Table 1.
Vitamin | Vitamer Chemical Name | Remarks | Relevance to the Eye | Main Sources | Rich Food Sources |
---|---|---|---|---|---|
A | Retinol (A1) | Preformed retinols (or active form)—is immediately available to the body | Important for rhodopsin found in the retina for visual phototransduction, and protects against free radicals i.e., acts as an antioxidant | Animal products | Liver, eggs, cheese, butter, dark green vegetables (spinach) and carrots |
Precursors (or provitamins)—has to be metabolized into an active form | Important for rhodopsin found in the retina for visual phototransduction, and protects against free radicals i.e., acts as an antioxidant | Plant products | Vegetables and fruits with orange pigments (known as carotenoids) | ||
B-complex | Thiamin (B1) | Some flavonoids may antagonize vitamin B1 | Serve as coenzymes in catabolism of amino acids, carboxylase, cell division and growth, and DNA synthesis and repair in every cell of the body | Animal/plant products | Yeast extract, cereal grains (especially in the outer layer of the grain and in the germ), meat (pork), nuts, peas, and beans |
Riboflavin (B2) | Primary coenzyme form of vitamin B6 | Used in the treatment of corneal ectasia for strengthening of corneal collagen tissue. It can also be used as a prophylaxis for migraine: a potential risk factor for glaucoma | Animal/plant products | Milk, cheese, eggs, green leafy vegetables, almonds, and mushrooms | |
Niacin (B3) | May be converted to nicotinamide, which is another form of vitamin B3 | Involved in vasodilatation of among others retinal arterioles. It improves endothelial dysfunction | Animal/plant products | Fish, dates, nuts, and cereal grains | |
Pyridoxin (B6) | Dietary vitamin B6 cannot be used without vitamin B2 (Riboflavin) | Involved in neurotransmitter synthesis. Plays a role in the treatment of gyrate atrophy of the choroid and retina | Animal/plant products | Meat (pork), bananas, chickpeas, potatoes, and pistachios | |
Folate (B9) | Synthetic form, used in supplements and food processing, is called Folic acid | When combined with vitamin B12 it reduces homocysteine levels, which induces vascular injury, alterations in extracellular matrix remodeling, and neuronal cell death | Plant products | Cereal grains (especially in the outer layer of the grain and in the germ), dark green leafy vegetables, nuts, peas, and beans | |
Cobalamin (B12) | Should be in balance with folic acid and iron | Coenzyme involved in the metabolism of every cell of the body. Deficiency can results in elevated homocysteine levels, optic neuropathy, and irreversible damage to nervous system | Animal products | Fish, red meat, eggs, and cheese | |
C | Ascorbic acid | Oxidized form of vitamin C is reduced by glutathione, which helps maintain vitamin C in a reduced (active) form | Enzymatic cofactor for collagen synthesis and very effective in scavenging of reactive oxygen species, i.e., vitamin C is an important non-enzymatic antioxidant | Plant products | Peppers, green leafy vegetables, and in many fruits (kiwis, strawberries, oranges, guavas, and papaya) |
D | Cholecalciferol | Most important subtype in humans is vitamin D3. In the liver vitamin D is converted to 25-hydroxyvitamin D, which is used as a biomarker | Responsible for intestinal absorption of several minerals including calcium, iron, magnesium, and zinc | Sunlight exposure | Mushrooms, cod liver oil, fish, and cereals |
E | Tocopherol | Excessive vitamin E may lead to vitamin K * deficiency resulting in bleedings | Plays a role in the oxidation of low-density lipoproteins (LDL) and prevents the production of damaging free radicals. Therefore vitamin E is seen as an important antioxidant. Deficiency might result in peripheral neuropathy and retinopathy | Plant products | Nuts (especially almonds), sunflower oil and seeds, avocados, and dark green leafy vegetables |
* = None of the retrieved studies assessed the relation between vitamin K and glaucoma.