Nutraceuticals in veterinary ophthalmology: fact, fiction or both?

This review examines the use of nutraceuticals in canine and feline ocular diseases, highlighting their potential benefits and the dangers of misinformation. While certain products like curcumin, beta-glucans and resveratrol show promise against feline herpesvirus, false claims surrounding L-carnitine for cataracts are emphasised. While L-carnitine may slow cataract progression, it cannot reverse cataracts or replace surgery. Alpha-lipoic acid, an antioxidant, holds potential for diabetes-related cataracts, while lutein, zeaxanthin and other carotenoids might slow age-related changes. Despite limited evidence, neuroprotective substances like grape seed extract, omega-3 fatty acids, lutein, zeaxanthin and vitamins are used for degenerative retinal and optic nerve diseases, aiming to slow or prevent vision loss. Future research is crucial to solidify their efficacy and avoid misleading pet owners.