Macular Degeneration Treatment, Macular Degeneration Vitamins & Retina Care in Ocala, Gainesville, The Villages and Clearwater

Macular Degeneration Treatment, Macular Degeneration Vitamins & Retina Care in Ocala, Gainesville, The Villages and Clearwater

Macular degeneration research at Lange Eye Care in Ocala, Florida, is using the latest in nutrition and vitamins for macular degeneration.

Topcon® 3D OCT - New Technology at Lange Eye Care
Topcon® 3D OCT, a new technology at Lange Eye Care. The New Topcon OCT enables the doctors at Lange Eye Care to have the most advanced diagnostic technology to aid them in making the most accurate and early diagnosis of diseases of the eye. This technology will help to detect vision threatening diseases much earlier and thus initiate treatment earlier for a better visual outcome.

If you are looking for the very latest in macular degeneration treatment and macular degeneration surgery, Lange Eye Care in Ocala and Gainesville may be what you are looking for. Ocala retina care and Gainesville retina care has many different options. If you have macular degeneration, think very carefully where you want to go.

What is Macular Degeneration?

What is macular degeneration? Macular degeneration is the leading cause of vision impairment and legal blindness in the United States after the age of 55. Much of this progressive vision loss is unnecessary! The typical American is eating a diet that is convenient and quick. These foods are high in omega six, low in omega three, high in saturated fat, high in sugar, high in salt and overly processed and preserved. Americans are rapidly becoming an obese nation due to their poor dietary habits and sedimentary lifestyle. The foods are nutrient depleted and therefore the vast majority of the population is becoming sluggish and tired with no energy and as a result is becoming over weight. Obesity is a cause for many systemic diseases like high blood pressure, diabetes, elevated cholesterol, elevated triglycerides, elevated homocystein and elevated C-reactive protein. All of these are modifiable risk factors for macular degeneration.

Dry Macular Degeneration Treatment in Ocala, Gainesville, The Villages

Patients with macular degeneration need to see a doctor that is in tune with the latest in nutrition that will help their patient become proactive in their current and future health. Many patients when counseled on proper nutrition and lifestyle adjustments can actually slow down the degenerative aspects of macular degeneration. Dry macular degeneration treatment now consists of eye vitamins, lifestyle and dietary adjustments. The combinations of these three are considered treatment for dry macular degeneration.

Nutritional Retina Care in Ocala

Fourier Domain OCT – Optical Coherence Tomography. This new technology commonly known as Fourier Domain OCT or Spectral Domain OCT makes it possible to visualize large areas of the retina, significantly enhancing OCT’s diagnostic utility. Lange Eye Care is the only optical group to have this technology in the five county radius.

Lange Eye Care has doctors on staff who are in tune with all the latest in nutritional intervention and lifestyle modifications for macular degeneration. Many of the doctors at Lange Eye Care are involved in macular degeneration research using the latest in proper nutrition and vitamins for macular degeneration. Nutritional retina care in Ocala is an area that Dr. Lange and his staff of optometrists and ophthalmologists are involved in. Dr. Lange states, “I have also seen many patients actually improve when their diet, supplements and lifestyles are adjusted.”

New Treatment for Macular Degeneration

It takes discipline for a patient to follow the appropriate dietary and lifestyle modification plan. Dr. Lange likes to start out with a complete nutritional blood test (SpectraCell) that looks at all blood chemistries and also looks for any nutritional deficiency a patient may have. He also likes to get a vitamin D, 25-OH blood test and an omega-3 /omega-6 blood test. The combination of these tests will enable the doctor to develop a customized nutrition plan that is individualized for each patient based on scientific objective data. If the patient is put on a proper diet and/or supplement plan many of their nutritional deficiencies will resolve. This is crucial for great retina care in Ocala, Dr. Lange asserts. These nutritional deficiencies are corrected, then systemic health issues that are risks for macular degeneration may start to resolve. The staff at Lange Eye Care and Dr. Michael Lange have been using this philosophy for many years with great success when dealing with macular degeneration patients in Ocala and Gainesville.

Macular Degeneration Vitamins

Omega-3, B-12, glutathione and vitamin D-3 deficiencies are quite prevalent in the macular degeneration population in the Ocala and Gainesville areas. All four of these deficiencies are modifiable risk factors that can be changed very quickly with proper diet and supplements without using medication. Once these deficiencies are corrected we see pro inflammatory omega-6, arachidonic acid and C-reactive protein levels improving. Many patients will also notice an improvement in their cholesterol, homocystein and triglycerides once these nutritional deficiencies are eliminated. When the nutritional deficiencies start to resolve the patient will have more energy and a better sense of well being. These improvements will enable them to start a more vigorous exercise routine of both cardio and weight bearing exercises that will improve circulation to the eye and entire body and aid in this nutritional rehabilitation.

