As Muslim communities worldwide prepare for Ramadan 2026, leading ophthalmologists from Bascom Palmer Eye Institute in Abu Dhabi have issued comprehensive guidance for maintaining optimal eye health during the holy month. The period of spiritual reflection brings significant changes to daily routines—including altered sleep patterns, fasting, and extended nighttime activities—that necessitate special consideration for ocular wellness.
Retinal Health Considerations
According to Medical Director Dr. Nicola Ghazi, MD, fasting can potentially enhance metabolic health, creating an opportunity for physical renewal. However, the retina—the light-sensitive tissue lining the back of the eye—requires particular attention for individuals with pre-existing conditions such as diabetes. While fasting may improve metabolic control, the manner of breaking the fast at Iftar becomes critically important for maintaining stable blood glucose levels.
Dr. Ghazi emphasizes that dramatic fluctuations in sugar levels between fasting hours and heavy Iftar meals can adversely affect the delicate blood vessels supplying the retina. This is especially concerning for those with diabetic retinopathy, a condition that threatens vision. The specialist advises against consuming sugary foods when breaking the fast, as they trigger rapid blood sugar spikes that may exacerbate diabetes and increase hunger. Instead, balanced meals containing complex carbohydrates, lean proteins, and healthy fats are recommended. A protein-rich Suhoor combined with adequate hydration may help maintain steadier glucose levels throughout daylight hours.
Glaucoma Management Protocols
Dr. Jason Goldsmith, MD, Head of Glaucoma Service, addresses concerns regarding intraocular pressure control during Ramadan. Often termed the “silent thief of sight,” glaucoma involves elevated eye pressure that damages the optic nerve. Dr. Goldsmith stresses that consistent adherence to prescribed treatment remains paramount for glaucoma patients during the fasting period.
Addressing common concerns about medication invalidating fasts, Dr. Goldsmith clarifies that medicated eye drops do not provide nutrition and typically do not break the fast. However, skipping even a single dose can precipitate dangerous pressure spikes. The expert recommends using the “punctal occlusion” technique—applying gentle pressure to the inner eye corner for one to two minutes after administering drops—to minimize systemic absorption. Maintaining treatment consistency is essential to prevent irreversible vision deterioration.
Corneal Hydration Strategies
Dr. George Corrent, MD, PhD, Head of Cornea and Refractive Service, highlights the importance of ocular surface hydration in the arid UAE climate. The cornea, being the eye’s outermost protective layer, becomes vulnerable to dehydration during fasting hours. Reduced bodily hydration levels diminish tear production, leading to symptoms including burning sensations, grittiness, and intermittent blurred vision.
To counteract dehydration-related dry eye syndrome, Dr. Corrent advocates for “pre-emptive hydration”—consuming sufficient water between Iftar and Suhoor to maintain healthy tear film integrity. For individuals spending prolonged periods in prayer or engaging with digital screens, preservative-free artificial tears can provide supplementary relief. Proper corneal hydration ensures sustained visual clarity and comfort throughout daily activities.
All specialists concur that any sudden visual changes—including vision decrease, new floaters, or shadow-like appearances across the visual field—require immediate medical evaluation rather than waiting until Eid celebrations conclude.









