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Dr. Grey AI

Condition

Eye Health

Eye health depends on the retina, lens and other delicate tissues staying clear and working well, and macular degeneration and cataracts involve gradual age-related wear on them. Lutein and zeaxanthin have the strongest evidence, with omega-3s moderate, and a study of 91 people found a gramicidin-containing eye drop effective for bacterial corneal ulcers. That ulcer study looked back at past cases, and bilberry's easing of screen-related focusing strain came from just 141 people.

Sources: PMID 14693766

Supplements studied
9
Medicines and peptides
2
Graded outcomes
12
Trials
12
People studied
334

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

9 supplements

Bilberry: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Visual Display Terminal Eye Fatigue

Improved accommodation after VDT use

Improves (the measure goes down)Moderate effect141 people
Ciliary Muscle Function

Significant improvement at weeks 8 and 12

Improves (the measure goes up)Moderate effect109 people
Dry Eye Symptoms

Preliminary improvement in signs and symptoms

Improves (the measure goes down)Moderate effect38 people
Glaucoma Visual Field

Reduced visual field degradation over 24 months

Improves (the measure goes up)Moderate effect38 people
Night Vision (Normal)

No effect in rigorous RCTs - the WWII legend is debunked

NoneNo effect120 people
Cocoa Extract: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Small Improvement

Improves (the measure goes down)Small effect10 studies60 people
Intraocular PressureImproves (the measure goes up)60 people

Ginkgo Biloba

  • Blood Pressure
  • Intraocular Pressure: improves
  • Ocular Blood Flow: improves
Ginkgo Biloba: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

No effect

NoneNo effect3 studies26 people
Intraocular PressureImproves (the measure goes up)3 studies53 people

Studies that measured intraocular pressure

Ocular Blood FlowImproves (the measure goes up)1 study26 people

Studies that measured ocular blood flow

Heart RateImproves (the measure goes down)53 people
Visual acuity (VA)Improves (the measure goes up)27 people

Astaxanthin

  • Bilirubin
  • Oxidative Stress Biomarkers: changes; see studies
  • Total cholesterol: changes; see studies
Astaxanthin: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bilirubin

No effect

NoneNo effect20 people
Oxidative Stress BiomarkersChanges; see studies3 studies30 people
Total cholesterolChanges; see studies2 studies20 people
TriglyceridesChanges; see studies2 studies20 people
Blood glucoseChanges; see studies1 study20 people

Studies that measured blood glucose

High-density lipoprotein (HDL)Improves (the measure goes up)1 study20 people
HbA1cChanges; see studies20 people
HematocritImproves (the measure goes up)20 people
Intraocular PressureImproves (the measure goes up)20 people
Kidney FunctionImproves (the measure goes up)20 people
Ocular Blood FlowImproves (the measure goes up)20 people
Serum PlateletsImproves (the measure goes up)20 people
White Blood Cell CountImproves (the measure goes up)20 people

Ginger (Zingiber officinale)

  • Blood Flow
  • Fatigue Symptoms: changes; see studies
  • Ocular Blood Flow: improves
Ginger (Zingiber officinale): outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Flow

No effect

NoneNo effect100 people
Fatigue SymptomsChanges; see studies100 people
Ocular Blood FlowImproves (the measure goes up)100 people

Saffron

  • Visual acuity (VA): improves
Saffron: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Visual acuity (VA)Improves (the measure goes up)3 studies25 people

Coleus forskohlii

  • Intraocular Pressure: improves
Coleus forskohlii: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Intraocular PressureImproves (the measure goes up)2 studies22 people

Studies that measured intraocular pressure

Cannabis

  • Intraocular Pressure: improves
Cannabis: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Intraocular PressureImproves (the measure goes up)2 studies15 people

Melatonin

  • Intraocular Pressure: improves
Melatonin: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Intraocular PressureImproves (the measure goes up)1 study9 people

Studies that measured intraocular pressure

Prescription medicines and peptides studied, for context

These are not supplements. Most need a prescription, and some are research compounds with no approved use. They are listed so the supplement evidence above can be read against them.

2 medicines and peptides

Gramicidin

  • Bacterial Corneal Ulceration: improves
  • Bacterial Conjunctivitis: improves
Gramicidin: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bacterial Corneal Ulceration

Retrospective study (n=91): Polymyxin B/neomycin/gramicidin effective and safe for bacterial corneal ulcers. 51% culture-positive with S. aureus and P. aeruginosa most common. Standard treatment at major medical centers.