Sleep Deprivation, Inflammation and Stress

One more very important part to the equation for macular degeneration patients is proper amount of sleep. Sleep deprivation is another cause of inflammation and the build up of a stress hormone called cortisol in the body. “The proper amount of sleep combined with nutritional rehabilitation is very powerful at quelling the fires of inflammation in the body,” says Dr. Michael Lange, optometrist and nutrition specialist with Lange Eye Care. Proper nutrition, exercise and proper sleep act synergistically at promoting good overall health and good ocular health. These combinations can be considered a form of treatment for macular degeneration. Dr. Lange states, “Macular degeneration treatment doesn’t always entail medications, injections and surgery.”

Vitamins for Macular Degeneration

Vitamins for macular degeneration are becoming mainstream and treatment of choice for the dry form of macular degeneration. Eye vitamins should be recommended by the doctor once a diagnosis of macular degeneration is made. The eye care provider needs to work very closely with the patient’s primary care physician, internist and cardiologist to complete the team approach of total health care for each patient. The eye is the window to the body and only the optometrist or ophthalmologist is trained at looking carefully at the structures inside the eye. The optometrist and ophthalmologist can look at the vascular and nerve networks in the eye and see how systemic disease, medication and diet can have profound effects.

Macular Degeneration Research

The Lange Eye Institute in The Villages, Florida

So who better than your eye doctor to help you to plan a total program for you to combat against free radical damage in the eye and body? Lange Eye Care and Associates was one of the first eye care centers in the country to utilize the very latest in intracellular nutritional blood analysis and genetic testing to help macular degeneration patients. Dr. Michael Lange and many of the doctors on staff at Lange Eye Care are involved in nutritional studies using the latest in nutritional rehabilitation for macular degeneration patients. Patients with retinal disease travel from hundreds and thousands of miles away to come to The Lange Eye Institute in The Villages, Florida, for the latest in nutrition for macular degeneration. Ocala, Florida, is the home of Lange Eye Care, and this is where this form of prevention for macular degeneration began. Patients with macular degeneration have been going to Lange Eye Care for almost twenty years to gain valuable insight into the very latest in macular degeneration treatment in Ocala, The Villages or Gainesville.

Providing Expert Retina Care in Ocala, Gainesville, The Villages and All Surrounding Areas

Whether the need is nutritional, medical or surgical, the experts in retina care in Ocala at Lange Eye Care are available seven days a week. Dr. Michael Lange started his first eye care center in Ocala, Florida, in March 1993 and his nutrition based philosophy has taken Lange Eye Care to nine locations in Florida and is now one of the largest privately owned eye care centers in Florida. Retina care in Ocala, Gainesville, The Villages and all surrounding areas is something Lange Eye Care takes seriously. “You only have one set of eyes, so take care of them,” is Dr. Lange’s philosophy.

“Ask the Doctor”

Dr. Michael Lange is an endless crusader when it comes to educating the public as well as doctors. He can be heard daily on his syndicated talk show dispensing valuable information about eye health and total body health on “Ask the Doctor,” a popular talk show he has been hosting since 1993. He is also an avid lecturer to the public as well as to doctors at conferences; he is involved in many clinical studies utilizing the latest in technology to help the macular degeneration patients.

Early Detection of Macular Degeneration

All of the Lange Eye Care locations offer the most advanced technology to diagnose, follow and treat macular degeneration patients. This technology allows for very careful and accurate observation of retinal health. The key with macular degeneration is early detection. Once macular degeneration is detected then the appropriate customized plan can be developed for each patient. If you are looking for doctors that are trained in the very latest in prevention and treatment for macular degeneration in Ocala, Gainesville, The Villages, Williston, Inverness, Summerfield, Clearwater or surrounding areas come to one of the many Lange Eye Care locations.

Macular degeneration treatment in Ocala and retina care in Ocala is on SR 200 across from the Paddock Mall at Lange Eye Care Ocala. All of the newest technology for retina care in Ocala is available in both Ocala locations, the main office across from the mall and the West Ocala office in Triple Crown Plaza next to Oak Run. If you want to know about the very latest in macular degeneration treatment in Ocala then come to Lange Eye Care. Call 352 237 3768 or go to www.drmichaellange.com, or www.langeyecare.com.

