{"id":752,"date":"2015-06-02T19:31:22","date_gmt":"2015-06-02T23:31:22","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=752"},"modified":"2020-07-11T10:39:21","modified_gmt":"2020-07-11T14:39:21","slug":"cataracts-3","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/cataracts-3\/","title":{"rendered":"Cataracts"},"content":{"rendered":"<div id=\"attachment_3335\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Cataract-Slit_lamp_view_of_Cataract_in_Human_Eye-wikimedia.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3335\" class=\"size-medium wp-image-3335\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Cataract-Slit_lamp_view_of_Cataract_in_Human_Eye-wikimedia-300x224.png\" alt=\"Slit lamp view of cataract in human eye. Courttesy Wikimedia\" width=\"300\" height=\"224\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Cataract-Slit_lamp_view_of_Cataract_in_Human_Eye-wikimedia-300x224.png 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Cataract-Slit_lamp_view_of_Cataract_in_Human_Eye-wikimedia.png 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-3335\" class=\"wp-caption-text\">Slit lamp view of cataract in human eye.<em> Courtesy Wikimedia<\/em><\/p><\/div>\n<h2>What Are Cataracts?<\/h2>\n<p style=\"text-align: justify;\"><span class=\"dropcap\">C<\/span>ataract is a clouding of the normally clear lens in an affected eye characterized by blurred vision and progressive blindness due to loss of the len&#8217;s ability to focus light rays on the retina. Cataracts can occur in either or both eyes.<\/p>\n<p style=\"text-align: justify;\"><strong>Q<\/strong>: How does a cataract form?<\/p>\n<p style=\"text-align: justify;\"><strong>A<\/strong>: The lens is a transparent, colorless, oval-like structure of the eye made of mostly water and protein. The protein is arranged in a precise way that keeps the lens clear and lets light coming through the pupil to pass through it to reach the retina where it is recorded. Once an image reaches the retina, it is changed into nerve signals that are sent to the brain.<a href=\"#footnote_1_752\" id=\"identifier_1_752\" class=\"footnote-link footnote-identifier-link\" title=\"Tabers Cyclopedic Medical Dictionary. 19th ed. FA Davis Company, Philadelphia, PA.\">1<\/a><\/p>\n<p style=\"text-align: justify;\">In each eye, the lens is enclosed in a capsule that is held in place directly behind the pupil by the ciliary body and the suspensory ligaments. The lens consists primarily of lens fibers that at the periphery are soft, forming the cortis lentis, and in the center are of a harder consistency, forming the nucleus lentis. Beneath the capsule on the front surface is a layer of cells, the lens epithelium. The shape of the lens is changed by the ciliary muscle to focus light rays onto the retina.<a href=\"#footnote_2_752\" id=\"identifier_2_752\" class=\"footnote-link footnote-identifier-link\" title=\"Tabers Cyclopedic Medical Dictionary.C 19th ed. FA Davis Company, Philadelphia, PA.\">2<\/a><\/p>\n<p style=\"text-align: justify;\">A cataract begins to form when some of the protein clumps together and starts to cloud a small area of the lens. Over time, the cataract may grow larger and cloud more of the lens, making it harder to see.<a href=\"#footnote_3_752\" id=\"identifier_3_752\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.nei.nih.gov\/health\/cataract\/cataract_facts\">3<\/a><\/p>\n<p style=\"text-align: justify;\">A cataract is diagnosed by an ophthalmologist, who is a medical doctor specializing in the treatment of eye conditions. The eye examination involves viewing the anterior (front) of the eye by means of a slit lamp microscope. This instrument allows detailed observation of the lens and its supporting structures.<\/p>\n<h2>What\u00a0Are\u00a0Cataracts In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify;\"><strong>Relationship between cataracts and celiac disease.<\/strong> Cataracts are a serious complication in celiac disease.<\/li>\n<li style=\"text-align: justify;\"><strong>Relationship between cataracts and nutritional deficiencies. <\/strong>Cataracts\u00a0are a feature of vitamin A deficiency, long standing hypocalcemia (low blood calcium level), magnesium deficiency and antioxidant insufficiency involving vitamin C and vitamin E, two powerful antioxidants.\u00a0The lens is the eye structure most susceptible to oxidative damage.<a href=\"#footnote_4_752\" id=\"identifier_4_752\" class=\"footnote-link footnote-identifier-link\" title=\"Agte V, Tarwadi K. The importance of nutrition in the prevention of ocular disease with special reference to cataract.&nbsp;Ophthalmic Res. 2010;44(3):166-72. doi: 10.1159\/000316477.\">4<\/a><\/li>\n<li style=\"text-align: justify;\"><strong>Relationship between cataracts \u00a0and diabetes in celiac disease. <\/strong>Cataracts can form in diabetes, which is an associated disorder of celiac disease. Diabetes mellitus\u00a0is associated with a 5-fold higher prevalence of\u00a0cataracts.