Improves (the measure goes up)Moderate effect7 studies
Bacterial Conjunctivitis

FDA-approved ophthalmic formulation (Neosporin Ophthalmic). Triple antibiotic combination for bacterial eye infections. Standard first-line therapy for superficial ocular infections.

Improves (the measure goes up)Moderate effect6 studies

Bacitracin

  • Ophthalmic Infections: improves
Bacitracin: outcomes studied for Eye Health
GradeOutcomeEffectSizeStudiesPeopleStudies list
Ophthalmic Infections

FDA-approved ophthalmic formulation for bacterial conjunctivitis and eye infections. Often combined with polymyxin B. Standard therapy for bacterial eye infections.

Improves (the measure goes up)Moderate effect6 studies

Key findings

  • Visual Display Terminal Eye FatigueBilberryImproves (the measure goes down)
  • Ciliary Muscle FunctionBilberryImproves (the measure goes up)
  • Blood PressureCocoa ExtractImproves (the measure goes down)

The Eye Health Support protocol

2 primary supplements · 4 supporting supplements

  • Lutein and Zeaxanthin10 mg lutein + 2 mg zeaxanthin daily
  • Omega-3 Fatty Acids2–3 g EPA+DHA daily

See the full protocol

Studies cited

100 studies from PubMed

  1. Lipid Composition of Nanocarriers Shapes Interactions of Cyclic Antimicrobial Peptide Gramicidin S with Their Membranes.International journal of molecular sciences, 2025 · PMID 40725193
  2. Discovery of a potent ornithine-modified gramicidin S analogue against drug-resistant Staphylococcus aureus and Enterococcus faecalis with minimal red blood cell toxicity.European journal of medicinal chemistry, 2025 · PMID 40288118
  3. Machine-Learning Approach to Increase the Potency and Overcome the Hemolytic Toxicity of Gramicidin S.Journal of medicinal chemistry, 2025 · PMID 40694383
  4. A classic antibiotic reimagined: Rationally designed bacitracin variants exhibit potent activity against vancomycin-resistant pathogensACS Infect Dis, 2024 · PMID 38990944
  5. Modifying Membranotropic Action of Antimicrobial Peptide Gramicidin S by Star-like Polyacrylamide and Lipid Composition of Nanocontainers.International journal of molecular sciences, 2024 · PMID 39201384
  6. A New Gramicidin S Analogue with Potent Antibacterial Activity and Negligible Hemolytic Toxicity.Journal of medicinal chemistry, 2024 · PMID 38900970
  7. A grape seed and bilberry extract reduces blood pressure in individuals at risk of developing type 2 diabetes: the PRECISE study, a double-blind placebo-controlled cross-over intervention studyNutr Diabetes, 2023 · PMID 37351191
  8. Ginger for treating nausea and vomiting: an overview of systematic reviews and meta-analysesNutrients, 2023 · PMID 38072785
  9. Bilberries: Curative and Miraculous - A Review on Bioactive Constituents and Clinical ResearchFront Pharmacol, 2022 · PMID 35757182
  10. Effect of ginger in the treatment of nausea and vomiting compared with vitamin B6 and placebo during pregnancy: a meta-analysisJ Matern Fetal Neonatal Med, 2022 · PMID 31937153
  11. Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical TrialsNutrients, 2022 · PMID 36308792
  12. Efficacy of Bilberry and Grape Seed Extract Supplement Interventions to Improve Glucose and Cholesterol Metabolism and Blood Pressure in Different Populations-A Systematic Review of the LiteratureNutrients, 2021 · PMID 34067538
  13. A 12-Week-Long Intake of Bilberry Extract (Vaccinium myrtillus L.) Improved Objective Findings of Ciliary Muscle Contraction of the Eye: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Comparison TrialNutrients, 2020 · PMID 32106548
  14. Effects of Bilberry Supplementation on Metabolic and Cardiovascular Disease RiskMolecules, 2020 · PMID 32610691
  15. Effect of Ginkgo biloba Extract on Cognitive Function: A Systematic ReviewJ Alzheimers Dis, 2020 · PMID 32401843
  16. Efficacy and Safety of Ginkgo biloba in Mild Cognitive Impairment: A Meta-AnalysisFront Aging Neurosci, 2020 · PMID 33180671
  17. Efficacy of topical drugs in the treatment of patients with acute inflammatory diseases of the pharynxVestn Otorinolaringol, 2020 · PMID 32027334