Eye Vitamins for Macular Degeneration

Fortifeye 3 products Fortifeye™ and the ABCs of Ocular Nutrition

Dr. Michael Lange is also the founder and lead researcher for Fortifeye Vitamins, www.fortifeye.com. Fortifeye Vitamins is involved in the latest nutritional research for macular degeneration. Fortifeye Vitamins and Dr Michael Lange are utilizing the latest in intracellular blood studies to develop better and more bio-available vitamins for macular degeneration. Currently Fortifeye Macular Defense is being used by thousands of doctors and patients in an effort to slow down the visually devastating effects of macular degeneration. Patients can come to any Lange Eye Care location in Florida or call toll free 1 866 503 9746 to order one of the Fortifeye formulations.

Why wait? Call for an appointment for your macular degeneration treatment today!

Lange Eye Care Locations

Gainesville Office
Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622

Ocala Office
Lange Eye Care and Associates
3101 SW College Road
Ocala, Florida 34474
Phone: 352-237-3768

Triple Crown Plaza Office
Lange Eye Care and Associates
11100 SW 93rd Court Road
Suite 15
Ocala, Florida 34481
Phone: 352-291-2000

Summerfield Office
Lange Eye Care Vision Outlet Center
Unit #604 Highway 441S
Summerfield, Florida
Phone: 352-307-3273

Inverness Office
Lange Eye Care and Associates
3808 E. Gulf to Lake Highway
Inverness, FL 34453
Phone: 352-344-5110

Clearwater Offices
Lange Eye Care Optical Gallery & LASIK Center
23666 U. S. Highway 19 North
Clearwater, FL 33765
Phone: 727-791-1214

Lange Sun and Nutrition Center
2551 Drew Street
Suite 302
Clearwater, FL 33765
Phone: 727-216-6275

Williston Office
Lange Eye Care And Associates
129 S. W. 7th Street
Williston, FL 32696
Phone: 352-528-0433

The Villages Office
Lange Eye Institute
466 and CR101
The Villages, Florida
Phone: 352-753-4014

 

 

 

 

Map and Directions


View Larger Map

 

More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

 

 

 

Order Fortifeye™ vitamins by clicking below:

 

Fortifeye Complete Plus | Click To Order
Fortifeye Complete Plus | Click To Order
Fortifeye™ Complete Plus

Fortifeye™ Complete Plus is an advanced formulation based on the latest clinical studies. It is a combination of synergistically blended whole foods, phytonutients, vitamins, minerals, enzymes and essential fatty acids. When combined with proper diet, exercise and a healthy life style Fortifeye™ Complete Plus lays the foundation for good eye and total body health.

Dosage: 2 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 2 tablets and 1 softgel
Best price on the Internet! $50.00
Fortifeye Complete Plus | Click To Order

Fortifeye Super Omega-3 Fish Oil | Click To Order
Fortifeye Super Omega-3 Fish Oil
Fortifeye™ Super Omega 3 Fish Oil

Fortifeye™ Super Omega-3 Fish Oil is the newest, most concentrated and purified Omega Three Fish Oil by Fortifeye™
Features: Natural Triglyceride Form • Molecularly Distilled for Maximum Purity • High Potency/Triple Strength • Natural Orange/ Lemon Flavor • Pharmaceutical Grade • Superior taste • No unpleasant odor • Unsurpassed purity (Triple Molecular distillation) • Produced in Norway in the world’s only NSF, GMP certified Omega 3 production facility
Promotes: Heart Health • Brain Health • Eye Health • Joint Health • Circulation • Good Blood Pressure • Healthy Cholesterol • Improved Triglycerides • Skin, Hair & Nail Health • Mental & Cognitive Health

Take Fortifeye™ Super Omega-3 in conjunction with Fortifeye™ Complete Plus for more intensive nutritional therapy.

Dosage: 2 softgels/day
60 softgels/bottle
Best price on the Internet! $25.00
Fortifeye Super Omega-3 Fish Oil | Click To Order

Fortifeye FOCUS | Click To Order
Fortifeye FOCUS | Click To Order
Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

Dosage: 1 softgel per day
30 softgels per bottle.
Best price on the Internet! $25.00
Fortifeye FOCUS | Click To Order

Fortifeye Complete One-A-Day | Click To Order
Fortifeye Complete One-A-Day | Click To Order
Fortifeye™ Complete
One-A-Day Multivitamin

