“…Fume particles and noxious gases such as nicotine and carbon monoxide may influence the circulatory system by inducing profound vasospasm, platelet aggregation, or leading to oxidative damage to lipids, proteins, and cellular DNA. [2][3][4][5][6][7][8] Epidemiological data link cigarette smoking as a risk factor for many ophthalmological disorders including strabismus in offspring of pregnant smokers, anterior ischaemic optic neuropathy, age related macular degeneration, cataract, thyroid ophthalmopathy, primary open angle glaucoma, diabetic retinopathy, uveal melanoma, conjunctival intraepithelial neoplasia, ocular sarcoidosis, and development of dry eyes. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] The Beaver Dam Study related current active smoking and past history of smoking to a higher prevalence of dry eye disease.…”