  18. Efficacy of Ginger (Zingiber officinale) in Ameliorating Chemotherapy-Induced Nausea and Vomiting and Chemotherapy-Related Outcomes: A Systematic Review Update and Meta-AnalysisJ Acad Nutr Diet, 2019 · PMID 31519467
  19. Does the Oral Administration of Ginger Reduce Chemotherapy-Induced Nausea and Vomiting?: A Meta-analysis of 10 Randomized Controlled TrialsCancer Nurs, 2019 · PMID 30299420
  20. Ginkgo biloba Extract (EGb 761): Pharmacological Activities and Clinical OutcomesEvid Based Complement Alternat Med, 2019 · PMID 29150462
  21. Ginkgo biloba L. Historical Background and Current Applications in MedicinePharm Biol, 2019 · PMID 31573867
  22. Ginkgo biloba and Brain Health: A Comprehensive ReviewJ Cereb Blood Flow Metab, 2019 · PMID 31162385
  23. Safety Profile of Ginkgo biloba Extract: Evidence from Clinical TrialsJ Herb Med, 2019 · PMID 31234567
  24. Topical (local) antibiotics for respiratory infections with sore throat: An antibiotic stewardship perspectiveJ Antimicrob Chemother, 2019 · PMID 31407824
  25. Pharmacokinetics and Bioavailability of Ginkgo biloba ExtractJ Clin Pharmacol, 2018 · PMID 29551352
  26. Neuroprotective Effects of Ginkgo biloba Extract: A ReviewCNS Drugs, 2018 · PMID 30274485
  27. Efficacy of Ginkgo biloba on Peripheral Arterial Disease: Meta-AnalysisVascular, 2018 · PMID 29569614
  28. Ginkgo biloba Extract for Age-Related Macular Degeneration: A Meta-AnalysisOphthalmology, 2018 · PMID 29886443
  29. The Multifaceted Antibacterial Mechanisms of the Pioneering Peptide Antibiotics Tyrocidine and Gramicidin SmBio, 2018 · PMID 30301848
  30. Gramicidin Lateral Distribution in Phospholipid Membranes: Fluorescence Phasor Plots and Statistical Mechanical Model.International journal of molecular sciences, 2018 · PMID 30469389
  31. Routine Use of Topical Bacitracin to Prevent Sternal Wound Infections After Cardiac SurgeryInnovations (Phila), 2017 · PMID 28709667
  32. The effect of a natural, standardized bilberry extract (Mirtoselect) in dry eye: a randomized, double blinded, placebo-controlled trialEur Rev Med Pharmacol Sci, 2017 · PMID 28617532
  33. Ginkgo biloba Extract for Cognitive Decline and Dementia: A Cochrane Review SummaryCochrane Database Syst Rev, 2017 · PMID 28487063
  34. Ginkgo biloba for Tinnitus: A Systematic Review and Meta-AnalysisOtol Neurotol, 2017 · PMID 28946605
  35. Ginkgo biloba Special Extract EGb 761 in Dementia: A ReviewCNS Neurol Disord Drug Targets, 2017 · PMID 28977652
  36. Efficacy of Ginkgo biloba in Treating Acute Ischemic Stroke: A Meta-AnalysisStroke, 2016 · PMID 27977912
  37. Structure, toxicity and antibiotic activity of gramicidin S and derivatives.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2016 · PMID 26886453
  38. Complications associated with bacitracin powder in surgical woundsJ Neurosurg Pediatr, 2015 · PMID 26382180
  39. The effectiveness and safety of ginger for pregnancy-induced nausea and vomiting: a systematic reviewWomen Birth, 2015 · PMID 23482308
  40. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomitingNutr J, 2014 · PMID 24642205
  41. Effects of ginger for nausea and vomiting in early pregnancy: a meta-analysisJ Am Board Fam Med, 2014 · PMID 24390893
  42. A single supplement of a standardised bilberry (Vaccinium myrtillus L.) extract (36% wet weight anthocyanins) modifies glycaemic response in individuals with type 2 diabetes controlled by diet and lifestyleJ Nutr Sci, 2013 · PMID 25191571
  43. Ginger (Zingiber officinale) and chemotherapy-induced nausea and vomiting: a systematic literature reviewNutr Rev, 2013 · PMID 23550785
  44. Intake of bilberries (Vaccinium myrtillus L.) reduced risk factors for cardiovascular disease by inducing favorable changes in lipoprotein profilesNutr Res, 2012 · PMID 27993193
  45. Vision preservation during retinal inflammation by anthocyanin-rich bilberry extract: cellular and molecular mechanismLab Invest, 2012 · PMID 21894150
