Susan Summerton OD, CNS, DACBN

03/13/2026

The review Role of lifestyle modifications in glaucoma evaluates how lifestyle factors influence glaucoma risk and progression and whether lifestyle modification can support conventional glaucoma treatment.

1. Exercise
*Regular aerobic exercise can lower intraocular pressure (IOP) temporarily and may improve ocular blood flow.
* Moderate physical activity is generally beneficial for glaucoma patients.
* Isometric or heavy weightlifting may transiently increase IOP.

2. Diet and Nutrition
Certain dietary patterns may support optic nerve health:
*Antioxidant-rich foods (fruits, vegetables) may protect retinal ganglion cells.
* Omega-3 fatty acids and nutrients such as vitamins A, C, and E may provide neuroprotective effects.
* High caffeine intake can cause short-term increases in IOP, especially in susceptible individuals.

3. Body Position and Daily Habits
* Head-down positions (e.g., certain yoga poses) can significantly increase IOP.
* Sleeping posture may influence IOP, with some evidence suggesting head elevation may reduce nocturnal pressure.

4. Smoking and Alcohol
Smoking is associated with vascular compromise and may worsen glaucoma risk.
* Evidence on alcohol is inconsistent; any IOP-lowering effect appears temporary.

5. Stress and Sleep
* Stress and poor sleep quality may negatively influence glaucoma through vascular or hormonal pathways.

* Lifestyle changes cannot replace medical or surgical glaucoma therapy, but they may complement treatment and potentially slow disease progression.
* Evidence quality varies, and more controlled studies are needed to confirm the clinical impact of lifestyle interventions.

https://pubmed.ncbi.nlm.nih.gov/41809163/?fc=20240423213809&ff=20260311101512&v=2.19.0.post6+133c1fe&utm_source=chatgpt.com "Role of lifestyle modifications in glaucoma: A systematic review - PubMed"

While lowering IOP remains the cornerstone of glaucoma treatment, there is growing interest in the role of lifestyle choices in influencing disease progression. Adopting healthier habits may serve as a valuable addition to existing treatment plans. More clinical research is needed to better understa...

02/14/2026

n this episode, the doctors kick things off with a discussion about Mardi Gras, Fat Tuesday, Ash Wednesday, Lent, and the journey to Easter. Dr. Lange reminds everyone to enjoy the celebrations—but to do so responsibly and protect your health.

SPECIAL ANNOUNCEMENT:

Join us for the Lange Eye Institute Mardi Gras Festival

February 21st | 10 AM – 2 PM

We invite the entire community to come out, celebrate, and learn more about eye health, nutrition, and wellness.

CATARACTS & NUTRITION
Dr. Lange and Dr. Summerton discuss why diabetics are more prone to cataracts, explaining the role of elevated blood sugar, oxidative stress, and glycation in damaging the lens of the eye. They also review nutritional strategies that may help support lens clarity and overall eye health.

OPTILIGHT IPL & OPTILIFT RESULTS

The doctors share what they are seeing after over a year of treating patients with OptiLight and OptiLift technologies, including improvements in dry eye symptoms, eyelid function, and blink dynamics. These innovative therapies are showing promising results for patients suffering from dry eye disease.

GLAUCOMA – THE SILENT THIEF OF SIGHT
During a live caller discussion, the doctors emphasize that glaucoma often has no early warning signs. They stress the importance of routine comprehensive eye exams to detect glaucoma early and prevent vision loss.

They explain how glaucoma is diagnosed, including:

• Eye pressure testing

• Optic nerve evaluation

• Visual field testing

• OCT imaging

GLAUCOMA & WHOLE-BODY HEALTH
The discussion expands into how systemic health impacts glaucoma, including:

• Ocular perfusion pressure (blood flow to the optic nerve)

• The dangers of blood pressure that is too low

• How sleeping more than 9 hours may negatively affect glaucoma

• The impact of sleep apnea on optic nerve health

NATURAL SUPPORT FOR EYE HEALTH

Dr. Lange and Dr. Summerton discuss nutritional and lifestyle strategies that may support healthy vision and circulation, including:

• Omega-3 fatty acids

• Antioxidants

• Carotenoids

• Proper hydration and electrolyte balance

• Lifestyle choices to support healthy blood flow to the eye

LIVE CALLS & HIGH ENERGY SHOW

This episode was filled with great caller questions, practical advice, and real-world clinical insights from decades of experience helping patients protect their vision.

