Smoking, Alcohol & Glaucoma | SpecSMART Eye Clinic Ikeja

Smoking, Alcohol & Glaucoma | SpecSMART Eye Clinic Ikeja

By Dr. Peculiar Idiagbonya (OD)

Smoking and heavy alcohol consumption are major lifestyle factors that accelerate glaucoma progression. At SpecSMART Eye Clinic Ikeja, we combine advanced diagnostics with personalized lifestyle advice to help protect your vision.

Vascular Damage and Optic Nerve Ischemia

  • Smoking causes vasoconstriction, reducing blood flow to the optic nerve and increasing vulnerability to damage.

  • Chronic smoking-induced hypertension further compromises nerve health.

  • Vascular stress may reduce the effectiveness of IOP-lowering medications.

Oxidative Stress and Impaired Drainage

  • Cigarette smoke generates free radicals, causing oxidative stress that damages the trabecular meshwork.

  • This damage slows aqueous humor outflow, leading to sustained IOP elevation and optic nerve injury.

The Complex Role of Alcohol Consumption

Acute vs. Chronic Effects

  • Acute: Short-term alcohol intake may cause a temporary drop in IOP, but this effect is unreliable and fleeting.

  • Chronic: Heavy drinking leads to nutritional deficiencies (especially B vitamins) and systemic risks like hypertension and diabetes, which increase glaucoma risk.

Moderation Factor

  • Light to moderate alcohol consumption does not significantly increase glaucoma risk.

  • For glaucoma patients or those with vascular conditions, strict limitation or abstinence is recommended.

Proactive Sight Preservation at SpecSMART Eye Clinic Ikeja

Advanced Diagnostic Monitoring

  • OCT: Detailed imaging of the optic nerve and retinal nerve fiber layer to detect early changes.

  • Visual Field Testing: Regular perimetry to track functional vision loss.

Personalized Lifestyle Intervention

  • Smoking: Complete cessation is strongly advised.

  • Alcohol: Limit intake to moderation or abstain if you have advanced disease or systemic conditions.

  • Regular Eye Exams: Essential for early detection and monitoring, especially for high-risk individuals.

FAQs

Does smoking increase glaucoma risk?

Yes, smoking damages blood vessels and increases oxidative stress, accelerating glaucoma progression.

Is moderate alcohol consumption safe for glaucoma patients?

Light to moderate drinking does not significantly increase risk, but heavy drinking is harmful.

How can I reduce my glaucoma risk?

Quit smoking, limit alcohol, maintain a healthy lifestyle, and schedule regular eye exams.

📍Contact SpecSMART Eye Clinic Ikeja

Ile-Oja Mall, Opebi Link Road, Opebi, Ikeja.
📞 0703 839 1197

📍Learn More

Our 5 steps eye test process explained in more detail.

 

References

  1. Chang, R. L., & Friedman, D. S. (2020). Modifiable risk factors for glaucoma.

  2. Sacca, S. C., et al. (2018). The oxidative stress concept in glaucoma.

  3. Sun, F. C., et al. (2020). The relationship between alcohol consumption and intraocular pressure.

  4. Vaphiades, M. S. (2016). Toxic optic neuropathies.