Vitamin D and eye: Current evidence and practice guidelines

Vitamin D is a steroid hormone that has widespread role in human physiology, not only in the maintenance of calcium homeostasis but also in immunomodulation, cellular differentiation, and proliferation. The immunomodulatory effects of vitamin D are well known and are applicable to the ocular surface...

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Main Authors: Bhavya Gorimanipalli, Rohit Shetty, Swaminathan Sethu, Pooja Khamar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1127;epage=1134;aulast=Gorimanipalli
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author Bhavya Gorimanipalli
Rohit Shetty
Swaminathan Sethu
Pooja Khamar
author_facet Bhavya Gorimanipalli
Rohit Shetty
Swaminathan Sethu
Pooja Khamar
author_sort Bhavya Gorimanipalli
collection DOAJ
description Vitamin D is a steroid hormone that has widespread role in human physiology, not only in the maintenance of calcium homeostasis but also in immunomodulation, cellular differentiation, and proliferation. The immunomodulatory effects of vitamin D are well known and are applicable to the ocular surface immune cells and structural cells. The role of vitamin D in ocular surface conditions such as dry eye disease (DED), keratoconus (KC), and post-surgical outcomes has received widespread and well-deserved attention. Vitamin D supplementation is shown to improve DED clinically as well as in experimental models. The anti-inflammatory properties may be crucial in the treatment of ocular surface conditions such as DED and KC. Vitamin D plays a multifaceted role in corneal wound healing with its anti-inflammatory and extracellular matrix remodeling properties. In this review, we discuss how to approach patients with DED and those undergoing refractive surgery with the available basic and clinical knowledge on the role of vitamin D in these conditions. We aim to highlight the importance of clinically harnessing vitamin D-mediated natural immuno-inflammatory modulation in combination with currently available standard of care strategies to reduce the morbidity and disease duration associated with ocular surface diseases.
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spelling doaj.art-b11294175b1d479787bf3023c0405af42023-05-18T05:50:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017141127113410.4103/IJO.IJO_3174_22Vitamin D and eye: Current evidence and practice guidelinesBhavya GorimanipalliRohit ShettySwaminathan SethuPooja KhamarVitamin D is a steroid hormone that has widespread role in human physiology, not only in the maintenance of calcium homeostasis but also in immunomodulation, cellular differentiation, and proliferation. The immunomodulatory effects of vitamin D are well known and are applicable to the ocular surface immune cells and structural cells. The role of vitamin D in ocular surface conditions such as dry eye disease (DED), keratoconus (KC), and post-surgical outcomes has received widespread and well-deserved attention. Vitamin D supplementation is shown to improve DED clinically as well as in experimental models. The anti-inflammatory properties may be crucial in the treatment of ocular surface conditions such as DED and KC. Vitamin D plays a multifaceted role in corneal wound healing with its anti-inflammatory and extracellular matrix remodeling properties. In this review, we discuss how to approach patients with DED and those undergoing refractive surgery with the available basic and clinical knowledge on the role of vitamin D in these conditions. We aim to highlight the importance of clinically harnessing vitamin D-mediated natural immuno-inflammatory modulation in combination with currently available standard of care strategies to reduce the morbidity and disease duration associated with ocular surface diseases.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1127;epage=1134;aulast=Gorimanipallidry eye diseasekeratoconusvitamin dvitamin d deficiency
spellingShingle Bhavya Gorimanipalli
Rohit Shetty
Swaminathan Sethu
Pooja Khamar
Vitamin D and eye: Current evidence and practice guidelines
Indian Journal of Ophthalmology
dry eye disease
keratoconus
vitamin d
vitamin d deficiency
title Vitamin D and eye: Current evidence and practice guidelines
title_full Vitamin D and eye: Current evidence and practice guidelines
title_fullStr Vitamin D and eye: Current evidence and practice guidelines
title_full_unstemmed Vitamin D and eye: Current evidence and practice guidelines
title_short Vitamin D and eye: Current evidence and practice guidelines
title_sort vitamin d and eye current evidence and practice guidelines
topic dry eye disease
keratoconus
vitamin d
vitamin d deficiency
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1127;epage=1134;aulast=Gorimanipalli
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AT rohitshetty vitamindandeyecurrentevidenceandpracticeguidelines
AT swaminathansethu vitamindandeyecurrentevidenceandpracticeguidelines
AT poojakhamar vitamindandeyecurrentevidenceandpracticeguidelines