The Daily Telegraph

Higher dementia risk link to eye conditions

People with macular degenerati­on 25pc more likely to develop the disease, study suggests

- By Joe Pinkstone SCIENCE CORRESPOND­ENT

People who develop certain eye conditions are at increased risk of dementia, research has found. Around 1.5 million people in the UK suffer from age-related macular degenerati­on, where a person’s eyesight worsens as they get older. A UK Biobank study found that people with the condition were 25 per cent more likely to develop dementia. For people with cataracts, the increased risk of dementia is 11 per cent compared to people with no optical health issues.

PEOPLE who develop certain eye conditions are also at increased risk of dementia, research has found.

Around 1.5million people in the UK suffer from age-related macular degenerati­on, a condition where a person’s eyesight worsens as they get older.

A UK Biobank study of more than 12,000 middle-aged people found that people with the condition were 25 per cent more likely to develop dementia.

For people with cataracts, a condition that affects around one in three people aged over 65, the increased risk of dementia is 11 per cent compared to people with no optical health issues.

People with diabetes-related eye disease had a 61 per cent greater risk of dementia. Glaucoma was not linked to a significan­t increase in risk.

Dementia is one of the biggest killers in Britain, accounting for one in every nine deaths last year, with only Covid (12.1 per cent) claiming more lives.

Participan­ts in the study were assessed in 2006 and again in 2010, and then followed up until this year.

More than 2,300 cases of dementia were documented, according to the experts led by academics from the Guangdong Eye Institute in China.

Researcher­s also found that people with previous health conditions – including diabetes, heart disease, stroke and depression – were more likely to be diagnosed with dementia.

Risk was highest among people with one of these conditions who also had some form of eye condition, they said.

The authors concluded: “Age-related macular degenerati­on, cataract and diabetes-related eye disease but not glaucoma are associated with an increased risk of dementia.

“Individual­s with both ophthalmic and systemic conditions are at higher risk of dementia compared with those with an ophthalmic or systemic condition only.” The researcher­s did not look

‘Individual­s with both ophthalmic and systemic conditions are at higher risk of dementia’

at the mechanisms underlying the correlatio­n, and as a result are unable to ascertain causation; it is impossible to conclusive­ly say whether or not eye diseases in some way contribute to dementia, or if they are merely linked.

However, writing in the paper, published in The British Journal of Ophthalmol­ogy, the researcher­s indicate it is unlikely that eye diseases cause dementia and it is more likely that the two health issues share a common cause.

“The mechanisms for the positive associatio­n between ophthalmic conditions and dementia are largely unknown, but there are several potential pathways for this associatio­n,” the researcher­s write.

“First, ophthalmic conditions are associated with well-known risk factors of dementia including diabetes, stroke, heart disease, hypertensi­on and depression.

“Second, ophthalmic conditions and dementia have many shared risk factors including older age, low levels of education, smoking and physical inactivity.”

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