Sarah Knows Eyes

We have this poster up in the practice - great advice! The Association of Optometrists' (AOP) "Top 10 Tips for Healthy Eyes". Follows on nicely from my last blog post?!


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... as voted second in the SKE election!

I’ve had this post in mind for a while now, and to be absolutely honest, I had a bit of head start as this was the subject of my Anatomy coursework at college (a PDF copy of which, any of you keen-beans out there can find here). It’s a topic that slots in quite nicely here, as a couple of the more recent #EyecareFAQ infographics have been about so called “degenerative eye conditions”, such as Cataracts and Age Related Macular Degeneration (AMD).

There is a wealth of information and research available out there on this very topic, the likes of which I cannot possibly hope to cover in one blog post. (Well, not without y’all falling asleep anyway!). All the usual no-brainers apply: stop smoking, limit exposure to the sun, eat healthily, etc, etc, etc, BUT! Actual scientific research has long now established that good nutrition can help guard against the development and progression of the conditions mentioned above, and perhaps many more.

Any “healthy diet” should contain a rich variety of fruits and vegetables, that we all know, as these provide vital antioxidants required to maintain good health (and in this case, good eye health), by directly disarming those pesky ‘free radicals’. Two of the main ones that pop up time and time again are the carotenoids lutein and zeaxanthin. These are most commonly found in spinach and other dark green leafy vegetables, such as kale, collards and turnip greens, as well as in orange/yellow vegetables and fruit, such as carrots (renowned for improving eyesight) and cantaloupe melon. These have been positively associated (oh-er!) with reducing the incidence of cataracts and even reversing the effects of AMD. Lycopene is another carotenoid found particularly in tomatoes – surprisingly processed tomatoes, such as canned or pureed, are richest – but also in papaya and watermelon. This one has been linked to lowering the risk of developing AMD. Bilberrys (closely related to blueberries) contain vitamin A and powerful blue-red pigments called anthocyanins, which increase levels of rhodopsin, the purple pigment that facilitates ocular blood supply.

So it would seem as far as your fruit and veg go – the more colourful the better?!

A little fact that I was unaware of, is that eye tissue contains about seven times higher concentrations of vitamin C than levels in the blood, which some might say, hints at a specific need for it? Studies have shown that the long-term (5-10 years +) intake of vitamin C, through both food and supplements, and sometimes combined with vitamin E (only from food, not supplements), reduces the risk of cataracts and may provide protection from AMD. Flavonoids and Bioflavonoids have been flagged as having some importance, as they support the action of vitamin C. Whilst low levels of zinc have been linked to AMD; low vitamin B2 (riboflavin), chromium and glutathione levels, to an increased risk of cataracts.

Something that we are always being told is good for us are the ‘Essential Fatty Acids’ – Omega 3 & 6 – and it would seem the eyes are no exception, particularly for those suffering from Dry Eye Syndrome (DES). Stock up on oily fish such as mackerel and salmon to get your fix of these beauties, whilst evening primrose oil supplements are also indicated for sufferers of DES.

Here is a handy little table summarising this information (from my aforementioned coursework): -



RNI (mg)



Some good dietary sources

Max. daily intake (mg)






Vitamin A



Liver, dairy products





Spinach, carrots, red peppers, mango





Spinach, kale, lettuce, peas


Vitamin B1



Wholegrain cereals, meat, dairy products, fruit, vegetables


Vitamin B2



Milk, eggs, fortified cereals


Vitamin B3



Meat, dairy products

17 (Nicotinic acid)

500 (Nicotinamide)

Vitamin B6



Chicken, wholegrain cereals, eggs, nuts


Vitamin B9



Liver, green leafy vegetables


Vitamin B12



Meat, fish, dairy products


Vitamin C



Citrus fruit, strawberries, green leafy vegetables, liver, kidney


Vitamin E



Vegetable oils





Seafood, liver, brazil nuts





Red meat, cereals, dairy products, shellfish


(N.B. The best source of Omega 3 & 6 is oily fish, such as mackerel and salmon.)


This really is only skimming the very surface of the research that has been done! Other conditions that have been demonstrated to benefit from nutritional advice include: conjunctivitis sicca, diabetic retinopathy, glaucoma, optic nerve dysfunction, night blindness, nutritional amblyopia, retinal vein occlusion and retinitis pigmentosa.

However, before you all go rushing out to your local farmer’s market to stock up on a veritable rainbow of organic fruit and veg, or to the high street health food shop to spend a month’s wages on enough nutritional supplements to make you rattle as you walk – STOP!



A varied and balanced diet should supply adequate quantities of the all the aforementioned nutrients, although many people do still choose to take supplements. However, as demonstrated by the table above (which bearing in mind is about 5 years out of date!), current UK guidelines indicate a daily intake required to maintain good health, known as the Reference Nutrient Intake (RNI). The maximum intake is the quantity that it is considered safe to consume per day without toxic effects occurring under normal circumstances.