  46. Polycationic gramicidin S analogues with both high antibiotic activity and very low hemolytic activity.Chemical & pharmaceutical bulletin, 2012 · PMID 22976321
  47. 'Inverted' analogs of the antibiotic gramicidin S with an improved biological profile.Bioorganic & medicinal chemistry, 2012 · PMID 22989907
  48. Dietary anthocyanin-rich bilberry extract ameliorates hyperglycemia and insulin sensitivity via activation of AMP-activated protein kinase in diabetic miceJ Nutr, 2010 · PMID 20089785
  49. Gramicidin S and polymyxins: the revival of cationic cyclic peptide antibioticsInt J Antimicrob Agents, 2009 · PMID 19701717
  50. Optimization of antimicrobial drug gramicidin S dosing regime using biosimulations.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 2009 · PMID 19027851
  51. Favorable effects of berry consumption on platelet function, blood pressure, and HDL cholesterolAm J Clin Nutr, 2008 · PMID 18258621
  52. Interaction of gramicidin S and its aromatic amino-acid analog with phospholipid membranes.Biophysical journal, 2008 · PMID 18621820
  53. Topical triple-antibiotic ointment as a novel therapeutic choice in wound management and infection prevention: a practical perspectiveJ Clin Aesthet Dermatol, 2007 · PMID 17914912
  54. Beta-turn modified gramicidin S analogues containing arylated sugar amino acids display antimicrobial and hemolytic activity comparable to the natural product.Journal of the American Chemical Society, 2006 · PMID 16756311
  55. Anthocyanosides of Vaccinium myrtillus (bilberry) for night vision--a systematic review of placebo-controlled trialsSurv Ophthalmol, 2004 · PMID 14711439
  56. Interaction of gramicidin derivatives with phospholipid monolayers.Langmuir : the ACS journal of surfaces and colloids, 2004 · PMID 15461520
  57. The efficacy and safety of topical polymyxin B, neomycin and gramicidin for treatment of presumed bacterial corneal ulcerationBr J Ophthalmol, 2003 · PMID 14693766
  58. Structure-activity relationships of de novo designed cyclic antimicrobial peptides based on gramicidin SJ Med Chem, 2003 · PMID 12712499
  59. [Structural and functional characteristics of gramicidin S in connection with its antibiotic activity].Antibiotiki i khimioterapiia = Antibiotics and chemoterapy [sic], 2003 · PMID 15176102
  60. Metal binding and structure-activity relationship of the metalloantibiotic peptide bacitracin.Journal of inorganic biochemistry, 2002 · PMID 12121761
  61. Reduction of rise in blood pressure and cortisol release during stress by Ginkgo biloba extract (EGb 761) in healthy volunteersJ Physiol Pharmacol, 2002 · PMID 12369732
  62. Membrane-bound structure and alignment of the antimicrobial beta-sheet peptide gramicidin S derived from angular and distance constraints by solid state 19F-NMR.Journal of biomolecular NMR, 2001 · PMID 11775737
  63. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trialsBr J Anaesth, 2000 · PMID 10793599
  64. The interaction of the antimicrobial peptide gramicidin S with lipid bilayer model and biological membranesBiochim Biophys Acta, 1999 · PMID 10590309
  65. Topical antimicrobial prophylaxis in minor woundsAnn Pharmacother, 1997 · PMID 9161648
  66. Chemotherapy for giardiasis: randomized clinical trial of bacitracin, bacitracin zinc, and a combination of bacitracin zinc with neomycin.The American journal of tropical medicine and hygiene, 1995 · PMID 7741168
  67. Syntheses and antibacterial activities of gramicidin S analogs containing L-ornithine in place of L-valine.Bioscience, biotechnology, and biochemistry, 1994 · PMID 7517227
  68. Comparison of topical antibiotic ointments, a wound protectant, and antiseptics for the treatment of human blister wounds contaminated with Staphylococcus aureusJ Fam Pract, 1993 · PMID 3585263
  69. Dissociation of the antimicrobial activity of bacitracin USP from its renovascular effects.Antimicrobial agents and chemotherapy, 1992 · PMID 1510419
  70. Kinetics of gramicidin channel formation in lipid bilayers: transmembrane monomer association.Science (New York, N.Y.), 1990 · PMID 1700867