<a href=\"#footnote_5_752\" id=\"identifier_5_752\" class=\"footnote-link footnote-identifier-link\" title=\"Obrosova IG, Chung SS, Kador PF. Diabetic cataracts: mechanisms and management. Diabetes Metab Res Rev. 2010 Mar;26(3):172-80. doi: 10.1002\/dmrr.1075.\">5<\/a>\u00a0The transient nature of the diabetic\u00a0cataract\u00a0is related to changes in lens hydration. Biochemical changes that occur as a result of rapid changes in blood sugar cause the lens fibers to swell, forming a\u00a0cataract. Patients presenting with this condition have been shown to stabilize within 3 months.<a href=\"#footnote_6_752\" id=\"identifier_6_752\" class=\"footnote-link footnote-identifier-link\" title=\"Butler PA. Reversible cataracts in diabetes mellitus. J Am Optom Assoc. 1994 Aug;65(8):559-63.\">6<\/a><\/li>\n<\/ul>\n<h2>How Prevalent\u00a0Are\u00a0Cataracts In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify;\">Cataracts have increased frequency in patients with celiac disease<a href=\"#footnote_7_752\" id=\"identifier_7_752\" class=\"footnote-link footnote-identifier-link\" title=\"Mollazadegan K, Kugelberg M, Lindblad BE, Ludvigsson JF. Increased risk of cataract among 28,000 patients with celiac disease.&nbsp;Am J Epidemiol. 2011 Jul 15;174(2):195-202. doi: 10.1093\/aje\/kwr069.\">7<\/a>,\u00a0and can be the presenting feature of celiac disease.<a href=\"#footnote_8_752\" id=\"identifier_8_752\" class=\"footnote-link footnote-identifier-link\" title=\"Raina UK, Goel N, Sud R, Thakar M, Ghosh B. Bilateral total cataract as the presenting feature of celiac disease. Int Ophthalmol. 2011 Feb;31(1):47-50. doi: 10.1007\/s10792-010-9396-6. Epub 2010 Sep 21.\">8<\/a>,<a href=\"#footnote_9_752\" id=\"identifier_9_752\" class=\"footnote-link footnote-identifier-link\" title=\"Sari R, Yildirim B, Sevinc A, Buyukberber S. Idiopathic hypoparathyroidism and celiac disease in two patients with previous history of cataract. Indian J Gastroenterol. 2000 Jan-Mar;19(1):31-2.\">9<\/a><\/p>\n<p style=\"text-align: justify;\">A Dutch study investigating prevalence of deficiencies in 80 newly diagnosed patients found that 7.5% of patients showed deficient levels\u00a0vitamin A.<a href=\"#footnote_10_752\" id=\"identifier_10_752\" class=\"footnote-link footnote-identifier-link\" title=\"Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.&nbsp;Nutrients. 2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.\">10<\/a><\/p>\n<h2>What Are The Symptoms Of Cataracts?<\/h2>\n<p>Cataracts are marked by these symptoms:<\/p>\n<ul class=\"cp_bullet red\">\n<li>Distorted vision, especially at night or in very bright light, that progressively leads to blindness.<\/li>\n<li>Cloudy vision.<\/li>\n<li>Halos may be seen when looking at lights.<\/li>\n<li>Shadows of light images may be seen giving the effect of double vision. For example, the moon would seem to have a twin.<\/li>\n<li>Painless condition.<\/li>\n<li style=\"text-align: justify;\">Also, the clear lens slowly changes to a yellowish\/brownish color, adding a brownish tint to vision.\u00a0Over time, increased tinting may make it more difficult to read and perform other routine activities. This gradual change in the amount of tinting does not affect the sharpness of the image transmitted to the retina but makes it difficult to identify blues and purples.<a href=\"#footnote_3_752\" id=\"identifier_11_752\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.nei.nih.gov\/health\/cataract\/cataract_facts\">3<\/a><\/li>\n<\/ul>\n<h2>How Do Cataracts Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify;\">Cataracts result from chronic nutrient deficiencies of vitamin A, vitamin C, vitamin E, calcium, magnesium, and protein and to antioxidant insufficiency due to <span style=\"line-height: 1.5em;\">malabsorption in celiac disease.<\/span><\/p>\n<ul class=\"cp_check red\">\n<li><strong>Nutrient deficiency mechanisms<\/strong>.<\/li>\n<\/ul>\n<ul class=\"cp_bullet black\">\n<li style=\"text-align: justify;\">Cataract\u00a0during the early stage of\u00a0hypocalcemia (low blood calcium) is caused by membrane damage with low calcium level in the aqueous humor and sodium content increase in the lens.<a href=\"#footnote_11_752\" id=\"identifier_12_752\" class=\"footnote-link footnote-identifier-link\" title=\"Takahashi H. Ca(2+)-ATPase activity in the hypocalcemic cataract.&nbsp;Nihon Ganka Gakkai Zasshi. 1994 Feb;98(2):142-9.\">11<\/a>\u00a0\u00a0The aqueous humor is the watery liquid within the cavity in front of the lens.<\/li>\n<li style=\"text-align: justify;\"><span style=\"line-height: 1.5em;\">Magnesium deficiency in the lens accelerates the progression of lens opacification because of the resulting imbalanced ion exchange that alters the structure needed to keep the lens transparent. That is, decreased levels of magnesium (Mg2+) and potassium (K+) allow a harmful\u00a0<\/span><span style=\"line-height: 1.5em;\">increase in levels of calcium (Ca2+) and sodium (Na+).