Fortifeye™ Complete One-A-Day is a powerhouse combination of 50 total body and vision specific nutrients all combined into one USP certified tablet. Fortifeye™ Complete One-A-Day multivitamin has been created by doctors who understand that quality counts. Fortifeye™ Complete One-A-Day can be used alone or in combination with Fortifeye™ Super Omega 3 Fish Oil or Fortifeye™ Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Dosage: 1 tablet per day
30 tablets per bottle.
Best price on the Internet! $25.00
Fortifeye Complete One-A-Day | Click To Order

Fortifeye Complete Macular Defense | Click To Order
Fortifeye Macular Defense
Fortifeye™ Complete Macular Defense

Fortifeye™ Complete Macular Defense vitamins are the newest, most advanced nutraceuticals for your eyes and body, which provide purified Natural Triglyceride omega three fish oil, along with lutein and zeaxanthin for vision support. This formula provides the equivalent in antioxidant power to 15-17 servings of fruits and vegetables a day, 30 mg of lutein and 4.75 mg of zeaxanthin.

Dosage: 3 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 3 tablets and 1 softgel
Best price on the Internet! $70.00
Fortifeye Complete Macular Defense | Click To Order

 

 

All Fortifeye products are produced in a GMP, FDA and NNFA inspected facility that supplies products to the nutraceutical industry. Fortifeye is also approved by the Therapeutics Goods Association, the leading regulatory authority for nutraceuticals world wide and by NSF.

 

 

Gainesville Contact Lenses

Gainesville contact lenses of all kinds at Lange Eye Care

Lange Eye Care carries the best selection of Gainesville contact lenses. Learn how to buy colored contacts, where to get contact lenses in Gainesville, where to buy contacts in Gainesville, contact lenses in Gainesville, contacts fitting, and how to get colored contacts. Dr. Michael Lange optometrist eye doctor at Lange Eye Care Gainesville is a contact lens store offering contacts fitting exams for prescription contact lenses of all types.

Get contact lenses from Dr. Michael Lange and staff at Lange Eye Care GainesvilleMany people will wonder where to buy contact lenses in Gainesville. First off, you want to get Gainesville contact lenses at an optometrist office that has been in business for many years and is well known as a licensed contact lens store in Gainesville. Contact lenses are medical devices and must be taken seriously since there are potential problems that can arise if not fit or worn correctly.

Gainesville’s contact lens store

These days, people are interested in colored contact lenses. In Gainesville, Lange Eye Care has the largest supply of contact lenses in stock and 98% of all patients will be able to leave from their initial visit with their contacts. Gainesville, Florida, is the second location of the Lange Eye Care and Associates group of nine contact lens centers in Florida. Dr. Michael Lange, founder of Lange Eye Care, saw a need for a Gainesville contact lens store. In 1994 Dr. Lange opened the most advanced contact lens center in Gainesville. Contact lenses became the main focus in this new center. All of the latest technology to enable the doctors to determine what contact lens will fit the best is in the office in Gainesville. Colored contacts have become very popular among the students in Gainesville. Lange Eye Care has all of the different colors available to try on while in Gainesville. Contacts fitting can be done the same day as your routine eye exam so you can leave with your colored contacts. In Gainesville, contact lenses are a Lange Eye Care specialty.

Where can I buy contacts in Gainesville?

Buy contact lenses at Lange Eye Care, the contact lens expertsPeople new to Gainesville will often wonder, “Where can I buy contacts”? In Gainesville, contacts are what Lange Eye Care is known to specialize in. If you are looking for highly trained doctors that will be able to fit you in any type of contact lens correctly, come to Lange Eye Care in Gainesville. Contacts exam can usually be done as a walk in, however it is always advisable to have an appointment. Lange Eye Care Gainesville is open seven days a week and has early morning and late evening contact lens exams available.

Buy contact lenses at Lange Eye Care, the contact lens experts

If you have astigmatism, myopia, hyperopia or presbyopia and have the desire to wear contact lenses, see one of Dr. Lange’s contact lens experts in Gainesville. Contacts can improve visual performance dramatically and ultimately improve overall athletic ability. Lange Eye Care Gainesville has been fitting college and professional athletes in contact lenses for close to 20 years. Since Lange Eye Care is a private practice they can offer the contact lens wearer many benefits a commercial chain or warehouse club cannot.

Contact lenses and glasses package deal

Gainesville contact lenses at Lange Eye Care family eye care centerSo if you are still not sure where to get contact lenses in Gainesville, why not go to Lange Eye Care and see the great contact lenses and glasses packages they have to offer. Often times you may pay as little as $25 for a brand new pair of glasses when purchasing a year’s supply of contacts in Gainesville, at the Archer Road location of Lange Eye Care.

