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The role of nutraceuticals in the management of glaucoma.

Rem Aziz, Gavin Docherty, Claire Sheldon

Glaucoma is a chronic progressive neurodegenerative process with complex pathophysiology that has been shown to exhibit disease progression despite good control of Intra-Ocular Pressure (IOP). Nutraceuticals with neuroprotective properties may have a role as adjunctive therapy in the management of glaucoma, and should be reviewed by physicians to safely support patients and address their growing interest. Many patients believe the use of nutraceutical products provides therapeutic benefits for their glaucoma, however these may have unintended side effects and drug interactions. We have conducted a literature review exploring the role of supplementation in the management of glaucoma to provide evidence-based guidance regarding their use. It is essential for physicians to ask about the use of nutraceuticals in their patients and to stay informed about literature findings, in order to support their patients and counsel them on unintended side effects.