<a href=\"#footnote_12_752\" id=\"identifier_13_752\" class=\"footnote-link footnote-identifier-link\" title=\"Nagai N, Fukuhata T, Ito Y. Effect of magnesium deficiency on intracellular ATP levels in human lens epithelial cells. Biol Pharm Bull. 2007 Jan;30(1):6-10.\">12<\/a>\u00a0<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"line-height: 1.5em;\">In patients with cataract,<\/span><span style=\"line-height: 1.5em;\">\u00a0s<\/span><span style=\"line-height: 1.5em;\">ignificant inverse associations were found for vitamin C, vitamin A, and the vitamin A precursors: zeaxanthin, lutein, lycopene, \u03b1- and \u03b2-carotene, and \u03b2-cryptoxanthin.<a href=\"#footnote_13_752\" id=\"identifier_14_752\" class=\"footnote-link footnote-identifier-link\" title=\"Dherani M, Murthy GV, Gupta SK, Young IS, Maraini G, Camparini M, Price GM, John N, Chakravarthy U, Fletcher AE.&nbsp;Blood levels of vitamin C, carotenoids and retinol are inversely associated with cataract in a North Indian population. Invest Ophthalmol Vis Sci. 2008 Aug;49(8):3328-35. doi: 10.1167\/iovs.07-1202.\">13<\/a> This means the lower the nutrient, the worse the risk of cataract formation.<\/span><\/li>\n<li style=\"text-align: justify;\">Protein deficiency is associated with increased risk of cataract. Low protein intake may induce deficiencies of specific amino acids that are needed to maintain the health of the lens, or other nutritional deficiencies, particularly niacin, thiamin, and riboflavin.<a href=\"#footnote_14_752\" id=\"identifier_15_752\" class=\"footnote-link footnote-identifier-link\" title=\"Delcourt C, Dupuy AM, Carriere I, Lacroux A, Cristol JP; Pathologies Oculaires Li&eacute;es &agrave; l&rsquo;Age study group. Albumin and transthyretin as risk factors for cataract: the POLA study.&nbsp;Arch Ophthalmol. 2005 Feb;123(2):225-32.\">14<\/a><\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li><strong>Free radical mechanism &#8211; unstable molecules that damage cells<i>.<\/i><\/strong><\/li>\n<\/ul>\n<ul class=\"cp_bullet black\">\n<li style=\"text-align: justify;\">Deficiency of powerful antioxidants vitamin C and vitamin E results in the inability to quench free radicals in the lens which is a\u00a0major cause for\u00a0cataract\u00a0formation.<a href=\"#footnote_15_752\" id=\"identifier_16_752\" class=\"footnote-link footnote-identifier-link\" title=\"Thiagarajan R, Manikandan R. Antioxidants and cataract.&nbsp;Free Radic Res. 2013 May;47(5):337-45. doi: 10.3109\/10715762.2013.777155.\">15<\/a><\/li>\n<li style=\"text-align: justify;\">After exposure to oxidative stress which causes free radical formation, the redox set point of the single layer of the lens epithelial cells (but not the remainder of the lens) quickly changes, going from a strongly reducing to an opposing oxidizing environment. Almost concurrent with this change is extensive damage to DNA and membrane pump systems, followed by loss of epithelial cell viability (ability to live) and death by necrotic and apoptotic mechanisms.\u00a0The data suggest that the epithelial cell layer is the initial site of attack by oxidative stress and that involvement of the lens fibers follows, leading to cortical\u00a0cataract.<a href=\"#footnote_16_752\" id=\"identifier_17_752\" class=\"footnote-link footnote-identifier-link\" title=\"Spector A. Oxidative stress-induced cataract: mechanism of action.&nbsp;FASEB J. 1995 Sep;9(12):1173-82.\">16<\/a><\/li>\n<li style=\"text-align: justify;\">Magnesium deficiency enhances oxidative stress of the lens by increased production of free radicals and depletion of antioxidant defenses.<a href=\"#footnote_17_752\" id=\"identifier_18_752\" class=\"footnote-link footnote-identifier-link\" title=\"Agarwal R, Iezhitsa IN, Agarwal P, Spasov AA. Mechanisms of cataractogenesis in the presence of magnesium deficiency. Magnes Res. 2013 Jan-Feb;26(1):2-8. doi: 10.1684\/mrh.2013.0336.\">17<\/a><\/li>\n<\/ul>\n<h2>Do Cataracts Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify;\">Yes. A gluten free diet containing adequate calcium, vitamin A, magnesium, protein and\u00a0antioxidants that include vitamin C, \u03b2-carotene, lutein and zeaxanthin is preventive and limits further changes.<a href=\"#footnote_18_752\" id=\"identifier_19_752\" class=\"footnote-link footnote-identifier-link\" title=\"Agte V, Tarwadi K. The importance of nutrition in the prevention of ocular disease with special reference to cataract. Ophthalmic Res. 2010;44(3):166-72. doi: 10.1159\/000316477.\">18<\/a>,<a href=\"#footnote_19_752\" id=\"identifier_20_752\" class=\"footnote-link footnote-identifier-link\" title=\"Schalch W, Chylack LT. Antioxidant micronutrients and cataract. Review and comparison of the AREDS and REACT cataract studies. Ophthalmologe. 2003 Mar;100(3):181-9.