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EYE CARE AND                                                                                  SAN ANTONIO
 QUALITY OF LIFE                                                                                  MEDICINE


 36 Fabulous Foods to Boost Eye Health




 (This article originally appeared on the American Academy of Ophthalmology® website. Published April 07, 2023. By Celia Vimont;
 Reviewed by Brenda Pagan-Duran, MD; Edited by David Turbert)

 f you’re looking for a diet that’s healthy for your eyes, here’s some   Leafy green vegetables rich in lutein and zeaxanthin
 good news: The same diet that helps your heart and the rest of your   Lutein and zeaxanthin are antioxidants found in the pigments of
 Ibody will help your eyes. Plus, you’ll enjoy many delicious choices.   leafy green vegetables and other brightly colored foods. They are key to
 Here are 26 vision-healthy foods and ideas for a diet rich in fruits,   protecting the macula, the area of the eye that gives us our central, most
 vegetables, beans and fish.  detailed vision. Kale and spinach have plenty of these nutrients. Other
 foods with useful amounts of lutein and zeaxanthin include romaine
 Why Is Nutrition Important for Good Vision?  lettuce, collards, turnip greens, broccoli and peas. And while not leafy
 and green, eggs also are a good source of these nutrients.
 “Some nutrients keep the eye healthy overall, and some have been
 found to reduce the risk of eye diseases,” said Rebecca J. Taylor, MD, an  Beans and zinc
 ophthalmologist in Nashville, Tennessee. Eating a diet low in fat and   The mineral zinc helps keep the retina healthy and may protect   How Does the Labor Shortage
 rich in fruits, vegetables and whole grains can help not only your heart  your eyes from the damaging effects of light. However, zinc can lower
 but also your eyes. This isn’t surprising: Your eyes rely on tiny arteries   the amount of copper in your body, which we need to help form red
 for oxygen and nutrients, just as the heart relies on much larger arter-  blood cells. Fortunately, you can increase both at once with all kinds   Impact Value-Based Care?
 ies. Keeping those arteries healthy will help your eyes.  of beans (legumes), including black-eyed peas, kidney beans and lima
 beans.  Other foods high in zinc include oysters, lean red meat, poul-  By Reshma Beharry, DHA
 What Should I Focus On for Eye-Healthy Eating?  try and fortified cereals.

