Investigating Nutritional Strategies for Effective Management of Dry Age-Related Macular Degeneration
As seasoned optometrists, we often receive questions from patients about effective strategies to safeguard or improve their vision, especially in the context of age-related issues like macular degeneration. The significance of nutrition and supplementation in maintaining optimal eye health cannot be overstated, and an expanding body of clinical research highlights their vital role in addressing dry age-related macular degeneration (AMD).
In this detailed analysis, we will compare two leading products currently available in the Australian market: Macutec Once Daily and Blackmores Macu-Vision Plus.

Understanding the Basics of Macular Degeneration for Better Eye Health
Macular degeneration is a progressive condition that severely affects the macula, the central area of the retina essential for clear, high-resolution vision. This disorder is one of the leading causes of significant vision loss in Australia, impacting thousands of individuals annually.
There are two primary types of macular degeneration:
- Dry Macular Degeneration
This is the more common variant, accounting for approximately 90% of all cases. It involves a gradual thinning of the macular tissue, leading to a slow but steady decline in central vision over time. - Wet Macular Degeneration
This form, while less frequent, is considerably more severe. It occurs when abnormal blood vessels form and leak fluid or blood beneath the macula, often causing sudden, irreversible vision loss without immediate medical attention.
What Are the Consequences of Ignoring Effective Treatment for Macular Degeneration?
- Dry AMD may progress slowly, but if neglected, it can lead to significant vision loss over an extended timeframe.
- Wet AMD requires urgent medical attention to prevent lasting damage to central vision.
What Are the Most Effective Treatment Approaches for Macular Degeneration?
- Wet AMD is generally treated through injections that aim to prevent the formation of leaking blood vessels.
- Dry AMD is managed through a combination of lifestyle changes and nutritional supplements that conform to the scientifically validated AREDS2 formula.
Why Is Adhering to the AREDS2 Formula Crucial in Treatment?
The Age-Related Eye Disease Studies (AREDS and AREDS2) have revolutionised our understanding of how nutritional support can be instrumental in combating AMD. The second study, AREDS2, improved the supplement composition by:
- Removing beta-carotene, which had been linked to a heightened risk of lung cancer in smokers.
- Adjusting zinc levels to safer yet equally effective amounts.
- Including lutein and zeaxanthin, two vital macular carotenoids.
The result? A safer and more effective strategy for slowing the progression of dry AMD.


Which Nutritional Supplements Align with AREDS2 Guidelines in Australia?
Two highly regarded supplement options include:
1. Macutec Once Daily (by Stiltec – Proudly Australian Made)
Key Ingredients That Follow AREDS2 Guidelines:
- Vitamin C – 500mg
- Vitamin E – 400 IU
- Zinc Oxide – 25mg
- Copper – 2mg
- Lutein – 10mg
- Zeaxanthin – 2mg
Recommended dosage: One tablet daily with a meal.
Fully complies with the AREDS2 formula
2. Blackmores Macu-Vision Plus
- Vitamin C – 250mg
- Vitamin E – 200 IU
- Zinc Oxide – 40mg
- Copper – 1mg
- Lutein – 5mg
- Zeaxanthin – 1mg
Recommended dosage: One tablet daily with a meal.
Provides only half the recommended dose of lutein and zeaxanthin according to AREDS2
What Are the Drawbacks of the Original Blackmores Macu-Vision?
This product lacks both lutein and zeaxanthin and does not meet AREDS2 guidelines in any respect. Although it provides some antioxidant benefits, it fails to deliver the essential nutrients required for maintaining optimal macular health.
Comparative Review: Macutec vs Macu-Vision Plus
| Ingredient | Macutec Once Daily | Macu-Vision Plus | AREDS2 Recommended Dosage |
|---|---|---|---|
| Vitamin C | 500 mg | 250 mg | 500 mg |
| Vitamin E | 400 IU (as dl-alpha tocopheryl acetate) | 200 IU | 400 IU |
| Zinc (as Zinc Oxide) | 25 mg | 40 mg | 80 mg* |
| Copper (as Cupric Oxide) | 2 mg | 1 mg | 2 mg |
| Lutein | 10 mg (FloraGLO® Lutein) | 5 mg | 10 mg |
| Zeaxanthin | 2 mg (Optisharp® Zeaxanthin) | 1 mg | 2 mg |
| Capsules per day | 1 softgel | 1 tablet | 1 dose |
| AREDS2 Formula Compliance | Fully Matches |
Partial (half dose L/Z, low C/E) |
Based on NEI AREDS2 Formula |
*AREDS2 research indicated that lower zinc doses (25 mg) were equally effective and resulted in fewer side effects compared to higher amounts of 80 mg.