\">19<\/a><\/p>\n<h2>6 Steps To Improve Cataract In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000;\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000;\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both eye and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify;\">\n<li>Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify;\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify;\">Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li style=\"text-align: justify;\">Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_20_752\" id=\"identifier_21_752\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">20<\/a><\/li>\n<li style=\"text-align: justify;\">The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000;\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000;\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p>Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory).<\/p>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify;\"><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_22_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a><\/li>\n<li style=\"text-align: justify;\"><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li style=\"text-align: justify;\"><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_23_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a><\/li>\n<li style=\"text-align: justify;\"><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_24_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a>.<\/li>\n<li style=\"text-align: justify;\"><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_25_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a><\/li>\n<li style=\"text-align: justify;\"><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li style=\"text-align: justify;\"><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_26_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a><\/li>\n<li style=\"text-align: justify;\"><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_21_752\" id=\"identifier_27_752\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">21<\/a>\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify;\"><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens.<\/li>\n<li style=\"text-align: justify;\"><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes lettuce, kale, onion, broccoli, garlic, and others.<\/li>\n<li style=\"text-align: justify;\"><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li style=\"text-align: justify;\"><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li style=\"text-align: justify;\"><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li style=\"text-align: justify;\"><strong>Probiotics.\u00a0<\/strong>Supply normal microbes needed for colon health and health of the body such as these fermented foods: yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li style=\"text-align: justify;\"><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li style=\"text-align: justify;\"><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000;\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p>Click here.<\/p>\n<p>&nbsp;<\/p>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000;\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<div class=\"box &#8221;shadow&#8221;\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify;\">Certain prescription drugs cause deficiencies of Calcium,Vitamin A, Magnesium, Vitamin C, Vitamin E, and protein \u00a0that promote the formation of cataracts.<\/p>\n<p style=\"text-align: justify;\">Ask your doctor or pharmacist about this possible adverse effect if you are taking any of the drugs listed below.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p>\u00a0This is not a complete listing.<\/p>\n<p><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Calcium,Vitamin A.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Calcium,Vitamin A.<\/li>\n<li>Alka Seltzer\u00ae, Baking Soda deplete Magnesium, Protein.<\/li>\n<\/ul>\n<p><strong>ANTIBIOTICS\u00a0<\/strong>disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Gentomycin, Neomycin, Streptomycin, Cephalosporins, Penicillins\u00a0deplete Vitamin C.<\/li>\n<li>\u00a0Tetracyclines deplete Calcium.<\/li>\n<\/ul>\n<p><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete Calcium, Magnesium, Vitamin C.<\/li>\n<li>Aspirin and Salicylates deplete\u00a0Calcium, Vitamin C.<\/li>\n<\/ul>\n<p><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete\u00a0Calcium.<\/li>\n<\/ul>\n<p><strong>ANTIVIRAL AGENTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Foscanet depletes Calcium, Magnesium.<strong>\u00a0<\/strong><\/li>\n<\/ul>\n<p><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin A, Vitamin E.<\/li>\n<\/ul>\n<p><strong>DIURETICS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li style=\"text-align: justify;\">Thiazide Diuretics (Hydrochlorothiazide, Enduron\u00ae, Diuril\u00ae, Lozol\u00ae, Zaroxolyn\u00ae, Hygroton\u00ae and others) deplete \u00a0Magnesium.<\/li>\n<li style=\"text-align: justify;\">Loop Diuretics (Lasix\u00ae, Bumex\u00ae, Edecrin\u00ae) depletes\u00a0Calcium, Magnesium, Vitamin C.