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Invited Commentary
October 17, 2019

Early Exposure to Secondhand Smoking and Ocular Health—Insights From Latest-Generation Optical Coherence Tomographic Imaging

Author Affiliations
  • 1Université de Bordeaux, Institut National de la Santé et de la Recherche Médicale (INSERM), Bordeaux Population Health Research Center, Team Lifelong Exposures, Health, and Aging (LEHA), Unite Mixte de Recherche 1219, Bordeaux, France
JAMA Ophthalmol. Published online October 17, 2019. doi:https://doi.org/10.1001/jamaophthalmol.2019.4185

Although the prevalence of smoking has decreased in the last decades, it remains frequent in adults aged 20 to 40 years, who typically are parents of young children. A considerable proportion of children are thus exposed to parental smoking, with well-demonstrated associations with their current and future cardiovascular health.1 Smoking also has strong associations with ocular health, with increased risks of age-related macular degeneration, cataract, ischemic and inflammatory eye diseases, and possibly glaucoma.2,3 However, nearly all studies have been conducted in elderly or middle-aged individuals, and they have only investigated the outcomes of active smoking (duration, quantity smoked, and smoking cessation). Little is known of the effects of exposure to smoke during childhood on ocular health.

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