Evidence Level
Moderate
Astaxanthin has a growing body of clinical evidence for eye health. Multiple Japanese RCTs demonstrate benefits for accommodative function and eye fatigue at 6-12 mg/day. Its unique ability to cross the blood-retinal barrier, combined with exceptional antioxidant potency, makes it a compelling complement to macular carotenoids like lutein and zeaxanthin. Long-term AMD prevention studies are still lacking.