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Will Saffron Delay Age-Related Macular Degeneration?

A reader got great results taking saffron for age-related macular degeneration, along with AREDS vitamins. Some studies support its efficacy.

As people grow older, the retina of the eye may deteriorate. In particular, the central part of the retina, known as the macula, is very vulnerable. Age-related macular degeneration causes visual impairment in older adults more often than other eye conditions. Are there any ways to slow it down?

Saffron May Help Delay Age-Related Macular Degeneration:

Q. I’m a believer in the efficacy of saffron. About three years ago, I read your article about it a few months before my annual check-up with my ophthalmologist. For the first time, she saw some worrisome “lines” in my retina that could be a precursor to age-related macular degeneration.

I added AREDS and saffron to my regimen. Last year, at my annual eye exam, I told Dr. E. what I had been taking. She was skeptical but checked me out.

I don’t know the name of the imaging process, but the white line that was evident the year before had faded drastically, to her great surprise. She couldn’t explain it but said the supplements aren’t hurting me.

I’ve had no negative reactions from either saffron or AREDS vitamins. It is expensive but worth it. It’s cheaper than losing my vision, which happened to my late father-in-law. The only thing his eye doctor could offer him were shots.

Age-Related Eye Disease Study Established Vitamin Formulation:

A. AMD or age-related macular degeneration results in a loss of focus in the middle of the field of vision. The vitamins you mention were tested and found effective in the Age-Related Eye Disease Study (AREDS).

There is growing interest in saffron (Crocus sativus) to treat neurodegenerative diseases including AMD (Journal of Anatomy, July 2, 2022). This ancient spice is attracting attention from researchers, who have identified more than 150 active compounds. Crocins may be the most important of these.

One previous randomized controlled study of 60 patients with AMD compared 30 mg daily of saffron extract to placebo (Medical Hypothesis, Innovation and Discovery in Ophthalmology, Spring 2016). After six months, results of optical coherence tomography and electroretinography favored those on saffron. However, we need large clinical trials before most eye doctors will recommend it.

Eye Doctors Disagree on the Value of Saffron:

Q. When I asked my retina specialist about saffron, she said I should keep taking it because there is evidence it might help age-related macular degeneration (AMD). Another doctor said it was useless. Do you have any information?

A. Perhaps surprisingly, there have been several studies about the use of saffron supplements (Crocus sativus) for some eye problems (Nutrients, March 18, 2019).

The authors of this review concluded:

“Saffron supplementation appears to have promising potential as an effective and safe adjunct therapy in certain ocular diseases” including AMD.

A different review identified crocin, a component of saffron, as critical to its benefits:

“Clinical evidence suggests that crocin improves outcomes in patients with retinal degenerations, retinal dystrophies, and glaucoma” (Clinical & Experimental Optometry, April 2023).

Saffron for Age-Related Macular Degeneration:

Q. Some months ago, you had a letter from a person who was taking saffron for age-related macular degeneration (AMD). Since I have AMD, I am willing to try anything that might alleviate symptoms.

I began taking the spice with no real idea of how much I should use. At my next eye exam, there was definitely improvement, something my eye doctor said he had never seen. This improvement has continued through three subsequent exams. In fact, the AMD has almost completely disappeared in one eye.

I have also been taking specific eye vitamins (AREDS) along with the saffron, but I had been taking them prior to taking saffron with no improvement. Why didn’t you mention saffron to the reader who was looking for something to keep her age-related macular degeneration from getting worse?

Not everyone may benefit as I have from this spice, but every AMD sufferer should consider it. It’s relatively inexpensive. Actually, I would have paid thousands for the improvement I’ve received. Thank you so very much for the information you provided that has helped me see improvement in slowing my AMD.

Is There Science Behind Saffron?

A. What a great story! Since the initial column you read two years ago, scientists have done further research on saffron for protecting the retina and helping macular degeneration. Italian researchers found that AMD patients taking 20 mg/day saffron had no deterioration of vision over more than two years, while those taking the recommended nutrients lutein and zeaxanthin did (Antioxidants, July 17, 2019).

A separate randomized placebo-controlled clinical trial in Australia tested saffron at 20 mg/day against placebo in 100 people with age-related macular degeneration (Graefe’s Archive for Clinical and Experimental Ophthalmology, Jan. 2019).

The investigators concluded

“Saffron supplementation modestly improved visual function in participants with AMD, including those using AREDS supplements. Given the chronic nature of AMD, longer-term supplementation may produce greater benefits.”

Those on saffron had no more side effects than those on placebo.

We agree that AMD patients should discuss saffron supplements with their ophthalmologists. Taking saffron together with AREDS vitamins seems to provide additional benefit.

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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Citations
  • Maggi MA et al, "Saffron and retinal neurodegenerative diseases: Relevance of chemical composition." Journal of Anatomy, July 2, 2022. DOI: 10.1111/joa.13722
  • Lashay A et al, "Short-term outcomes of saffron supplementation in patients with age-related macular degeneration: A double-blind, placebo-controlled, randomized trial." Medical Hypothesis, Innovation and Discovery in Ophthalmology, Spring 2016.
  • Heitmar R et al, "Saffron (Crocus sativus L.) in ocular diseases: A narrative review of the existing evidence from clinical studies." Nutrients, March 18, 2019. doi: 10.3390/nu11030649
  • Heydari M et al, "Crocin as a vision supplement." Clinical & Experimental Optometry, April 2023. DOI: 10.1080/08164622.2022.2039554
  • Di Marco S et al, "Saffron: A multitask neuroprotective agent for retinal degenerative diseases." Antioxidants, July 17, 2019. DOI: 10.3390/antiox8070224
  • Broadhead GK et al, "Saffron therapy for the treatment of mild/moderate age-related macular degeneration: A randomised clinical trial." Graefe’s Archive for Clinical and Experimental Ophthalmology, Jan. 2019. DOI: 10.1007/s00417-018-4163-x
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