Is flaxseed oil or fish oil better for dry eyes?

Answered by James Kissner

When it comes to treating dry eyes, the choice between flaxseed oil and fish oil can be a bit confusing. However, based on the available evidence, fish oil seems to be a better option.

Flaxseed oil is often touted for its high content of alpha-linolenic acid (ALA), which is a type of omega-3 fatty acid. Omega-3 fatty acids are known for their anti-inflammatory properties and potential benefits for dry eyes. However, the conversion of ALA to the biologically active forms of omega-3s, such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), is quite limited in our bodies.

On the other hand, fish oil contains pre-formed EPA and DHA, which are readily available for our bodies to use. This means that fish oil bypasses the need for conversion and provides the beneficial omega-3s directly.

Omega-6 fatty acids, which are abundant in many vegetable oils, can interfere with the conversion of ALA to EPA and DHA. They compete with omega-3s for the same enzymes involved in the conversion process. Therefore, consuming excessive amounts of omega-6 fats, such as those found in flaxseed oil, may further reduce the already limited conversion of ALA to EPA and DHA.

Moreover, omega-6 fats can also counteract the positive effects of omega-3s obtained from fish and fish oil. The balance between omega-6 and omega-3 fatty acids is important for maintaining overall health, and an excessive intake of omega-6s can tip the scale towards inflammation rather than reducing it.

In my personal experience, I have found fish oil to be more effective for addressing dry eyes. When I tried using flaxseed oil, I didn’t notice much improvement. However, when I switched to fish oil, I began to see a significant reduction in dryness and irritation.

To summarize, fish oil appears to be a better choice for treating dry eyes compared to flaxseed oil. The pre-formed EPA and DHA in fish oil provide direct benefits without relying on the limited conversion of ALA. Additionally, the potentially adverse effects of omega-6 fatty acids found in flaxseed oil further support the preference for fish oil. However, it’s always best to consult with a healthcare professional before starting any new supplements or making significant changes to your diet.