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How to Improve Your Eye Health & Offset Vision Loss | Dr. Jeffrey Goldberg

In this episode my guest is Jeffrey Goldberg, MD, PhD, professor and chair of the Department of Ophthalmology at the Byers Eye Institute at Stanford University. His clinical and research efforts focus on retinal and optic nerve diseases such as glaucoma and on discovering stem cell and nanotechnology treatments to cure blindness. We discuss how to maintain and improve eye health throughout life; the advantages and disadvantages of corrective lenses, including whether you should wear “readers”; the use and risks of contact lenses; considerations for LASIK eye surgery; floaters; dry eye; the importance of sunlight and UV protection; and specific exercises to improve eye and vision health. Dr. Goldberg also explains age-related conditions—cataracts, glaucoma, macular degeneration and diabetic retinopathy—and the behavioral, supplementation-based, prescription and surgical tools used to promote eye health. This episode provides essential tools for listeners of any age and background to maintain eye health and offset vision loss. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Maui Nui Venison: https://mauinuivenison.com/huberman LMNT: https://drinklmnt.com/huberman Eight Sleep: https://eightsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Momentous: https://livemomentous.com/huberman Huberman Lab Social & Website Instagram: https://www.instagram.com/hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://hubermanlab.com Newsletter: https://hubermanlab.com/neural-network Dr. Jeffrey Goldberg Academic Profile: https://stanford.io/3NKhyiP Lab Website: https://stan.md/3r4fgCf Publications: https://stanford.io/3Pvyo6r Open Clinical Trials: https://stanford.io/44cJ5yA Medical Profile: https://shc.is/3CLYPwX Stanford Ophthalmology website: https://stan.md/44fIIn9 Support Stanford Ophthalmology research: https://stan.md/3qRDAHh Articles Weeklong improved colour contrasts sensitivity after single 670 nm exposures associated with enhanced mitochondrial function: https://go.nature.com/46jzN5P Improvement in inner retinal function in glaucoma with nicotinamide (vitamin B3): supplementation: A crossover randomized clinical trial: https://bit.ly/3peYWOB Novel Foveal Features Associated With Vision Impairment in Multiple Sclerosis: https://bit.ly/3pg7rZN Other Resources “Pencil Pushups” Near-Far Exercise: https://youtu.be/ObtW353d5i0?t=4130 Smooth Pursuit Eye Exercises: https://www.youtube.com/c/VisualExercises/videos Stanford Vision Performance Center: https://med.stanford.edu/vpc.html AREDS2 Supplements for Age-Related Macular Degeneration: https://bit.ly/3NKIFdC Clinical Trials Glaucoma & Vitamin B6 Supplementation: https://bit.ly/3r3bGbB Dr. Dubra Lab: https://dubralab.stanford.edu Timestamps 00:00:00 Dr. Jeffrey Goldberg 00:03:08 Sponsors: Maui Nui, LMNT, Eight Sleep 00:06:29 Childhood & Eye Exams 00:11:36 Eye Misalignment & Recovery 00:20:38 Myopia (Near-Sightedness), Children & Sunlight 00:30:04 Sponsor: AG1 (Athletic Greens) 00:31:18 Eye Safety & Protection; Eye Hygiene 00:40:07 Adults & Eye Exams; Optometrist vs Ophthalmologist 00:46:35 Presbyopia (Age-Related Vision Decline), Reading Glasses 00:54:54 Reading Glasses: Use & Recommendations 00:58:34 Night Vision & Glasses 01:02:55 Sponsor: InsideTracker 01:03:54 Corrective Eye Glasses, Exercises 01:09:52 Near-Far Exercise & Presbyopia; Smooth Pursuit Exercise & Concussion 01:13:25 Supranormal Vision & Performance Training 01:19:11 20/20 Vision; Visual Acuity 01:24:51 Contact Lenses: Use, Risks & Aging 01:31:34 UV Protection & Cataracts, “Blue Blockers” 01:38:20 Light Sensitivity & Eye Color 01:40:29 LASIK Eye Surgery 01:46:26 Dry Eye, Tears & Age 01:53:24 Dry Eye, Serum Tears & Preservative-Free Artificial Tears; PRP 02:00:46 Vision Loss: Cataracts, Glaucoma 02:09:23 Age-Related Macular Degeneration, Dry & Wet Forms 02:14:02 Diabetic Retinopathy, Type I vs Type II Diabetes 02:18:54 Diabetic Retinopathy Treatment, Blood Pressure 02:22:17 Glaucoma Screening & Treatment 02:28:07 Smoking, Vaping & Vision Diseases; Cannabis & Eye Pressure 02:35:13 Eye Pressure & Sleep Position 02:37:48 Macular Degeneration, Optic Neuropathies & Red-Light Therapy 02:42:23 “Floaters” 02:45:29 Eye Twitching 02:48:10 AREDS2 Supplementation & Age-Related Macular Degeneration 02:53:39 Glaucoma & Vitamin B3 Supplementation 02:58:42 Retinal Imaging & Neurodegeneration Screening, Multiple Sclerosis 03:06:30 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com Disclaimer: https://hubermanlab.com/disclaimer

Andrew HubermanhostJeffrey Goldbergguest
Jun 26, 20233h 8mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 14:00

    Introduction, Guest Background, and Episode Overview

    Huberman introduces the episode’s focus on science-based tools for eye and vision health, and presents Dr. Jeffrey Goldberg, chair of ophthalmology at Stanford and a leading clinician–scientist working on cures for blinding diseases. He previews topics including lenses, sunlight, myopia, LASIK, dry eye, nutrition, and advanced treatments for glaucoma and retinal disease.

