring at a Computer Screen all day count by Sevalecan · · Score: 3, Interesting

    I use the Nature's Way Sublingual Melatonin in the 2.5mg potency. You can order it on Amazon, if you prefer. They also come in other forms where you just swallow them, but then you tend to have to take them a few hours before you go to bed, whereas you can take the lozenge closer or at the time you intend to go to sleep.

    Disclaimer: I'm no doctor of course, but I'm told it's perfectly safe. I actually know of 3 people other than myself that use it without issues. I've also heard that if you take much more than 2 mg it can lessen the effect, but I've had no issues with the 2.5 mg lozenges.

    Interesting tidbit: I just did the math. I used to sleep for 9.5-10 hours, and then was awake for 16. That would make my sleep cycle around 25.5-26 hours.

  16. Re:I always thought it was the other way around... by Opyros · · Score: 3, Informative

    Apparently, there is a third type of receptor which mattters a great deal to the circadian rhythm.

  17. Re:The Olde' Eyes by hardie · · Score: 2

    If you think they're dim, buy a brighter bulb. Dim isn't the fault of the bulb technology.
    You can even get different color temperatures. The 5000K ones are pretty nice.

  18. Floaters by ThatsNotPudding · · Score: 2

    I just hope someone is working on 'floaters' in eyes as well; I have one already before the age of 50 and was told by an opthamologist nothing can be done about them.

    1. Re:Floaters by MindPrison · · Score: 2

      Argh...I hate floaters... I've had them since I was about 25. Now I'm around 40 and STILL have them, one of them got firmly stuck in the middle (focus center) and was in focus all the time, like a pearl-threaded-snake-necklace or something, vigorously shaking my eyes every day for nearly 2 years, finally "shook" it lose, so it's just floating around like the other floaters now.

      But you can "program" your brain to ignore the floaters, that's what I have done, it works...just sort of tell yourself to completely ignore them, and try to avert focusing in on them, but look at other spots in the room, monitor, outside etc. After practicing, the floaters goes away, yes...they're still there...but training helps the brain totally wipe them out "mentally". Weird...yes, but it works.

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  19. Poor summary by Angostura · · Score: 3, Informative

    From the original abstract: " A 45-year-old adult retains only half the circadian photoreception of early youth" which the summary translates into: "by age 45, the photoreceptors of the average adult receive just 50 percent of the light needed to fully stimulate the circadian system".

    Sigh.

  20. Cholesterol is a distraction by nido · · Score: 2

    One of the reasons bodies make LDL cholesterol is to make pregnenolone. Pregnenolone gets turned into Progesterone or DHEA. Progesterone becomes Cortisol; DHEA becomes Testosterone, which gets turned into estrogen. Wikipedia has a nice flow chart somewhere... Progestogens, I think.

    If the cholesterol -> pregnenolone conversion isn't working very well (because of hypothyroidism, or a lack of required vitamins), the liver pumps out more "base material" [LDL cholesterol] with the hope that more of the needed hormones will be produced.

    Cloudy eyes has to do with a loss of order in the lens' proteins, possibly due to low energy (hypothyroidism). It's sorta like how a clear egg white turns white when it's cooked - the proteins lose order with the application of heat.

    Two asides: Knee-capping the body's hormone system via Lipitor/Crestor is a crime against physiology. My father refuses to take Lipitor because he sees what it does to his patients. Mom goes along with what her doctor says, and figures her lack of energy is just "normal aging".

    Chemical birth control (the ones that use prescription hormone disruptors) also interferes with the progesterone -> cortisol pathway, but doesn't much touch the DHEA->Testosterone->Estrogen pathway. Which leads to women having too much testosterone and estrogen in their bodies. The transformation takes a couple decades. My first post in that series isn't quite finished. Soon, though. :^)

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  21. Re:Does staring at a Computer Screen all day count by Phat_Tony · · Score: 5, Interesting

    Everybody in this thread - The natural 25-26 hour schedule is completely normal for most diurnal mammals. They've done research with humans giving them NO time queues for days, and it turns out EVERYBODY falls into a slightly over 24-hour schedule.

    The conclusion here is that our chemical engines are too imprecise for us to evolve a dead-on circadian cycle. So instead evolution gave us an unaided circadian cycle that's calibrated with a mean of about 25 hours, so that people with a naturally extremely short cycle are still just over 24 hours, and it goes up from there. Then we get a natural reset cue to adjust the cycle every day to keep it in sync with the world. The primary component of the reset signal is sunlight exposure in the morning. If you get up at a reasonable time (near or after sunrise) and GET OUTDOORS for about 15 minutes, then you will feel like going to bed at the right time to get enough sleep and want to get up at about the same time the next day. We and our ancestors spent tens of millions of years with no choice but to receive natural light in the morning, so it was a pretty good system before we evolved to live in our parent's basements and stare at little screens all day.

    I suffer big time from this - every day I want to stay up and get up about an hour or so later than I did the day before - but not if I'm spending much time outdoors, especially in the morning. When I'm backpacking, wholly cow do I just want to go to bed when it gets dark, and get up just after sunrise. If we spent the day exercising outdoors like evolution intended, we wouldn't have this problem... but good luck being able to/wanting to do that all the time. But if you just drag yourself out of bed and take a 15 minute walk outdoors, even if it's cloudy or right around sunrise, problem solved. It does get tricky if you have to be at work before sunrise. Or if you work night shift (which I did for about 2 years) you're just *'ed.

    I think the light exposure causes melanin production on about a 14 hour delay, making us want top go to sleep about 16 hours after exposure. This is why melanin supplements near bedtime are somewhat functional as a surrogate for actual light exposure in the morning.

    Or as an alternate solution, since the day gets longer by about 1.7 milliseconds per century, by my calculations you could just wait about 200 million years for the earth to get in sync with your natural clock.

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  22. Switch to LED light bulbs by Jeff1946 · · Score: 2

    White leds are actually blue leds with a phosphor to down convert some of the blue to yellow and red. If you look at the spectrum of white leds (go the Cree web site) you will see there is a peak in the blue part of the spectrum, particularly with the "cooler white" versions which should be helpful as a daytime light for folks who have a problem with their circadian rhythms.

  23. Re:Does staring at a Computer Screen all day count by MisterSquid · · Score: 2

    When I'm backpacking, wholly cow do I just want to go to bed when it gets dark, and get up just after sunrise.

    Just watch out for the rascals who sneak up in the middle of the night to tip you over.

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