<\/li>\n<li style=\"text-align: justify;\">Potassium Sparing Diuretics (Midamor\u00ae, Aldactone\u00ae, Dyrenium\u00ae and others) deplete\u00a0Calcium.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>FEMALE HORMONES<\/strong>\u00a0disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li style=\"text-align: justify;\">Oral Contraceptives (Norinyl\u00ae, Ortho-Novum\u00ae, Triphasil\u00ae, and others) deplete Vitamin C, Magnesium.<\/li>\n<li style=\"text-align: justify;\">Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others) deplete Vitamin C, Magnesium.<\/li>\n<\/ul>\n<p><strong>WEIGHT LOSS DRUGS THAT BIND FAT\u00a0<\/strong>also interfere with absorption of some nutrients.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Zenicol (Orlistat\u00ae) depletes Vitamin A, Beta-carotene.<\/li>\n<\/ul>\n\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000;\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify;\">The type and quantity of nutritional supplements that may be needed depend on which nutrients are deficient.<\/p>\n<ul class=\"cp_bullet orange\">\n<li>Multivitamin\/mineral combination once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications.<\/li>\n<li>Calcium citrate is the best absorbed of calcium supplements. Calcium carbonate is a poor choice.<\/li>\n<li>Vitamin C as prescribed.<\/li>\n<li>Chelated magnesium as prescribed but do not take at same time as calcium because they compete for absorption.<\/li>\n<li>Vitamin A\u00a0as prescribed following blood test for status.<\/li>\n<li>Vitamin E as prescribed.<\/li>\n<\/ul>\n<p><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000;\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify;\">Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li style=\"text-align: justify;\">If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li style=\"text-align: justify;\">Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li style=\"text-align: justify;\">What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li>Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p>Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2>Medical Research Findings On Cataracts\u00a0In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<div>\n<p style=\"text-align: justify;\"><b>\u201cVitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.\u201d<\/b>\u00a0This study aiming to assess the nutritional and vitamin\/mineral status of current &#8220;early diagnosed&#8221; untreated adult celiac disease (CD)-patients in the Netherlands found that vitamin\/mineral deficiencies are still common in newly &#8220;early diagnosed&#8221; CD-patients, specifically for\u00a0vitamin A, 7.5% of patients showed deficient levels.<\/p>\n<p style=\"text-align: justify;\">Eighty newly diagnosed adult CD-patients were included and a comparable sample of 24 healthy Dutch subjects was added to compare vitamin concentrations. Nutritional status and serum concentrations of \u00a0various nutrients including vitamin A were assessed before prescribing gluten free diet.<\/p>\n<p style=\"text-align: justify;\">Almost all CD-patients (87%) had at least one value below the lower limit of reference. Vitamin deficiencies were barely seen in healthy controls, with the exception of vitamin B\u2081\u2082. Vitamin\/mineral deficiencies were counter-intuitively not associated with a (higher) grade of histological intestinal damage or (impaired) nutritional status. Extensive nutritional assessments seem warranted to guide nutritional advices and follow-up in celiac disease treatment.<a href=\"#footnote_22_752\" id=\"identifier_28_752\" class=\"footnote-link footnote-identifier-link\" title=\"Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.&nbsp;Nutrients.&nbsp;2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.\">22<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>\u201cIncreased risk of cataract among 28,000 patients with celiac disease.\u201d\u00a0<\/strong>This national\u00a0population-based\u00a0study investigating the the risk of\u00a0cataract\u00a0among\u00a028,756 persons with\u00a0biopsy-verified\u00a0celiac disease\u00a0(villous atrophy, Marsh pathology stage 3), found\u00a0an increased risk of developing\u00a0cataract\u00a0in patients with celiac disease.<\/p>\n<p style=\"text-align: justify;\">For each person with celiac disease, Statistics Sweden selected up to 5 controls matched for age and sex from the Total Population Register. Data on\u00a0cataract\u00a0were obtained from the Swedish National Hospital Discharge Register and the National Day-Surgery Register. Cox regression analysis was used to estimate the risk of\u00a0cataract. During a median follow-up period of 9 years, the authors identified 1,159\u00a0cataracts\u00a0among persons with celiac disease\u00a0(909 were expected). The absolute risk of\u00a0cataract\u00a0was 397\/100,000 person-years in celiac disease, with an excess risk of 86\/100,000 person-years.