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Smoking causes increased cellularity of both Alveolar macrophages smoking influences the phenotype of pulmonary macrophages, resulting in more undifferentiated immature monocyte-like macrophages with a reduction in the mature AM surface markers needed for phagocytosis, efferocytosis, cellcell and cell to matrix interaction The increase in the immature macrophages seen in smokers may be due to the influx of monocyte-derived cells from the peripheral blood, with the additional increase due to AM proliferation within the lung.38 Neutrophils may be explained by chemotactic factors generated in the lung Resulting in release of proteases from macrophages and neutrophils smoke evokes an inflammatory cell reaction and that these cells release proteases that overwhelm the antiproteolytic defenses of the lower respiratory tract, Proteinase/anti-proteinase imbalance and tissue destruction one of the causes of smoking-related lung damage is through the imbalance of proteolytic enzymes (proteinases) Smoking tips the balance of proteinase/anti-proteinase release from AMs, contributing to cell death alongside inadequate repair, with elastolysis and connective tissue destruction, all of which are involved in the pathology of emphysema

Take regular breaks while performing activities that strain your eyes, such as reading or using screens Wash eyes with clean water and avoid rubbing it Control blood pressure, cholesterol, and blood glucose levels to identify eye problems at an early stage Book annual appointments with your ophthalmologist for check ups By quitting smoking and taking such preventive measures, you will succeed in protecting your eyes and reducing the risk of catching threatening eye diseases

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