Sconces come in many forms from artistic and ornate to sleek and simple and can hold just one bulb or many. Single-bulb sconces that are spread farther apart will add light around eye level for more even brightness. For the total elimination of shadows pairing two-light fixtures spaced closer together will achieve a salon level of clarity.
In a renovation on the other hand we have to consider what effect a new skylight will have on the efficiency of the existing building. In some cases the additional sunlight (and therefore heat) can help reduce the amount of energy needed to heat the house. It depends greatly on the local climate but also on the design of the building envelope of the house.
Another important aspect of lighting a space for those with diminishing eyesight is visual cuing. Visual cuing provides an additional reference point for judging distance or depth when entering a space or approaching objects. The lighting at the base of these cabinets or toe-kick lighting contrasts well with the dark floor and midtone cabinetry creating a readily visible contrast. But people will just think it's cool.