Aim: A wide range of research has shown that knowledge retrieval practice results in improved retention. Does providing illustrations (containing an image and words) on a t-shirt enhance learning? And is this knowledge retained after a short(1 week) or long (1 year) delay?Method:A two-phase study was conducted, the initial phase used eye-tracking technique to compare the“image”and“word” attractiveness of two Autonomic nervous system (ANS) pharmacology learning materials on non-science students, the interventional phase used a pre, post and retention test to measure memory, application and lecture learning froma learning material printed on front and back of t-shirt. Results:Total Fixation Duration (TFD) on the 'Image' (3.96± 1.12 seconds) as the Area of interest (AOI) was longer compared to Design (2) (3.43±0.87), (t =36.52), p> 0.05. On the contrary, Design (2) had longer TFD (1.24±0.52) on the 'Words' AOI compared to Design (1) (0.99±0.64), t-test (t =37.48)p> 0.05. Design (2)attracted the students’ eye gaze for both “Image” and “ Word”, therefore, design (2) was selected as learning stimulus for the second interventional phase, students completed a pre-test knowledge test, they were then exposed to the t-shirt designs for a week before completing a post-test 1 week and retention 1-year later to see if there is evidence of better retention of ANS pharmacology knowledge. Repeated measures analysis demonstrated a significant recall of knowledge (F (1.987, 162.9) = 20.53,p< 0.01). Mean of recall pre-test question (2.12 ±0.15) , recall post-test (3.36 ±0.16) (p< 0.0001) and retention (1-year) (2.7 ±0.14) (p< 0.01). Application and lecture-related questions showed no significant differences at pre, post and retention tests. Conclusion:Eye-tracking is useful in designing learning material and ANS pharmacology knowledge retrieval outside the class was associated with a significant improvement of long-term memory as such this might be a promising method in medical education.