So, before you think about making drastic changes to your diet, or introducing supplements, please consult a medical professional, either your GP or local Pharmacist; your Optometrist or friendly “all knowing” Dispensing Optician friend ;) Because sometimes too much of a good thing can actually be harmful to your health! I won’t scare or bore you in this blog, but checkout my coursework here for more information. Or, please don’t hesitate to contact me with questions or requests for more information on the official SKE e-mail – I would love to hear from you!

Special thanks to Suzannah Olivier – who I mentioned prior to this post – her book “The Essential Guide to Foods that Heal” is an absolute gem – full of cracking information on a variety of conditions that have been proven to benefit from the right dietary assistance, from acne to varicose veins – she covers it all! Absolutely blooming marvellous!!

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dolce and gabbana sunglasses

Look at these beauties - they are literally a work of Dolce & Gabbana art! If I had the money (or, more importantly, the style to carry them off!), I would snap a pair of these up in a heartbeat! Sadly however, I have neither. Those of you with a keen eye (no pun intended!) might have noticed the "Pinterest" icon on the right? That's correct! I have Pinterest!

Having been in the spectacle business for 12 years now (seriously, has it been THAT long?!), I have seen the fashions in spectacles and sunglasses change quite a bit. Like fashion in general, this has always fascinated me. Part of the reason I wanted to create SarahKnowsEyes was as a means of creating a visual representation through which to document the dernier cri.

So, I'm going to use Pinterest as an online "scrapbook" (well, I guess that's what it's kinda intended for...), to share pictures, like the one above, with you all. Go on, pay me a visit, give me a follow, and we can embark on this journey of Ophthalmic evolution together?! 

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So here you have it – the “People’s Choice” SKE post! Enjoy :)

When choosing a pair of glasses, be it your first pair or your twenty-first, it can be a nightmare. And invariably just when you find one that suits, fashions change and suddenly you’re out of date and what you want isn’t available anymore. That’s where someone like me comes in, professionally trained to look at someone and have an instinct as to what will suit them (and sometimes more importantly what will suit their prescription!!).

Generally the best advice I can give you is to try on as many frames as you can. Don’t be afraid of frames that you would never have thought of trying on in a million years – sometimes they will be the best ones, trust me! Often somebody will come in and have a set idea of what they want, but when they try it on, it just doesn’t suit them and understandably they’re deflated. Again, it’s MY job to find a similar but more suitable alternative!

Take selfies (I know, #cringe), and if you can, take someone with you for a second opinion. Over time, you will learn what suits you (and what you should definitely steer clear of!). However, if you find yourself alone and staring aimlessly at an endless wall of spectacle frames, here are some simple pointers that helped me out when I first started in this biz and generally do work, however there are obviously always exceptions to the rule…

oval shaped face


OVAL - The most balanced face shape - opt for almond shaped frames that are as broad as (or broader than) the widest part of the face, to keep natural balance.



Celebrities with oval shaped faces

via / **

long shaped face


LONG - Rounded owl shapes and wide frames counteract long, narrow faces, as they create focus around the eye area and add width, making the face more balanced. Avoid frames with thick, dark arms.



Celebrities with long shaped faces

via / **

Round shaped face


ROUND - Angular, narrow frames are a good choice as they tend to make your face appear longer and your eyes look wider apart.



Celebrities with round shaped faces

via / **

Square shaped face


SQUARE - Choose curved, narrow styles that are broader than the widest part of your face to soften a strong jaw line and broad forehead.



Celebrities with square shaped faces

via / **

Heart shaped face


HEART - Delicate, round or square styles are the most flattering. Avoid heart-shaped styles that echo the shape of the jaw.



Celebrities with heart shaped faces

via / **


**Photos courtesy of (Idris Elba), (Emma Watson), (Chris Hemsworth), (Jessica Alba), (Sarah Jessica Parker), (Jake Gyllenthal), (Megan Fox), (David Beckham), (Ryan Gosling), (Liv Tyler), (Josh Duhamel), (Jessica Lowndes), (Kelly Rowland), (Adam Levine), (Teri Hatcher), (Hugh Laurie), (Olivia Wilde), (Brad Pitt), (Angelina Jolie), (Elijah Wood), (Nick Lacey), (Kelly Osbourne), (Henry Cavill), (Nichelle Nichols), (Michelle Williams), (Gerard Butler), (Kirsten Dunst), (Will Smith), (William Shatner), (Queen Latifah), (Jack Black), (Miranda Kerr), (Chris Pine), (Tyra Banks), (Bradley Cooper), (Jennifer Aniston), (Reece Witherspoon), (Robert Pattinson), (Zoe Saldana), (Taylor Lautner).

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