Where to buy contact lenses in Gainesville

Lange Eye Care also has many rebates of up to $100 in value when purchasing your annual supply of contacts. With an annual purchase of contacts at Lange Eye Care you will get the contacts rebates, generous supply of saline solution, free pair of non-prescription sunglasses or a compete frame and lens combination for only $25. When purchasing a year’s supply of contacts go to the contact lens experts that offer you that added value. Visit any Lange Eye Care location, or see the websites at www.LangeEyeCare.com and www.DrMichaelLange.com. For Gainesville contact lenses call 352 376-6622. Now you can save your friends and family some hard cash now that you know where to buy contact lenses in Gainesville.

Why wait? Call for your contact lens appointment today!

Gainesville Office

Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622
Hours: 8 a.m. – 8 p.m. seven days a week

Map and Directions


View Larger Map

 

More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

  

 

Order Fortifeye™ vitamins by clicking below:

 

Fortifeye Complete Plus | Click To Order
Fortifeye Complete Plus | Click To Order
Fortifeye™ Complete Plus

Fortifeye™ Complete Plus is an advanced formulation based on the latest clinical studies. It is a combination of synergistically blended whole foods, phytonutients, vitamins, minerals, enzymes and essential fatty acids. When combined with proper diet, exercise and a healthy life style Fortifeye™ Complete Plus lays the foundation for good eye and total body health.

Dosage: 2 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 2 tablets and 1 softgel
Best price on the Internet! $50.00
Fortifeye Complete Plus | Click To Order

Fortifeye Super Omega-3 Fish Oil | Click To Order
Fortifeye Super Omega-3 Fish Oil
Fortifeye™ Super Omega 3 Fish Oil

Fortifeye™ Super Omega-3 Fish Oil is the newest, most concentrated and purified Omega Three Fish Oil by Fortifeye™
Features: Natural Triglyceride Form • Molecularly Distilled for Maximum Purity • High Potency/Triple Strength • Natural Orange/ Lemon Flavor • Pharmaceutical Grade • Superior taste • No unpleasant odor • Unsurpassed purity (Triple Molecular distillation) • Produced in Norway in the world’s only NSF, GMP certified Omega 3 production facility
Promotes: Heart Health • Brain Health • Eye Health • Joint Health • Circulation • Good Blood Pressure • Healthy Cholesterol • Improved Triglycerides • Skin, Hair & Nail Health • Mental & Cognitive Health

Take Fortifeye™ Super Omega-3 in conjunction with Fortifeye™ Complete Plus for more intensive nutritional therapy.

Dosage: 2 softgels/day
60 softgels/bottle
Best price on the Internet! $25.00
Fortifeye Super Omega-3 Fish Oil | Click To Order

Fortifeye FOCUS | Click To Order
Fortifeye FOCUS | Click To Order
Fortifeye™ FOCUS

Fortifeye™ FOCUS is a combination of three carotenoids—astaxanthin, lutein and zeaxanthin. Clinical studies indicate that 6mg of astaxanthin reduces eye fatigue symptomology and actually improves amplitude of accommodation, the eye’s ability to focus clearly on objects at near distances. This new formulation was developed to help reduce accommodative stress due to prolonged working at a near focal length. Fortifeye FOCUS is recommended for individuals who experience eye fatigue with near point tasks or after prolonged work on a computer. Fortifeye FOCUS can be used alone or in combination with any of the Fortifeye™ Vitamins.

Dosage: 1 softgel per day
30 softgels per bottle.
Best price on the Internet! $25.00
Fortifeye FOCUS | Click To Order

Fortifeye Complete One-A-Day | Click To Order
Fortifeye Complete One-A-Day | Click To Order
Fortifeye™ Complete
One-A-Day Multivitamin

Fortifeye™ Complete One-A-Day is a powerhouse combination of 50 total body and vision specific nutrients all combined into one USP certified tablet. Fortifeye™ Complete One-A-Day multivitamin has been created by doctors who understand that quality counts. Fortifeye™ Complete One-A-Day can be used alone or in combination with Fortifeye™ Super Omega 3 Fish Oil or Fortifeye™ Dry Eye Therapy Extreme to combat against free radical damage in the eyes and body.

Dosage: 1 tablet per day
30 tablets per bottle.
Best price on the Internet! $25.00
Fortifeye Complete One-A-Day | Click To Order

Fortifeye Complete Macular Defense | Click To Order
Fortifeye Macular Defense
Fortifeye™ Complete Macular Defense

Fortifeye™ Complete Macular Defense vitamins are the newest, most advanced nutraceuticals for your eyes and body, which provide purified Natural Triglyceride omega three fish oil, along with lutein and zeaxanthin for vision support. This formula provides the equivalent in antioxidant power to 15-17 servings of fruits and vegetables a day, 30 mg of lutein and 4.75 mg of zeaxanthin.