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02/08/2026

Dr. Michael Lange and Dr. Susan Summerton hosted Ask the Dr this morning from Salem Media, opening the show with a discussion on the power of proper nutrition and the importance of consuming adequate protein in the morning to support metabolism, muscle health, energy, and brain function.

During a caller discussion, Dr. Lange emphasized the importance of xanthophyll carotenoids, particularly lutein and zeaxanthin, which play a critical role in protecting the macula and supporting long-term visual performance. The doctors also discussed cholesterol and statin medications, and how these drugs may interfere with the absorption of fat-soluble nutrients, including lutein and zeaxanthin. Dr. Lange recommends Fortifeye Focus for anyone who spends extended time on computers or digital devices, as these carotenoids help protect the macula from blue-light damage.

Both doctors highlighted what Dr. Lange described as a missing nutrient in today’s Standard American Diet—black currant seed oil. Unlike most oils, black currant seed oil naturally contains omega-6 (GLA), omega-3 (ALA), and omega-9 fatty acids, making it a uniquely balanced essential fat source. Dr. Lange explained that GLA (gamma-linolenic acid) is particularly lacking in modern diets and plays a key role in controlling inflammation, supporting dry eye, skin health, joint comfort, and overall cellular function. Fortifeye Black Currant Seed Oil / GLA was discussed as an effective way to restore this critical fatty acid balance.

The show also addressed nutrition strategies for constipation, discussed eye floaters and warning signs to be aware of, and offered practical guidance for improving overall systemic and ocular health.

Dr. Lange took time to express gratitude to several mentors from Louisiana who helped shape his career, including Dr. Richard K. Lange (his father), Dr. Charlie Glazer of St. Charles Vision, and Dr. Steve Brint of Eye Surgery Center of Louisiana.

The program concluded with an in-depth segment on dry eye disease, focusing on two advanced technologies designed for more resistant cases—Lumenis OptiLight and OptiLift, available exclusively at the Lange Eye Institute. Dr. Summerton also discussed the benefits of appropriate light exposure for memory, energy, and concentration, while emphasizing the importance of limiting digital screen time at night to support restorative sleep.

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02/02/2026

In the second part of today’s Ask the Doctor, Dr. Michael Lange and Dr. Susan Summerton discussed exciting advancements in photobiomodulation therapy and its expanding role in both eye and systemic health.

We explained what photobiomodulation therapy (PBM) is and how it works. PBM uses specific wavelengths of low-level red and near-infrared light to stimulate mitochondrial function, increase cellular energy (ATP), improve circulation, and reduce inflammation. As more companies bring this technology to market, increased competition is expected to drive costs down, making this promising therapy more accessible to patients.

Dr. Lange and Dr. Summerton shared their enthusiasm for photobiomodulation therapy as a supportive treatment option for macular degeneration, diabetic retinopathy, and dry eye disease. Dr. Kane has noted that when diet and supplementation are optimized, this technology may work even more effectively, reinforcing the importance of combining advanced technology with proper nutrition.

Dr. Summerton also weighed in on chelation therapy, explaining how reducing toxic metal burden and oxidative stress may further support cellular health, circulation, and inflammation control. When used appropriately and combined with nutrition and lifestyle optimization, chelation therapy may enhance overall systemic and ocular health.

An important discussion followed on the often-overlooked connection between dry eye disease and atrial fibrillation (AFib). Dr. Lange explained that many patients with both conditions commonly share deficiencies in:
• Magnesium
• Potassium
• Sodium chloride
• Omega-3 fatty acids
• Hydration

These deficiencies may contribute to inflammation, nerve dysfunction, poor tear quality, impaired circulation, and cardiac rhythm instability.

🌿 NATURAL SUPPORT FOR DRY EYE & ATRIAL FIBRILLATION

Dr. Lange and Dr. Summerton reviewed natural strategies that may help support both dry eye and AFib, including:
• Proper hydration with high-quality water
• Restoring electrolyte balance (magnesium, potassium, sodium chloride)
• Consistent intake of omega-3 fatty acids
• Anti-inflammatory nutrition
• Targeted supplementation when appropriate

We also discussed Fortifeye Complete, which serves as a high-quality multivitamin and eye vitamin all in one, helping simplify supplementation while supporting both ocular and systemic health.

