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Vitamins for eye health

The 9 most important vitamins for eye health

Your eyes are complex organs, and nutrition plays a key role in keeping them healthy. Here are the nine most important vitamins for proper eye health.

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The 9 most important vitamins for eye health
Last updated on May 17, 2023, and last reviewed by an expert on July 28, 2022.

Your eyes are complex organs that need many different vitamins and nutrients to function properly.

The 9 most important vitamins for eye health

Common conditions, such as diabetic retinopathy, age-related macular degeneration, glaucoma, and cataracts, can impact your eyes.

Though a variety of different factors causes these conditions, nutrition seems to have an influence on all of them — at least in part.

Here are nine key vitamins and nutrients that help maintain eye health.

1. Vitamin A

Vitamin A plays a crucial role in vision by maintaining a clear cornea, the outside covering of your eye.

This vitamin is also a component of rhodopsin, a protein in your eyes that allows you to see in low light conditions.

Vitamin A deficiency is rare in developed countries, but if unaddressed can lead to a serious condition called xerophthalmia.

Xerophthalmia is a progressive eye disease that begins with night blindness. If vitamin A deficiency continues, your tear ducts and eyes can dry out. Eventually, your cornea softens, resulting in irreversible blindness.

Vitamin A may also help protect against other eye afflictions. Some studies suggest that diets high in vitamin A may be associated with a reduced risk of cataracts and age-related macular degeneration (AMD).

For general eye health, vitamin-A-rich foods are recommended over supplements. Sweet potatoes are an excellent source, as are leafy green vegetables, pumpkins, and bell peppers.

Summary: Severe vitamin A deficiency can lead to xerophthalmia, a serious condition that can result in blindness. In some studies, high vitamin A intake was associated with a reduced risk of cataracts and age-related macular degeneration.

2. Vitamin E

Many eye conditions are believed to be associated with oxidative stress, an imbalance between antioxidants and free radicals in your body.

Vitamin E is a potent antioxidant that helps protect your cells — including your eye cells — from damage by free radicals, which are harmful, unstable molecules.

One seven-year study in 3,640 people with AMD showed that taking 400 IU of vitamin E and several other nutrients in a daily supplement called AREDS reduced the risk of progressing to advanced stages by 25%.

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In addition, some studies suggest that diets high in vitamin E may help prevent age-related cataracts. However, more research is needed as some studies show no association between vitamin E and this condition.

Nonetheless, a diet that includes adequate vitamin E is recommended to maintain proper eye health. Some vitamin-E-rich options include nuts, seeds, and cooking oils. Salmon, avocado, and leafy green vegetables are also good sources.

Summary: Vitamin E, an antioxidant, may help protect your eyes against damaging free radicals. It’s used in a daily supplement called AREDS as a potential treatment for AMD, and high amounts in your diet may be associated with a reduced risk of cataracts.

3. Vitamin C

Like vitamin E, vitamin C is a powerful antioxidant that may protect your eyes against damaging free radicals.

Vitamin C and several other nutrients are used in the supplement AREDS, which may benefit those with AMD. When taken daily, one study suggests that AREDS may reduce the risk of this condition progressing by 25%.

In addition, vitamin C is required to make collagen, a protein that provides structure to your eye, particularly in the cornea and sclera.

Several observational studies suggest that vitamin C may help lower your risk of developing cataracts, a condition that causes your eye to become cloudy and impairs vision.

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For example, one observational study showed a 75% reduced risk of developing cataracts when the daily vitamin C intake was above 490 mg, compared to 125 mg or less.

Another study found that regular vitamin C supplements may reduce the risk of cataracts by 45%.

Citrus and tropical fruits, bell peppers, broccoli, and kale contain exceptionally high amounts of vitamin C, making them excellent options to boost your daily intake.

Summary: Vitamin C forms collagen, a protein that provides structure to your eyes. Observational studies suggest that this vitamin may protect against cataracts and help prevent the progression of AMD.

4. Vitamins B6, B9, and B12

Researchers have also studied several B vitamins for their impact on eye health, particularly vitamins B6, B9, and B12.

This combination of vitamins can lower homocysteine levels, a protein in your body that may be associated with inflammation and an increased risk of developing AMD.

A clinical study in women demonstrated a 34% reduced risk of AMD while taking 1,000 mcg of vitamin B12 and vitamins B6 and B9.

However, more research is needed to confirm the benefits of these supplements. In addition, it’s unclear if increasing your intake of vitamin-B-rich foods would have similar effects.

Summary: The combination of vitamins B6, B9, and B12 may help reduce your risk of developing AMD by lowering your homocysteine levels.

5. Riboflavin

Another B vitamin studied in relation to eye health is riboflavin (vitamin B2). As an antioxidant, riboflavin can potentially reduce oxidative stress in your body, including your eyes.

In particular, scientists are studying riboflavin’s potential to prevent cataracts, as prolonged riboflavin deficiency may lead to this condition. Interestingly, many individuals with cataracts also are deficient in this antioxidant.

