Supplying Ocular Nutritional Supplements
Supplying ocular nutritional supplements (ONS) is a way to deepen patient trust and improve their visual outcomes, with the byproduct a new revenue stream. This is the theme of this issue of Optometric Management.
By
Neda Gioia, OD, CNS, IFMCP, FOWNS
January 1, 2026
Clinical Scorecard: Supplying Ocular Nutritional Supplements
At a Glance
Category Detail
Condition Age-related macular degeneration and dry eye disease Key Mechanisms Absorption factors, quality standards, and dietary considerations for ocular nutritional supplements Target Population Patients at risk for or suffering from ocular conditions Care Setting Optometry practices
Key Highlights
Increase in prevalence of age-related macular degeneration and dry eye disease necessitates ONS Global eye health supplements market projected to grow from $1.95 billion in 2024 to $2.94 billion by 2030 Optometrists can enhance patient trust and visual outcomes through ONS Hybrid models of in-office and online fulfillment can improve patient adherence Incorporating dietary habit questions in intake forms can identify patients who may benefit from ONS Guideline-Based Recommendations
Diagnosis
Assess patient dietary habits to identify potential ONS needs Include a section for supplements in patient intake forms Management
Provide targeted ONS recommendations based on individual dietary assessments Utilize a pre-written punch list for frequently recommended ONS Monitoring & Follow-up
Schedule follow-up visits 2-4 weeks after ONS recommendation to assess adherence Combine in-office testing with lab evaluations for objective feedback Risks
Improper storage and oxidation can degrade sensitive compounds in ONS Patients may not understand the need for dietary fat for optimal absorption of fat-soluble nutrients Patient & Prescribing Data
Patients with inadequate dietary intake of key nutrients for eye health
Tailor ONS based on individual dietary habits and preferences
Clinical Best Practices
Educate patients on the importance of ONS and dietary factors Involve staff in ONS education to reinforce recommendations Maintain a curated inventory of high-quality ONS in the practice Related Resources & Content