This episode highlights the importance of integrating nutrition, lifestyle changes, supplementation, chelation strategies, and emerging technologies to support long-term eye health, heart health, and overall wellness.

Thank you for listening to Ask the Doctor, where science, nutrition, and real-world clinical experience come together.

In the second part of today’s Ask the Doctor, Dr. Michael Lange and Dr. Susan Summerton discussed exciting advancements in photobiomodulation therapy and its...

01/11/2026

🎙️ ASK THE DR – TODAY’S SHOW RECAP

Today’s episode of Ask the Dr was hosted by Dr. Michael Lange and Dr. Susan Summerton, delivering an information-packed program focused on eye health, wellness, longevity, and disease prevention.

L🎭 Mardi Gras Extravaganza Announcement

The doctors announced the upcoming Mardi Gras Extravaganza at the Lange Eye Institute, taking place February 21st in The Villages. Everyone is invited to attend this fun, educational, community event.

💪 Fortifeye Super Vegan Protein BOGO

Dr. Lange discussed the Buy One, Get One FREE promotion currently running on Fortifeye Super Vegan Protein, available for a limited time on the Fortifeye website.

👁️ Dry Eye Treatment – Natural & Advanced Options

Both doctors reviewed comprehensive dry eye care, including:

• Lid hygiene and lid scrubs

• Warm/hot compress therapy

• Omega-3 fish oil, emphasizing rTG (re-esterified triglyceride) omega-3, such as Fortifeye Super Omega

They also discussed advanced in-office treatments:

• Lumenis OptiLight (IPL therapy)

• Lumenis OptiLift to help lower-lid laxity and meibomian gland dysfunction

🏋️ Creatine & Weight Management

The doctors reviewed new and existing research showing that creatine:

• Supports muscle strength, energy, and overall health

• May help build muscle while supporting fat loss

• Can be used as part of a weight-management strategy, not just for athletes
Both doctors discuss the soon to be available Fortifeye Fit Meal one of the most advanced meal replacemnts on the market.

🟢 Glaucoma Awareness Month – Natural Support

In recognition of Glaucoma Awareness Month, the doctors discussed:

• Natural strategies that may support optic nerve health

• The role of omega-3 fatty acids, Mirtogenol, and Neumentix in supporting ocular blood flow

L⚠️ These natural approaches do NOT replace medical or surgical glaucoma treatment and are intended only to complement prescribed care. Period.

👁️ Ocular Perfusion Pressure & Blood Pressure

The doctors explained how ocular perfusion pressure (OPP) plays a critical role in glaucoma risk and how both high and low blood pressure can negatively affect optic nerve blood flow.

They emphasized that low diastolic blood pressure, especially at night, can significantly reduce ocular perfusion pressure. Multiple studies show that individuals with low OPP may have a 2–6× higher risk of developing glaucoma.

A diastolic ocular perfusion pressure (DOPP) below ~50 mmHg is associated with:

• Higher glaucoma prevalence

• Faster disease progression

• Increased optic nerve damage

The key takeaway: glaucoma is not only an eye-pressure disease—it is also a vascular disease. Proper blood-pressure management is a critical part of glaucoma care.

Patients with glaucoma should always work closely with their eye doctor and primary care physician. This information is educational and supportive—not a replacement for treatmen

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12/28/2025

In today’s episode of Ask the Dr., Dr. Michael Lange and Dr. Susan Summerton kick off the New Year with science-backed resolutions designed to help you live longer, think clearer, and thrive—not just survive.

We dive deep into the power of resistance training for cognitive health and longevity, citing multiple studies showing reduced mortality, improved brain function, and healthier aging. Strength training isn’t just about muscles—it’s about protecting your brain and extending lifespan.

We also discuss the critical role of omega-3 fatty acids, highlighting compelling research showing reductions in atrial fibrillation, cardiovascular death, heart attacks, and strokes. Dr. Lange explains why the form of omega-3 matters, recommending rTG or TG forms—and why re-esterified triglyceride omega-3s are among the doctors’ top New Year’s choices. We also cover RTG omega-3s for dry eye disease and ocular surface health.

The doctors break down the benefits of advanced dry eye treatments, including Lumenis OptiLight IPL and OptiLift, explaining how these technologies can improve blink dynamics, reduce inflammation, and dramatically relieve dry eye symptoms.