<a href=\"#footnote_23_752\" id=\"identifier_29_752\" class=\"footnote-link footnote-identifier-link\" title=\"Mollazadegan K, Kugelberg M, Lindblad BE, Ludvigsson JF. Increased risk of cataract among 28,000 patients with celiac disease.&nbsp;Am J Epidemiol. 2011 Jul 15;174(2):195-202. doi: 10.1093\/aje\/kwr069.\">23<\/a><\/p>\n<p style=\"text-align: justify;\"><b>\u201cPathologies Oculaires Li\u00e9es \u00e0 l&#8217;Age study group. Albumin and transthyretin as risk factors for cataract: the POLA study.\u201d<\/b> This population-based study on age-related\u00a0eye\u00a0diseases investigating the associations of markers of protein nutrition (plasma albumin and transthyretin) with cataract found an association of protein undernutrition with increased risk of cataract. Low protein intake may induce deficiencies of specific amino acids that are needed to maintain the health of the lens, or other nutritional deficiencies, particularly niacin, thiamin, and riboflavin.<\/p>\n<p style=\"text-align: justify;\">The Pathologies Oculaires Li\u00e9es \u00e0 l&#8217;Age (POLA) Study (1995-1997) was performed in 2584 residents of S\u00e8te (South of France), aged 60 to 95 years. Cataract classification was based on a standardized lens examination at slitlamp according to Lens Opacities Classification System III. After multivariate adjustment, the risk for cataract (any type) was increased by about 50% in the lowest quintile of plasma albumin concentration (&lt;38.28 g\/L) and transthyretin concentration (&lt;0.21 g\/L). The associations were stronger with mixed cataract.<a href=\"#footnote_24_752\" id=\"identifier_30_752\" class=\"footnote-link footnote-identifier-link\" title=\"Delcourt C, Dupuy AM, Carriere I, Lacroux A, Cristol JP; Pathologies Oculaires Li&eacute;es &agrave; l&rsquo;Age study group. Albumin and transthyretin as risk factors for cataract: the POLA study. Arch Ophthalmol. 2005 Feb;123(2):225-32.\">24<\/a><\/p>\n<h4 style=\"text-align: justify;\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify;\">&#8220;<strong>Bilateral total cataract as the presenting feature of celiac disease<\/strong>.&#8221; This case report desribes an 18-year-old male presenting to the ophthalmology department with bilateral total subluxated\u00a0cataract. On systemic examination, he was found to have grossly short stature, multiple severe bony deformities, hypogonadism and partial adontia. Detailed work-up revealed a biochemical and radiologic picture consistent with osteomalacia, which had resulted from malabsorption secondary to celiac disease, confirmed by intestinal histopathologically. Malabsorption leading to hypocalcemia\u00a0along with chronic diarrhea itself may have contributed to the development of bilateral\u00a0cataract.<a href=\"#footnote_25_752\" id=\"identifier_31_752\" class=\"footnote-link footnote-identifier-link\" title=\"Raina UK, Goel N, Sud R, Thakar M, Ghosh B. Bilateral total cataract as the presenting feature of celiac disease. Int Ophthalmol. 2011 Feb;31(1):47-50. doi: 10.1007\/s10792-010-9396-6\">25<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>\u201cHypocalcemic myopathy without tetany due to idiopathic hypoparathyroidism: case report.&#8221;<\/strong>\u00a0Myopathy due to idiopathic hypoparathyroidism \u00a0is very unusual. We report on a 30 year-old man referred with complaints of sporadic muscle pain and mild global weakness for 10 years. His physical examination showed normal strength in distal muscle and slightly weakness in the pelvic and scapular girdles with no atrophy. Deep muscle reflexes were slightly hypoactive. Trousseau&#8217;s and Chvostek&#8217;s signs were absent. He had bilateral cataract\u00a0and complex partial seizures. His laboratory tests showed decreased ionized and total calcium and parathyroid hormone and increased muscle enzymes. EMG and muscle biopsy was compatible with metabolic myopathy. After treatment with calcium and vitamin D supplementation he showed clinical, neurophysiological and laboratorial improvement.<a href=\"#footnote_26_752\" id=\"identifier_32_752\" class=\"footnote-link footnote-identifier-link\" title=\"Nora DB, Fricke D, Becker J, Gomes Hypocalcemic myopathy without tetany due to idiopathic hypoparathyroidism: case report. I Arq Neuropsiquiatr. 2004 Mar;62(1):154-7.\">26<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>\u201cIdiopathic hypoparathyroidism \u00a0and celiac disease in two patients with previous history of cataract.\u201d<\/strong>\u00a0This case report desscribes two patients with idiopathic hypoparathyroidism and celiac disease. Both had undergone surgery for\u00a0cataract\u00a0previously. The patients presented with tetany in the absence of gastrointestinal complaints. Investigations showed severe\u00a0hypocalcemia, hypoparathyroidism, flattening of duodenal villi histologically, and diffuse cerebral and basal ganglia calcifications on CT scan. After a gluten-free diet with calcium supplementation, the clinical situation and biochemical values improved.