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Ocular health is strongly connected to systemic body health especially in cardiovascular, neuronal, and inflammatory diseases. The eye is the window to the health of the body and inflammation elsewhere can manifest symptoms in the eye. I suggest an anti-inflammatory Paleolithic inspired diet is likely to improve and possibly prevent ocular diseases such as dry eyes, cataracts, macular degeneration, glaucoma, etc. which have inflammatory origins. I will discuss common ocular conditions that have inflammatory causes, an evolutionary perspective on eye diseases, and offer practical recommendations for food and supplements to optimize eye health, which also help the body, especially the heart and brain.