Nutrition takes center stage as we explore why consuming up to 10 servings of fruits and vegetables daily is associated with reduced chronic disease risk and premature death. We also discuss sports nutrition and body recomposition—how to lose fat while building muscle—using targeted supplementation.

In today’s episode of Ask the Dr., Dr. Michael Lange and Dr. Susan Summerton kick off the New Year with science-backed resolutions designed to help you live ...

12/25/2025

The Top Five Health Benefits of Dark Chocolate (70% Cocoa and Higher) — A Christmas Delight
1. 🌱 Rich in Antioxidants and Polyphenols
2. ❤️ Supports Cardiovascular Health
3. 🧠 Enhances Cognitive Function and Mood
4. 💪 Supports Metabolic Health and Blood Sugar
5. 🧬 Provides Essential Minerals and Nutritional Density

Scientific support for health benefits makes this gift extra sweet

12/02/2025

A new genetic study just came out suggesting that high consumption of instant coffee—not brewed coffee—may be linked to a significantly increased risk of dry macular degeneration, in some cases close to a seven-fold increase. Now, this is not a definitive clinical trial, and it does not prove causation, but it raises an eyebrow. Instant coffee is highly processed, and the drying methods may create compounds that promote oxidative stress in susceptible individuals. Traditional brewed coffee did not show this same association.
If you’re at risk for macular degeneration, it may be smart to choose fresh brewed coffee over instant while we wait for more research.

New research from China suggests instant coffee consumption may significantly increase the risk of developing dry age-related macular degeneration (AMD), with researchers recommending people at high risk for AMD should avoid instant coffee altogether.

12/01/2025

The #1 Biggest Thing You Can Do for Your Health: Lose Weight — BUT Maintain Muscle.
Dr. Lange explains why so many people lose weight rapidly and then end up with loose skin, wrinkles, and muscle loss.
He emphasizes a simple but powerful concept:
"Lose weight and build muscle at the same time".
Muscle fills loose skin. Muscle boosts metabolism. Muscle preserves youth.
Whether you’re losing weight naturally or through weight-loss medications, both doctors stress:

You MUST Consume Enough Protein Daily
to prevent muscle loss and maintain a healthy metabolism.

Myostatin — The “Muscle Brake” That Increases with Age

Dr. Lange and Dr. Summerton break down myostatin, the protein responsible for limiting muscle growth and accelerating age-related muscle decline.

They discuss the clinically validated nutrients in Fortifeye Fit Pro® that help reduce myostatin activity:

Creapure® Creatine
Grass-Fed Whey Isolate
Grass-Fed Collagen
myHMB® (β-hydroxy β-methylbutyrate)
Vitamin D3
Betaine Anhydrous
And other muscle-support nutrients

The doctors explain how stacking these ingredients helps you build lean muscle, lose fat, support strength, and minimize loose skin during weight loss.

Fortifeye Next Gen Vitamin C — TRUE 8-Hour Sustained Release

The show also introduces Fortifeye Next Gen Vitamin C, the only vitamin C using micro-beadlet sustained-release technology backed by clinical studies showing 8 hours of absorption.
This advanced delivery helps:
Immune support
Skin and collagen health
Reduced oxidative stress

Fortifeye Next Gen Curcumin (Curcugen®)

Dr. Summerton highlights Curcugen®, the only food-grade oleoresin curcumin that is clinically supported and highly absorbable for:

Inflammation
Joint health
Gut and brain wellness
Whole-body recovery

rTG Omega-3 for Eye & Body Health

Dr. Summerton also explains why she recommends rTG (re-esterified triglyceride) Omega-3 fish oil, especially for:

Dry eye support
Inflammation reduction
Retinal and macular health

She shares simple at-home tips for viral conjunctivitis as well.

both doctors discuss using Lumenis Opti Light IPl for styes( chalazions and hordeolums) oftent times as first line of treatment vs oral antibiotics and surgical intervention. Opti light ipl treatment works well for chalazions and hordeolums.

Live Call-In Questions Drive the Show

As always, today’s program was packed with live questions from listeners—directing discussions on:
Weight loss
Muscle building
Nutrition
Eye health
Viral conjunctivitis
Supplement for Overall wellness

A Packed Show with Actionable Takeaways

From muscle preservation to omega-3 for dry eye, from sustained-release vitamin C to myostatin-blocking nutrition, this episode is full of practical science listeners can use immediately.