<a href=\"#footnote_27_752\" id=\"identifier_33_752\" class=\"footnote-link footnote-identifier-link\" title=\"Sari R, Yildirim B, Sevinc A, Buyukberber S. Idiopathic hypoparathyroidism and celiac disease in two patients with previous history of cataract. .Indian J Gastroenterol. 2000 Jan-Mar;19(1):31-2.\">27<\/a><\/p>\n<p style=\"text-align: justify;\">\n<\/div>\n<ol class=\"footnotes\"><li id=\"footnote_1_752\" class=\"footnote\">Tabers Cyclopedic Medical Dictionary. 19th ed. FA Davis Company, Philadelphia, PA.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_752\" class=\"footnote\">Tabers Cyclopedic Medical Dictionary.C 19th ed. FA Davis Company, Philadelphia, PA.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_752\" class=\"footnote\"><a href=\"https:\/\/www.nei.nih.gov\/health\/cataract\/cataract_facts\">http:\/\/www.nei.nih.gov\/health\/cataract\/cataract_facts<\/a><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_752\" class=\"footnote\">Agte V, Tarwadi K. The importance of nutrition in the prevention of ocular disease with special reference to cataract.\u00a0<i>Ophthalmic Res<\/i>. 2010;44(3):166-72. doi: 10.1159\/000316477.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_752\" class=\"footnote\">Obrosova IG, Chung SS, Kador PF. Diabetic cataracts: mechanisms and management. <i>Diabetes Metab Res Rev<\/i>. 2010 Mar;26(3):172-80. doi: 10.1002\/dmrr.1075.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_752\" class=\"footnote\">Butler PA. Reversible cataracts in diabetes mellitus. <i>J Am Optom Assoc<\/i>. 1994 Aug;65(8):559-63.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_752\" class=\"footnote\">Mollazadegan K, Kugelberg M, Lindblad BE, Ludvigsson JF. Increased risk of cataract among 28,000 patients with celiac disease.\u00a0<em>Am J Epidemiol<\/em>. 2011 Jul 15;174(2):195-202. doi: 10.1093\/aje\/kwr069.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_752\" class=\"footnote\">Raina UK, Goel N, Sud R, Thakar M, Ghosh B. Bilateral total cataract as the presenting feature of celiac disease. <i>Int Ophthalmol<\/i>. 2011 Feb;31(1):47-50. doi: 10.1007\/s10792-010-9396-6. Epub 2010 Sep 21.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_752\" class=\"footnote\"> Sari R, Yildirim B, Sevinc A, Buyukberber S. Idiopathic hypoparathyroidism and celiac disease in two patients with previous history of cataract. <i>Indian J Gastroenterol<\/i>. 2000 Jan-Mar;19(1):31-2.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_752\" class=\"footnote\">Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.\u00a0<em>Nutrient<\/em>s. 2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_11_752\" class=\"footnote\">Takahashi H. Ca(2+)-ATPase activity in the hypocalcemic cataract.\u00a0<em>Nihon Ganka Gakkai Zasshi.<\/em> 1994 Feb;98(2):142-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_12_752\" class=\"footnote\"><\/span><span style=\"line-height: 1.5em\">Nagai N, Fukuhata T, Ito Y. Effect of magnesium deficiency on intracellular ATP levels in human lens epithelial cells. <em>Biol Pharm Bull<\/em>. 2007 Jan;30(1):6-10.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_13_752\" class=\"footnote\">Dherani M, Murthy GV, Gupta SK, Young IS, Maraini G, Camparini M, Price GM, John N, Chakravarthy U, Fletcher AE.\u00a0<\/span><span style=\"line-height: 1.5em\">Blood levels of vitamin C, carotenoids and retinol are inversely associated with cataract in a North Indian population<\/span><i style=\"line-height: 1.5em\">. Invest Ophthalmol Vis Sci<\/i><span style=\"line-height: 1.5em\">. 2008 Aug;49(8):3328-35. doi: 10.1167\/iovs.07-1202.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_14_752\" class=\"footnote\">Delcourt C, Dupuy AM, Carriere I, Lacroux A, Cristol JP; Pathologies Oculaires Li\u00e9es \u00e0 l&#8217;Age study group. Albumin and transthyretin as risk factors for cataract: the POLA study.\u00a0<em>Arch Ophthalmol<\/em>. 2005 Feb;123(2):225-32.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_15_752\" class=\"footnote\">Thiagarajan R, Manikandan R. Antioxidants and cataract.\u00a0<em>Free Radic Res.<\/em> 2013 May;47(5):337-45. doi: 10.3109\/10715762.2013.777155.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_16_752\" class=\"footnote\">Spector A. Oxidative stress-induced cataract: mechanism of action.<em>\u00a0FASEB J.<\/em> 1995 Sep;9(12):1173-82.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_17_752\" class=\"footnote\">Agarwal R, Iezhitsa IN, Agarwal P, Spasov AA. Mechanisms of cataractogenesis in the presence of magnesium deficiency. <em>Magnes Res<\/em>. 2013 Jan-Feb;26(1):2-8. doi: 10.1684\/mrh.2013.0336.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_18_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_18_752\" class=\"footnote\">Agte V, Tarwadi K. The importance of nutrition in the prevention of ocular disease with special reference to cataract. <i>Ophthalmic Res<\/i>. 