Dosage: 3 tablets + 1 softgel/day
30 Packs per box. Each daily pack contains 3 tablets and 1 softgel
Best price on the Internet! $70.00
Fortifeye Complete Macular Defense | Click To Order

 

 

All Fortifeye products are produced in a GMP, FDA and NNFA inspected facility that supplies products to the nutraceutical industry. Fortifeye is also approved by the Therapeutics Goods Association, the leading regulatory authority for nutraceuticals world wide and by NSF.

 

 

Nutrition, Macular Pigments and AMD

The role of lutein and zeaxanthin supplements in nutrition, as discussed by leading optometrists, and their effects on macular degeneration and macular pigments. Taking lutein, zeaxanthin and dark green leafy vegetables such as spinach and kale can help with ocular nutrition. Caution is recommended for those with kidney stones or using blood thinners. Comments by Dr. Michael Lange OD CNS, certified nutrition specialist.

Increased levels of zeaxanthin and lutein can reduce the risk of AMD.
But just how much is needed and, how do we measure results?

Tara Rosenzweig, Contributing Editor for Optometric Management magazine

It’s commonly understood: Levels of the macular pigments lutein and zeaxanthin correlate to agerelated macular degeneration risk (AMD). So, as a measure of prevention, should optometrists recommend dietary and supplemental intake of these important nutrients — carotenoids that protect against phototoxic blue light and near-ultraviolet radiation and which are found naturally in the macula?

And if so:

How much of each is needed?
Should the nutrients come from food, supplements or a combination of both?
How can you determine the success of a supplement program? Should you consider the use of devices that measure the macular pigment optical density (MPOD)?

Here, experts on ocular nutrition and MPOD-measurement devices weigh in on these, among other common questions.

How much is enough?

It’s difficult for healthcare professionals and patients to know just how much lutein and zeaxanthin should be consumed on a daily basis. Supplements with lutein and zeaxanthin vary in nutrient content and packaging. For instance, they often accompany vitamins and nutrients, such as vitamins A, C, and E and zinc. And because no recommended daily intake for these nutrients exists, many O.D.s aren’t sure how much to recommend for optimal macular health benefits.

“In general, normal lutein/zeaxanthin supplements average in the 15 mg to 20 mg (range) for lutein and 2 mg to 4 mg for zeaxanthin,” says Jeffrey Anshel, O.D., F.A.A.O., president of the Ocular Nutrition Society. “Some supplement companies add more, but most of the science points to about these amounts.”

He adds the caveat: “Since lutein is sequestered in fat tissue, different patients may require different amounts.”

There’s no exact number, explains Paul S. Bernstein, M.D., Ph.D., Mary Boesche professor of Ophthalmology and Visual Sciences at Moran Eye Center at the University of Utah School of Medicine in Salt Lake City. “Based on epidemiology and studies on risk of macular degeneration, it’s generally come up somewhere between 6 mg and 10 mg [of each] a day. Those are the reasonable numbers.”

Dr. Bernstein and others say they hope that tests of 10 mg of lutein and 2 mg of zeaxanthin in the second Age Related Eye Disease Study (AREDS2) study will provide a definitive answer.

Michael Lange, O.D., C.N.S. (certified nutrition specialist), who owns Lange Eye Care and Associates in Florida and also founded Fortifeye Vitamins, recommends dosages by age and health status. For most patients, he says he advises 6 mg to 10 mg of lutein and 1 mg to 2 mg of zeaxanthin daily. But for patients with early-to-moderate AMD, he says he recommends 10 mg to 20 mg of lutein and 2 mg to 4 mg of zeaxanthin daily. For moderate-to-advanced AMD, he says he recommends 20 mg to 30 mg of lutein and 4 mg to 6 mg of zeaxanthin.

But are lutein and zeaxanthin equally important?

The answer is unknown, says Elizabeth Johnson, Ph.D., with the Carotenoids and Health Laboratory of the Jean Mayer United States Department of Agriculture (USDA) Human Nutrition Research Center on Aging at Tufts University in Boston. She points to interesting data.

“Work that we conducted here shows definitively that of the zeaxanthin in the retina, about half of that is actually derived from lutein,” she says.

From food or supplements?

Recommended dosages of the nutrients can be absorbed from food or supplements, but some experts say it’s unlikely many patients will derive lutein and zeaxanthin from diet alone.

