DHA Declines Distance and Retinal Visual Acuity loss in Adults with Retinitis Pigmentosa

Objective

A study was conducted to assess whether a diet high in long chain omega-3 fatty acids can slow the rate of loss of visual acuity among patients with retinitis pigmentosa receiving vitamin A palmitate.

Number of subjects

357 adult patients who were all receiving vitamin A 15,000 IU/day

Study intervention

Vitamin A 15,000 IU/day for 4-6 years and intake of long chain Omega-3 fatty acids (primarily DHA).

Duration of the study

4-6 years

Among 357 patients with retinitis pigmentosa taking vitamin A for 4–6 years, those who took diet high in omega-3 fatty acids had 40% slower rate of decline of visual acuity

Results

Mean rates of decline of acuity were slower among those with high omega-3 intake; Early Treatment Diabetic Retinopathy Study (ETDRS) distance acuity: high=0.59 letter/year, low=1.00 letter/year, p=0.001 (see Fig.1).

The mean annual rates of change of distance and retinal acuity were slower among those with high omega-3 intake (≥ 0.20 g/day) than among those with low intake (<0.20 g/day).

  • The mean rates of change in distance acuity were -0.59 letter per year (high omega-3 intake) versus -1.00 letter per year (low omega-3 intake), p=0.001.

Conclusion

The mean annual rates of decline in distance and retinal visual acuities in adults with retinitis pigmentosa taking vitamin A are slower among those consuming a diet rich in omega-3 fatty acids (primarily DHA).

Source

Berson EL, Rosner B, Sandberg MA, et al. ω-3 intake and visual acuity in patients with retinitis pigmentosa receiving vitamin A. Arch Ophthalmol. 2012; 130(6):707-11