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11/02/2025

Dr Lange and Dr Summerton uncover the hidden causes of Dry Eye and Meibomian Gland Dysfunction — from Demodex mites to clogged glands — and share the latest natural, nutritional, medical, and advanced laser treatments including Xdemvy, OptiLight IPL, OptiLift, and Fortifeye Advanced Dry Eye Therapy.

In this episode of Ask the Dr, Dr Michael Lange and Dr Summerton discuss the root causes and the most effective treatments for Meibomian Gland Dysfunction, one of the leading causes of dry eye disease. They explain how clogged meibomian glands reduce the oily layer of the tear film, leading to dryness, irritation, and fluctuating vision.

A key focus is the Demodex mite, a microscopic parasite that lives in the eyelash follicles and meibomian glands. These mites crawl into the glands, lay eggs, and regurgitate inside, triggering inflammation and gland obstruction that worsen MGD symptoms.

The doctors highlight three major treatment approaches — natural, medical, and advanced technological solutions

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10/20/2025

Dr Michael Lange and Dr Susan Summerton host the longest running live medical talk show in America called "ask the dr" today. Dr Lange promotes the Ocala Health and Wellness Expo Fortifeye Vitamins is sponsoring at the World Equestrian Center in Ocala. The doctors announce the all new Fortifeye Creatine, myHMB, Vitamin D is now available at all Fortifeye locations and at www.fortifeye.com.

In this episode Dr Lange and Dr Summerton uncover the hidden truth about heavy metal contamination in many popular protein powders especially those made with rice proteins from overseas. They explain why Fortifeye Vegan Super Protein, sourced exclusively from North American ingredients, is one of the purest and cleanest plant proteins available. Dr Summerton shares her own lab -tested proof showing zero heavy metal buildup, confirming Fortifeye's exceptional purity. The doctors also discuss the new Fortifeye Creatine, myHMB, Vitamin D formula and the Fortifeye Strength and Vitality Bundle, a triple powerhouse of nutrients designed to support muscle strength, endurance and healthy aging at any age.

Both doctors love the new Salted Caramel Mocha Vegan Super Protein made by Fortifeye Vitamins. Dr Lange says to always check country of origin for your protein powder!

Dr Lange does a segment on rice and arsenic and recommends eating white rice instead of brown rice since less arsenic.

They go over how important a routine dilated eye exam is for detecting systemic health problems and eye problems.
Dr Lange discusses the all new Fortifeye Fit Meal 5th prototype was a winner and everyone loved it. He states they are now going to manufacture this meal replacement supplement. Fortifeye Fit Meal was developed to help people get down to their ideal body weight and become healthier through proper nutrition.

Dr Lange and Dr Summerton go over what supplements are important for the eye with a caller and they go into some detail what foods to eat and supplements to take.
Dr Summerton states omega 3 fish oil like Fortifeye Super Omega is one of the top supplements to take for ocular and overall health, she goes into detail discussing what kind of omega 3 is best.

They talk about nootropics with a caller and the potential benefits.
Both doctors endorse the Lumenis opti light IPL on the show for dry eye treatment. Dr Lange at end of show mentions eyedaptic low vision technology is available at the Lange Eye Institute.

https://www.youtube.com/live/EgZ4roD3Ieg?si=zmU7dBuBXhG09c0n

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10/19/2025

Maintaining healthy antioxidant mineral status (especially manganese) and minimizing arsenic exposure (from water or contaminated food) could help protect ocular surface tissues and reduce pterygium risk.

Excess arsenic and low manganese levels were associated with greater risk of pterygium among Korean adults.
This supports the hypothesis that trace-element imbalance and oxidative stress contribute to pterygium development.

Pterygium often starts on the inner (nasal) side of the eye and extends outward. The surface may appear pink/red due to blood vessels, and can distort vision if it grows over the central cornea.
The wing-shaped fibrovascular tissue growth on the eye’s conjunctiva that can invade the cornea and impair vision.

It’s linked to UV exposure and oxidative stress, but the exact cause is still unclear.
• Arsenic (As) can increase oxidative stress and damage eye tissues.
• Manganese (Mn) and zinc (Zn) are trace elements that support antioxidant enzymes (e.g., superoxide dismutase, metallothionein), potentially protecting against oxidative damage.
https://pubmed.ncbi.nlm.nih.gov/41108861/