Kimberly Reed, O.D., F.A.A.O., associate professor at the College of Optometry at Nova Southeastern University in Fort Lauderdale, Fla., and a member of the Nutrition Ocular Society’s board of directors, says sufficient amounts of the nutrients would be difficult to amass from the typical Western diet.

“This is where patient education is essential,” Dr. Reed says.

A look at quantities of lutein in foods sheds light on how difficult levels experts recommend may be to reach, she explains. While dark leafy greens, like spinach and kale, abound with lutein at 20.4 mg and 23.7 mg per cooked cup, respectively, other foods considered good lutein sources contain far less. For example, corn and green beans — consumed more often than spinach and kale — contain just 1.5 mg and 0.9 mg per cooked cup, which presents a recommended-dosage shortfall if dark leafy vegetables aren’t also consumed, according to the Lutein Information Bureau (www.luteininfo.com) and the USDA’s Nutrient Database.

Dr. Johnson adds that patients who can’t eat green leafy vegetables because they’re on blood thinners or have a propensity toward kidney stones may benefit from lutein and zeaxanthin supplements.

Dr. Lange says he also believes in starting with diet and supplementing only if necessary.

“I will … tell my patients who aren’t on blood thinners and do not have kidney stones or gout to eat one-half-to-one-cup of dark green leafy vegetables a day,” he says.

But, Dr. Lange explains that even people with specific lutein and zeaxanthin restrictions usually don’t obtain sufficient amounts of lutein and zeaxanthin from their daily diet. This may be particularly true for the elderly, who may have limited access to shopping outlets, he says. They may need supplements, which Lange recommends “as an insurance policy for anyone with AMD.”

When should patients start?

At what age should patients start taking lutein and zeaxanthin supplementation, either through diet or supplements? Some experts suggest that people who have low MPOD should begin supplementation in their 20s. Our experts weren’t so sure.

“We know that interventions for macular degeneration are important when people are in the middle stages of macular degeneration,” Dr. Bernstein says.

When it comes to younger people with a family history of AMD, it’s more difficult to make recommendations, he adds.

“Patients have to realize the data are not as strong if they’re in their 20s and 30s,” he says. “I, in my practice as a macular degeneration specialist, counsel them most importantly to achieve a good, healthy diet: dark green, leafy vegetables and orange and yellow fruits and vegetables.”

Dr. Johnson adds that younger patients are most at risk for light damage and should know the importance lutein- and zeaxanthin-rich foods.

“The younger people are those who have the clear lens, and that makes the retina more vulnerable to light damage from being outdoors more often,” she says.

Supplements: How far should O.D.s go?

Should O.D.s recommend, or sell, lutein and zeaxanthin supplements to patients? Our experts say, “Yes,” with care and diligence.

“I make recommendations on supplements … and have them available as a convenience — just like I do glasses and contact lenses,” Dr. Anshel says. “There are several factors that the doctor must consider when evaluating a nutritional supplement, including knowing the science behind the ingredients and having a company that is third-party GMP (Good Manufacturing Practices) certified.”

The decision to recommend or sell supplements largely depends on the O.D.’s personal preference, Dr. Reed says, stressing responsibility.

“Many optometrists prefer to avoid the ‘retail’ end of nutrition, while others have seamlessly incorporated this into their already successful retail business,” she says.

She cautions that it is paramount that optometrists who begin nutritional counseling or retailing, or both, be properly educated on the topics and remain up-to-date on nutrition and the eye.

Dr. Lange recommends offering patients a whole-body supplement with enough lutein/zeaxanthin, along with various other vitamins, minerals, wholefood complexes and omega-3 essential fatty acids.

“Lutein and zeaxanthin are only two pieces of the puzzle,” Dr. Lange says, adding that optometrists should take nutrition courses and consider becoming a certified nutrition specialist (CNS) for confidence in helping patients with nutrition.

Measuring results

Of the methods used to measure MPOD, optometrists are likely most familiar with commercially available heterochromatic flicker photometry (HFP) devices. The authors of a recent review article in Clinical and Experimental Optometry (September 2010) write that due to concerns regarding the repeatability of test results, they recommend clinicians exercise caution when considering these instruments to monitor MPOD in patients who are taking lutein and zeaxanthin supplements.

Dr. Bernstein agrees with this conclusion, noting that HFP is a subjective test that is difficult for many people, even well-trained professionals, to use. He adds that often the operator or patient is not trained adequately in these devices.

“If you don’t have proper training, you’re going to get results that don’t mean very much,” he says.