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One study found a 31–51% decreased risk of cataracts development when participants’ diets included 1.6–2.2 mg of riboflavin per day, compared to .08 mg per day.

Health authorities recommend consuming 1.1–1.3 mg of riboflavin per day. It’s usually easy to achieve this amount, as many foods are high in riboflavin. Some examples include oats, milk, yogurt, beef, and fortified cereals.

Summary: As an antioxidant, riboflavin may protect against damaging free radicals in your eyes. Diets high in riboflavin have reduced the risk of developing cataracts.

6. Niacin

The main function of niacin (vitamin B3) in your body is to help convert food into energy. It can also act as an antioxidant.

Recently, studies have suggested that niacin may play a role in preventing glaucoma, a condition in which the optic nerve of your eye becomes damaged.

For example, an observational study on the nutrient consumption of Korean adults and their risk for glaucoma found an association between low dietary intake of niacin and this condition.

In addition, an animal study showed that high doses of niacin supplements effectively prevented glaucoma.

More research on the potential link between niacin and glaucoma is needed.

Supplements should be used with caution. When consumed in high amounts of 1.5–5 grams per day, niacin may pose adverse effects to the eyes, including blurred vision, macular damage, and inflammation of the cornea.

However, no evidence of consuming foods naturally high in niacin has adverse effects. Some food sources include beef, poultry, fish, mushrooms, peanuts, and legumes.

Summary: Studies suggest that niacin may prevent the development of glaucoma, but supplements should be used with caution.

7. Lutein and zeaxanthin

Lutein and zeaxanthin are part of the carotenoid family, a group of beneficial compounds synthesized by plants.

These carotenoids can be found in the macula and retina of your eyes, where they help filter potentially harmful blue light, thus protecting your eyes from damage.

Several studies suggest that these plant compounds may prevent cataracts and prevent or slow the progression of AMD.

A randomized, controlled study found potential benefits of lutein for people with cataracts. Over two years, those taking supplements containing 15 mg of lutein thrice per week experienced improved vision.

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Recommended daily intakes and safe supplemental doses have not been established for these compounds. However, 20 mg of lutein per day for six months has been used in studies without adverse effects.

Nonetheless, supplements may not be necessary. As little as 6 mg of lutein and zeaxanthin may yield benefits, and a diet rich in fruits and vegetables naturally provides this amount. Cooked spinach, kale, and collard greens are exceptionally high in these carotenoids.

Summary: Lutein and zeaxanthin are beneficial plant compounds that may help prevent AMD and cataracts. No recommended daily intakes have been established, but a diet high in fruits and vegetables can provide plenty of these nutrients.

8. Omega-3 fatty acids

Omega-3 fatty acids are a type of polyunsaturated fat. The cell membranes of your retina contain a high concentration of DHA, a particular type of omega-3.

Besides helping form the cells of your eye, omega-3 fats have anti-inflammatory properties, which may play a role in preventing diabetic retinopathy.

A review of 31 studies suggested that diets high in oily fish — such as the traditional Mediterranean diet — may protect against diabetic retinopathy. Although these findings need to be corroborated with more research, they imply that fatty acids may be responsible.

Omega-3 fats may also benefit individuals with dry eye disease by helping them produce more tears. With this condition, a lack of tears causes dryness, discomfort, and occasional blurry vision.

To increase omega-3 fatty acids in your diet, include rich sources such as fish, flaxseed, chia seeds, soy, and nuts. Omega-3s can also be found in cooking oils such as canola and olive oil.

Summary: Omega-3 fatty acids have anti-inflammatory properties and may help prevent diabetic retinopathy when included in your diet. These fats may also aid those with dry eye disease.

9. Thiamine

Thiamine, or vitamin B1, plays a role in proper cell function and converting food into energy.

It’s possibly effective at reducing the risk of cataracts.

An observational study on 2,900 people in Australia suggests that a diet high in thiamine reduces your risk of developing cataracts by 40%. This study also indicates that protein, vitamin A, niacin, and riboflavin may protect against cataracts.

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Moreover, thiamine has been proposed as a potential treatment for the early stages of diabetic retinopathy.

A clinical study found that 100 mg of thiamine taken three times daily reduced the amount of albumin in urine — an indication of diabetic retinopathy in type 2 diabetes.

Food sources of thiamine include whole grains, meat, and fish. In addition, thiamine is often added to foods like breakfast cereals, bread, and pasta.

Summary: Diets high in thiamine have reduced the risk of developing cataracts. Supplements have also been proposed as a way to treat diabetic retinopathy.

Summary

Research suggests that specific vitamins and nutrients may help prevent or slow the progression of several eye conditions.

Supplements may be beneficial if you suspect you’re missing any of these vitamins in your diet.

However, eating a balanced diet rich in fruits, vegetables, whole grains, protein, and healthy fats will provide you with all the nutrients your eyes — and the rest of your body — need for optimal health.

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