  2. 14:00 – 29:00

    Newborn and Early Childhood Eye Exams, Amblyopia and Strabismus

    Goldberg explains the first eye exam every baby should receive, what can be detected in the nursery, and what parents should watch for in early years. They discuss amblyopia (lazy eye), strabismus (misalignment), and the critical periods during which correction can still restore normal vision and depth perception.

  3. 29:00 – 43:00

    Eye Misalignment, Double Vision, and Brain Plasticity

    Using Huberman’s childhood double-vision story, they explore intermittent strabismus, how the brain adapts by suppressing input from one eye, and why short-term events rarely cause lasting amblyopia. Goldberg clarifies when parents should worry about patches, minor injuries, or brief monocular vision changes.

  4. 43:00 – 58:00

    Screens, Outdoor Light, and Myopia in Children and Adults

    They discuss the impact of near work, indoor vs. outdoor time, and light spectrum on the development and progression of myopia. Goldberg explains that modern evidence implicates insufficient outdoor daylight more than near work alone, and that most meaningful myopia progression happens in childhood and adolescence.

  5. 58:00 – 1:17:00

    Eye Safety, Cleaning, and Everyday Habits

    Goldberg shifts to practical advice on protecting the eyes from trauma and maintaining surface health. He underscores how common preventable injuries are, and clarifies how (and how not) to clean eyes and lids, and when rubbing or flushing is appropriate.

  6. 1:17:00 – 1:30:00

    Optometrists vs. Ophthalmologists, Adult Eye Exams, and Presbyopia

    They delineate the roles and training differences between optometrists and ophthalmologists and when each is appropriate. The discussion then moves to adult screening for glaucoma and what happens when presbyopia (age-related near-vision loss) emerges in the 40s and beyond.

  7. 1:30:00 – 1:47:00

    Readers, “Eye Exercises,” and Vision Performance Training

    Huberman and Goldberg debate whether delaying use of reading glasses preserves focusing ability, and whether near–far exercises like pencil push-ups are beneficial. They also introduce the concept of training vision beyond normal for athletics and rehabilitation, such as post-concussion recovery.

  8. 1:47:00 – 2:05:00

    Understanding 20/20 Vision, LASIK, and Surgical Correction

    Goldberg defines 20/20 and its variants, clarifying how acuity is measured and why central and peripheral vision differ. They then cover LASIK: how corneal reshaping works, who is a candidate, when to avoid it (e.g., severe dry eye, unstable prescriptions), and realistic expectations.

  9. 2:05:00 – 2:23:00

    Contacts, UV/Blue Light, and Sunglasses

    They detail the pros and cons of contact lenses, emphasizing infection risk and dry-eye interactions. The conversation addresses UV vs. blue light, what’s actually harmful, and when sunglasses, brimmed hats, or UV-blocking lenses matter for long-term eye and skin health.

  10. 2:23:00 – 2:49:00

    Dry Eye, Blepharitis, and Tear Biology

    Goldberg provides a deep dive into dry eye, explaining the anatomy of the tear film, the impact of modern screen-heavy lifestyles, and the limits of current treatments. He also describes advanced therapies like serum tears and where research is heading.

  11. 2:49:00 – 3:09:00

    Major Causes of Irreversible Vision Loss: Cataract, Glaucoma, Macular Degeneration, Diabetic Retinopathy

    Goldberg outlines the global burden and biology of the main blinding conditions, distinguishing reversible problems like uncorrected refractive error and cataract from truly neurodegenerative diseases of the retina and optic nerve. He explains what can be treated now and where major gaps remain.

  12. 3:09:00 – 3:26:00

    Preventing and Treating Diabetic Retinopathy and Glaucoma

    They dive deeper into diabetic eye disease and glaucoma, covering risk factors, screening intervals, medical and surgical treatments, and lifestyle implications. Goldberg clarifies why consistent medication use is hard but essential and when novel approaches like cannabinoids may or may not make sense.

  13. 3:26:00 – 3:41:00

    Light Therapies, Red/Violet Light, and Photobiomodulation

    They explore emerging evidence for photobiomodulation—carefully dosed red and near-infrared light—for retinal health and myopia control. Goldberg views these approaches as promising but emphasizes that dosing, wavelength, and timing must be rigorously defined and tested before broad, unsupervised adoption.

  14. 3:41:00 – 3:57:00

    Nutrition, Supplements, AREDS, and Vitamin B3 for Glaucoma

    Goldberg reviews some of the best-studied nutritional interventions in ophthalmology, including the AREDS formulations for macular degeneration and emerging evidence for high-dose vitamin B3 in glaucoma. He cautions against poorly substantiated “vision supplements” and stresses that supplements should augment—not replace—proven medical care.

  15. 3:57:00

    The Eye as a Window to Brain Health and Future Directions

    In closing, they discuss how retinal imaging is becoming a powerful biomarker for neurodegenerative diseases like Alzheimer’s, Parkinson’s, and MS. New high-resolution imaging methods are revealing disease-specific structures, bringing the field closer to precision diagnostics and early interventions for both eye and brain.

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