So, should optometrists purchase and use the HFP devices to assess MPOD in patients? Dr. Bernstein answers “yes,” “with a healthy dose of caution.” He encourages optometrists to try the devices to determine reproducibility in their practices.

The vendors of the HFP measuring devices may also be able to lend assistance in this area as they offer training on the devices.

Dr. Anshel recommends taking a scientific approach to the devices — the same approach you would take when considering the acquisition of any diagnostic device.

“Choosing a measuring device should be based on the doctor’s confidence in using the device to obtain scientific information about macular pigment and not just for ‘marketing’ a nutritional approach,” he says.

Other MPOD-measurement tools — currently available only for research — may become more widely available, says Dr. Bernstein. Methods that could hold promise include more image-based ones, such as autofluorescence, Raman spectroscopy, and reflectometry.

Dr. Reed says clinicians also need to understand the limits of MPOD testing.

“MPOD testing is really measuring the levels of lutein and zeaxanthin in the macula, and we need to use caution when making the leap between macular pigment and AMD,” she says. “Certainly there is a strong association, but it may not be quite as linear as it would initially appear to be.”

Dr. Lange says he uses a blood test to see concentration in ug/l of lutein and zeaxanthin to help determine what dietary and supplement adjustments a patient needs.

Dr. Anshel raises another point in measuring these carotenoids: “Since lutein is sequestered in fat tissue, patient body mass index might be a factor in how much lutein is actually transferred to the eye.”

He adds that conversion of lutein to meso-zeaxanthin may also be an issue.

“Meso-zeaxanthin is converted from lutein by an enzyme, which needs to be present,” he says. “While we assume that it is, we have no way of being certain. This is relatively new science, so establishing a baseline might take more time.”

The bottom line: Be careful, and be educated

While the science is new and more research is needed, those interviewed for this article agree that with the proper education, optometrists can counsel patients on the relationship between nutrition and supplements, AMD and other eye diseases. An O.D.’s recommendation may also improve the overall care of the patient.

Says Dr. Lange: “I see it every day in clinical practice where we have made dietary and supplemental recommendations, and patients’ ocular health and overall health can improve dramatically.”

This article was originally published in the December 2010 issue of Optometric Management Magazine.

 

Lange Eye Care Locations

Gainesville Office
Lange Eye Care and Associates
3968 SW Archer Road W101
Gainesville, Florida 32608
Phone: 352-376-6622

Ocala Office
Lange Eye Care and Associates
3101 SW College Road
Ocala, Florida 34474
Phone: 352-237-3768

Triple Crown Plaza Office
Lange Eye Care and Associates
11100 SW 93rd Court Road
Suite 15
Ocala, Florida 34481
Phone: 352-291-2000

Summerfield Office
Lange Eye Care Vision Outlet Center
Unit #604 Highway 441S
Summerfield, Florida
Phone: 352-307-3273

Inverness Office
Lange Eye Care and Associates
3808 E. Gulf to Lake Highway
Inverness, FL 34453
Phone: 352-344-5110

Clearwater Offices
Lange Eye Care Optical Gallery & LASIK Center
23666 U. S. Highway 19 North
Clearwater, FL 33765
Phone: 727-791-1214

Lange Sun and Nutrition Center
2551 Drew Street
Suite 302
Clearwater, FL 33765
Phone: 727-216-6275

Williston Office
Lange Eye Care And Associates
129 S. W. 7th Street
Williston, FL 32696
Phone: 352-528-0433

The Villages Office
Lange Eye Institute
466 and CR101
The Villages, Florida
Phone: 352-753-4014

 

 

 

 

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More information: Dr. Michael P. Lange is a Board Certified Optometric Physician and a Certified Nutrition Specialist who started Lange Eye Care and Associates in Ocala, Florida, in March 1993. Lange Eye Care has grown to nine locations throughout the state of Florida with three Lasik centers. The Lange Eye Institute at The Villages in central Florida is home base for many of the nutritional studies that Fortifeye is involved in. Dr. Lange is one of the first doctors in the industry to utilize intracellular blood tests and blood absorption studies to improve the Fortifeye vitamin line. Dr. Lange travels the world for nutritional research gathering valuable information to continuously improve Fortifeye vitamin formulations. Dr. Lange is still involved in the clinical practice of eyecare. He is a guest lecturer, contributing author to many eyecare magazines, and a daily syndicated talk show host of ‘Ask The Doctor’ which broadcasts every weekday at 9am and Saturdays at 2pm from Tampa Bay on radio stations throughout the country and video streaming all over the world via the Internet.

 

 

 

 

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