Ingredient Analysis and Key Insights:
- Lutein & Zeaxanthin: Macutec Once Daily precisely meets the AREDS2 recommendation (10mg Lutein, 2mg Zeaxanthin), whereas Blackmores Macu-Vision Plus only offers half.
- Zinc: Although Macutec employs a lower 25 mg Zinc dosage, AREDS2 findings demonstrated that this amount was equally effective and linked to fewer side effects compared to higher levels.
- Vitamin E Composition: Macutec utilises dl-alpha tocopherol; while AREDS2 used natural d-alpha, this formulation is a widely accepted alternative that does not significantly affect most users.
- Manufacturing Standards: Macutec is Australian-made under pharmaceutical GMP and incorporates premium branded lutein (FloraGLO®) and zeaxanthin (Optisharp®), both of which were utilised in the original AREDS2 trials.
Key Factors to Consider When Choosing Nutritional Supplements:
Macutec is also Australian-made, featuring premium branded carotenoids that are critical to the AREDS2 study, designed for convenient once-per-day dosing.
Macutec Once Daily delivers a precise adherence to the AREDS2 formula, containing full-strength lutein (10 mg) and zeaxanthin (2 mg), while minimising excessive zinc intake.
Macu-Vision Plus, despite being positioned as an AREDS-style supplement, provides only half of the recommended L/Z dosage, lower antioxidant levels, and excess zinc that may not be necessary.
How to Decide: Which Supplement Best Meets Your Needs?
Both supplements are designed to slow the progression of dry macular degeneration, yet only one fully complies with the AREDS2 formula: Macutec Essentials. It offers:
- Comprehensive, evidence-based ingredients
- Clinically validated efficacy
- Excellent value and precise dosing
- Manufactured in Australia to high-quality standards
For these reasons, Eyes by Design exclusively stocks Macutec Essentials, which we confidently recommend to our patients on the Central Coast and beyond.
Available in-store or for delivery throughout Australia.
Looking for Expert Guidance on Eye Health?
If you have questions about macular health, nutritional supplements, or your eligibility for nutritional therapies, please do not hesitate to contact our expert team.
We provide tailored, professional advice based on the latest clinical research.
Call (02) 4369 8169
Visit us at Shop 6, Kincumber Centre, 39 Avoca Drive, Kincumber NSW 2251
Common Inquiries Related to Macutec Once Daily vs Macu-Vision Plus
What Is the AREDS2 Formula and Why Is It Crucial for Eye Health?
AREDS2 is a clinically validated blend of vitamins and minerals that have proven effective in slowing the progression of dry age-related macular degeneration. This formula encompasses vitamin C, vitamin E, zinc, copper, lutein, and zeaxanthin. Supplements that align with this formula, such as Macutec Essentials, offer the most evidence-based support for maintaining macular health.
What Is the Role of Macutec Once Daily in Eye Care?
Macutec Once Daily is specifically designed to support eye health for individuals diagnosed with dry age-related macular degeneration. It is grounded in the findings of the AREDS2 clinical study and aims to slow the progression of the disease by protecting the macula from oxidative damage.
Can Supplements Such as Macutec or Macu-Vision Cure Macular Degeneration?
No, these supplements cannot cure the condition. However, they can significantly impede the progression of dry macular degeneration and may help in preserving vision for a longer duration. Early intervention and consistent usage are vital components in achieving optimal outcomes.
What Sets Macutec Once Daily Apart from Other Macular Supplements?
Macutec Once Daily incorporates all the validated AREDS2 components in a convenient once-daily capsule format. It utilises high-quality lutein and zeaxanthin identical to those used in the clinical trials and is manufactured in Australia following strict pharmaceutical Good Manufacturing Practice standards.
How Do Lutein and Zeaxanthin Support Overall Macular Health?
Lutein and zeaxanthin are natural pigments found in the macula. They play a fundamental role in forming the macular pigment, and adequate intake is associated with increased macular pigment density. This enhancement aids in filtering harmful blue light and protects retinal tissue from oxidative stress.
Which Supplement Should I Choose If I Already Have Advanced Dry Macular Degeneration?
Macutec Once Daily is the ideal choice if you seek an AREDS2-compliant supplement that contains full-strength ingredients. It is specifically crafted for patients diagnosed with moderate to advanced dry AMD who wish to slow its progression.
Citation
The insights and conclusions presented in this content derive from the findings of the Age-Related Eye Disease Study 2 (AREDS2), conducted by the National Eye Institute, a part of the National Institutes of Health. This study provides a comprehensive evaluation of the effectiveness of the AREDS2 supplement formulation in slowing the progression of age-related macular degeneration.
For further information, please refer to the National Eye Institute’s publication on the AREDS2 study.
Comprehensive Comparison: Macu-Vision Plus vs Macutec Once Daily for Macular Degeneration Management
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