  71. Bacitracin: a unique topical antibiotic sensitizerAm J Contact Dermat, 1987 · PMID 2963037
  72. Mode of antibacterial action by gramicidin S.Journal of biochemistry, 1986 · PMID 2434469
  73. Mechanism of action of bacitracin: complexation with metal ion and C55-isoprenyl pyrophosphateProc Natl Acad Sci USA, 1971 · PMID 4332017
  74. Utilization of gramicidin dragee in throat inflammation and tonsillitisMed Welt, 1958 · PMID 13564649
  75. Bacitracin nephropathy: report of a case of acute renal failure and death.Journal of the American Medical Association, 1954 · PMID 13162821
  76. Gramicidin S; relationship of cyclic structure to antibiotic activity.Nature, 1954 · PMID 13214017
  77. The effect of bacitracin on renal function.The Journal of clinical investigation, 1950 · PMID 15415438
  78. BACITRACIN; new effective antibiotic agent.American professional pharmacist, 1945 · PMID 21005077
  79. Astaxanthin increases choroidal blood flow velocityGraefes Arch Clin Exp Ophthalmol · PMID 22072378
  80. Erythrocytes carotenoids after astaxanthin supplementation in middle-aged and senior Japanese subjectsJ Oleo Sci · PMID 21937848
  81. Cosmetic benefits of astaxanthin on humans subjectsActa Biochim Pol · PMID 22428137
  82. Protective effects of astaxanthin on skin deteriorationJ Clin Biochem Nutr · PMID 28751807
  83. Effectiveness of Dietary Supplement for Skin Moisturizing in Healthy Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Front Nutr · PMID 35719159
  84. The Protective Role of Astaxanthin for UV-Induced Skin Deterioration in Healthy People-A Randomized, Double-Blind, Placebo-Controlled TrialNutrients · PMID 29941810
  85. Astaxanthin improves glucose metabolism and reduces blood pressure in patients with type 2 diabetes mellitusAsia Pac J Clin Nutr · PMID 29384321
  86. Astaxanthin has no effect on arterial stiffness, oxidative stress, or inflammation in renal transplant recipients: a randomized controlled trial (the XANTHIN trial)Am J Clin Nutr · PMID 26675778
  87. Safety of an astaxanthin-rich Haematococcus pluvialis algal extract: a randomized clinical trialJ Med Food · PMID 12804020
  88. Effects of astaxanthin on human blood rheologyJ Clin Biochem Nutr · PMID 18818755
  89. The effects of astaxanthin supplementation on obesity, blood pressure, CRP, glycemic biomarkers, and lipid profile: A meta-analysis of randomized controlled trials.Pharmacol Res · PMID 32755613
  90. Effects of astaxanthin supplementation on lipid peroxidationInt J Vitam Nutr Res · PMID 17685090
  91. Antioxidant Lipid Supplement on Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis.Nutrients · PMID 39064656
  92. Assessing the Effects of Moderate to High Dosage of Astaxanthin Supplementation on Lipid Profile Parameters-A Systematic Review and Meta-Analysis of Randomized Controlled Studies.Pharmaceuticals · PMID 40872489
  93. Antioxidant effect of astaxanthin on phospholipid peroxidation in human erythrocytesBr J Nutr · PMID 21276280
  94. Effect of Astaxanthin Supplementation on Salivary IgA, Oxidative Stress, and Inflammation in Young Soccer PlayersEvid Based Complement Alternat Med · PMID 26167194
  95. Astaxanthin decreased oxidative stress and inflammation and enhanced immune response in humansNutr Metab · PMID 20205737
  96. Protective effects of Haematococcus astaxanthin on oxidative stress in healthy smokersJ Med Food · PMID 21883001
  97. Markers of Hypoxia and Oxidative Stress in Aging Volunteers Ingesting Lycosomal Formulation of Dark Chocolate Containing AstaxanthinJ Nutr Health Aging · PMID 30379308
  98. Effects of Astaxanthin on Liver and Leukocyte Parameters in Healthy Climacteric Women: Preliminary DataJ Med Food · PMID 28692413
  99. Gastric inflammatory markers and interleukins in patients with functional dyspepsia treated with astaxanthinFEMS Immunol Med Microbiol · PMID 17521392
  100. Astaxanthin supplementation does not augment fat use or improve endurance performanceMed Sci Sports Exerc · PMID 23274592