2010;44(3):166-72. doi: 10.1159\/000316477.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_19_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_19_752\" class=\"footnote\">Schalch W, Chylack LT. Antioxidant micronutrients and cataract. Review and comparison of the AREDS and REACT cataract studies.<em> Ophthalmologe<\/em>. 2003 Mar;100(3):181-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_20_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_20_752\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_21_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_21_752\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.\u00a0<em>Journal of Gastroenterology and Hepatology<\/em>. 2003;18:479-91.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_22_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_23_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_24_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_25_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_26_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_27_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_22_752\" class=\"footnote\">Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.\u00a0<em>Nutrients.<\/em>\u00a02013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_28_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_23_752\" class=\"footnote\">Mollazadegan K, Kugelberg M, Lindblad BE, Ludvigsson JF. Increased risk of cataract among 28,000 patients with celiac disease<i>.\u00a0Am J Epidemiol<\/i>. 2011 Jul 15;174(2):195-202. doi: 10.1093\/aje\/kwr069.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_29_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_24_752\" class=\"footnote\">Delcourt C, Dupuy AM, Carriere I, Lacroux A, Cristol JP; Pathologies Oculaires Li\u00e9es \u00e0 l&#8217;Age study group. Albumin and transthyretin as risk factors for cataract: the POLA study. <em>Arch Ophthalmol<\/em>. 2005 Feb;123(2):225-32.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_30_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_25_752\" class=\"footnote\">Raina UK, Goel N, Sud R, Thakar M, Ghosh B. Bilateral total cataract as the presenting feature of celiac disease. <i>Int Ophthalmol<\/i>. 2011 Feb;31(1):47-50. doi: 10.1007\/s10792-010-9396-6<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_31_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_26_752\" class=\"footnote\">Nora DB, Fricke D, Becker J, Gomes Hypocalcemic myopathy without tetany due to idiopathic hypoparathyroidism: case report. <i>I Arq Neuropsiquiatr.<\/i> 2004 Mar;62(1):154-7.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_32_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_27_752\" class=\"footnote\">Sari R, Yildirim B, Sevinc A, Buyukberber S. Idiopathic hypoparathyroidism and celiac disease in two patients with previous history of cataract. .<i>Indian J Gastroenterol<\/i>. 2000 Jan-Mar;19(1):31-2.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_33_752\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Are Cataracts? Cataract is a clouding of the normally clear lens in an affected eye characterized by blurred vision and progressive blindness due to loss of the len&#8217;s ability to focus light rays on the retina. Cataracts can occur in either or both eyes. Q: How does a cataract form? A: The lens is &#8230;<\/p>\n","protected":false},"author":29,"featured_media":3335,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,102,783,210,1682,112,50,151,126],"tags":[1937,629,281,391,1255,116,1066,1758,1965,776,303,680,298,720,1757,1888,681,1930,299,593,1759],"class_list":["post-752","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-calcium","category-complications-health-conditions-2","category-eyes","category-malabsorption-disorders","category-protein","category-sensory-2","category-vitamin-a","category-vitamin-c","tag-antioxidant","tag-blindness","tag-calcium-deficiency","tag-cataracts","tag-cloudy-vision","tag-complications","tag-diabetes","tag-double-vision","tag-eyes","tag-health-conditions","tag-magnesium-deficiency","tag-niacin-deficiency-b3","tag-protein-deficiency","tag-riboflavin-deficiency-b2","tag-seeing-halos-around-lights","tag-sensory-2","tag-thiamin-deficiency-b1","tag-vitamin-a","tag-vitamin-c-deficiency","tag-vitamin-e-deficiency","tag-yellow-vision"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/752","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=752"}],"version-history":[{"count":31,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/752\/revisions"}],"predecessor-version":[{"id":10414,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/752\/revisions\/10414"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/3335"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=752"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=752"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=752"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}