 Orange-colored vegetables and fruits with vitamin A  Should I Get Eye-Healthy Nutrients Through Vitamin Sup-  How does your organization align with the value-based model for  of volume that comes with a value-based system. Payers will recognize
 Perhaps the best-known eye-healthy nutrient is vitamin A. Your ret-  plements?  the future in the midst of the labor crisis? Value-Based Care (VBC) is  that a particular hospital is a top performer, and it will be included in
 ina needs plenty of vitamin A to help turn light rays into the images   a healthcare delivery model under which providers — hospitals, labs,   their networks. The benefits from the EMR applications once imple-
 we see. Also, without enough vitamin A, your eyes can’t stay moist   Eating the right food is the best way to get eye-healthy nutrients,   doctors, nurses and others — are paid based on the health outcomes  mented successfully will be tremendous once it is being fully utilized.
 enough to prevent dry eye. Carrots are a well-known source of vitamin  Dr. Taylor said. “In general, most Americans can and should get   of their patients and the quality of services rendered. Through financial   Shifting focus from volume to value is a central challenge. The
 A. Sweet potatoes provide even more vitamin A, Dr. Taylor said. “A   enough nutrients through their diet without needing to take supple-  incentives and other methods, value-based care programs aim to hold   advancements in technology and electronic medical records can
 sweet potato has more than 200 percent of the daily dose of vitamin   ments.”   providers more accountable for improving patient outcomes while also   have significant advantages such as reducing medical errors, eliminat-
 A doctors recommend.” Fruits, including cantaloupe and apricots, can   giving them greater flexibility to deliver the right care at the right time.   ing unnecessary and repetitive procedures, and organizing medical
 be a good source of vitamin A.   People who have macular degeneration are an exception. “In this   The transitioning from a volume-based to a value-based model can have   records. If the quality of care is continuously being improved, then the
 case, taking supplements is recommended by the Age Related Eye Dis-  many limitations as well as benefits. Once executed successfully, there   patient’s outcomes are being improved, financial status is improved,
 Fruits and veggies rich in Vitamin C  ease Study 2, a follow-up to the AREDS (Age-Related Eye Disease)   are many benefits to be derived from the transition from volume-based  the number of readmissions is drastically reduced, and the image of
 Vitamin C is critical to eye health. As an antioxidant, vitamin C helps   Study. Talk with your ophthalmologist if you or a family member has   to value-based.  However, there continues to be a major setback: labor.  the healthcare organization improves. Periodically, the standards and
 protect the body from damage caused by some things we eat, unhealthy   AMD,” Dr. Taylor said.  While staff shortages existed pre-pandemic, we are now experiencing  the performance must be measured and improvements must be made
 habits and environmental factors. Fried foods, tobacco smoke and the sun’s   a combination of unprecedented labor pressures, a smaller pipeline of   where necessary. With labor in short supply and workforce engage-
 rays can produce free radicals — molecules that can damage and kill cells.   No matter your age, it’s not too late to start eating healthy, she said.   healthcare graduates, complicated care reforms and an aging population   ment suffering, automation of tasks can reduce administrative burdens
 Vitamin C helps repair and grow new tissue cells. Good sources of vitamin  “So many of my patients focus on a healthy diet only after they’ve been   — propelling the industry into an ongoing crisis. There are also key ele-  to help clinicians focus on care. Organizations must deploy technology
 C include citrus fruits, such as oranges, tangerines, grapefruit and lem-  diagnosed with a serious health problem. Start eating well now to ben-  ments such as burnout and depression within the healthcare workforce.  that works for clinicians — not against them — to enhance engage-
 ons. Lots of other foods offer vitamin C, including peaches, red bell   efit your vision and your health for the rest of your life.”   At the heart of the VBC models is a robust, team-oriented   ment and provide resources to ease their workload. Improvements in
 peppers, tomatoes and strawberries. Antioxidants can prevent or at least   approach, often led by the patient’s PCP. Patients are not left to nav-  care coordination, quality and patient satisfaction must be ongoing.
 delay age-related macular degeneration (AMD) and cataracts, according   igate the healthcare system on their own. The multidisciplinary care   There will always be some changes in any healthcare organization
 to the Age-Related Eye Diseases Study (AREDS).  team may include case managers, mental health specialists, social work-  since the healthcare industry is dynamic and is constantly changing. A
        ers, pharmacists, dieticians, educators, psychologists, health coaches,   continuous-improvement goal-setting process based on lean principles
 Vitamin E  administrators and others. While not all team members provide direct   should help healthcare organizations achieve higher levels of satisfac-
 Another important antioxidant is vitamin E, which helps keep cells   medical care, they work together with the patient and caregivers to   tion and productivity.
 healthy. Vitamin E can be found in avocados, almonds and sunflower seeds.  help identify and address each patient’s healthcare needs. Teams are
        expected to focus on prevention, wellness, strategies and coordination   Dr. Reshma Beharry, DHA, is the Doctor of Healthcare
 Cold-water fish with omega-3 fatty acids  throughout the care continuum — priorities especially important for   Administration at Healthcare Administrative Consultants, with
 Diets rich in omega-3 fatty acids from cold-water fish may help   those managing chronic conditions.  over 15 years of experience in healthcare, clinical operations and
 reduce the risk of developing eye disease later in life, research suggests.    The benefits of VBC include improving operating costs to deliv-  finance. She received her DHA from Walden University, and her
 These fish include salmon, tuna, sardines, halibut and trout. “Ome-  er care more efficiently and effectively. As hospitals eliminate waste,   published doctoral research is on “Antibiotics and the Quality of Life for
 ga-3’s are good for tear function, so eating fish may help people with   improve quality and reduce costs, they will increase patient volume.   People Over 65 years.” Dr. Beharry is a member of the ACHE and the
 dry eye,” Dr. Taylor said.  Attracting a high volume of patients is the key to counterbalancing loss   Bexar County Medical Society. 

  28     SAN ANTONIO MEDICINE  • May 2024                                                    Visit us at www.bcms.org     29
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