Age-Related Vision Changes – How to Keep Your Eyes Healthy as You Age

Middle aged woman squinting to read her laptop screen

As we age, our bodies go through a variety of changes, and our eyes are no exception. As we get older, our eyes may become more susceptible to certain conditions, such as cataracts, glaucoma, and age-related macular degeneration (AMD). These conditions can cause vision loss and blindness, which can make daily activities more difficult. However, with proper care and attention, we can help keep our eyes healthy as we age. In this post, we will discuss the most common age-related vision changes and what we can do to prevent or slow them down. So, whether you’re in your 40s, 60s, or beyond, let’s take a look at how to protect your vision and keep your eyes healthy as you age.

Is it normal for vision to get worse with age?

Yes. It is normal for vision to deteriorate with age as the eyes go through a natural aging process.

Common age-related vision changes

Let’s start by discussing specifically what happens to our eyes as we age.

  • As we age, our eyes naturally lose some of their flexibility and elasticity, making it harder for them to adjust to changes in light and distance.
  • Our eyes also produce less tears, which can cause dry eyes and make it more difficult to keep our eyes lubricated.
  • The muscles that control our eye movements may also weaken with age, making it harder to move our eyes smoothly and quickly.
  • The retina, the part of the eye that converts light into electrical signals that are sent to the brain, may also deteriorate with age, causing blurred vision or difficulty seeing in low light.
  • The risk of developing cataracts, which are cloudy areas in the lens of the eye, increases with age as well.
  • Age-related changes in the eyes can also increase the risk of developing glaucoma, a condition that damages the optic nerve and can lead to blindness if left untreated.

Common age-related eye diseases and conditions

Now that we understand what happens to our eyes as we age, let’s review related common conditions and diseases. 

Note: You can learn more about each condition by clicking the linked text.

  • Cataracts: A clouding of the eye’s natural lens, which can cause blurry vision and sensitivity to light.
  • Glaucoma: A condition in which the eye’s pressure increases, damaging the optic nerve and potentially leading to blindness.
  • Age-related macular degeneration (AMD): A degeneration of the central portion of the retina, which can cause difficulty with central vision.
  • Diabetic retinopathy: A complication of diabetes that can cause damage to the blood vessels in the retina, leading to vision loss.
  • Dry eyes: A condition in which the eyes do not produce enough tears, causing discomfort and sensitivity to light.
  • Presbyopia: A condition in which the eye’s lens becomes less flexible, making it harder to focus on close-up objects.
  • Floaters: Small spots or “cobwebs” that appear in your field of vision, are a common sign of age-related changes in the eye.
  • Retinal detachment: A condition in which the retina separates from the back of the eye, which can cause permanent vision loss.

Encountering problems with near vision after 40

Commonly, the first significant age-related vision impairment that a person experiences is presbyopia. With this in mind, we will specifically discuss this condition now.

As previously mentioned, presbyopia occurs when the eye’s lens becomes less flexible and is unable to focus on nearby objects as easily as it once did. This can make it difficult to read small print, thread a needle, or perform other tasks that require close-up vision. Some common symptoms of presbyopia include eye strain, headaches, and the need to hold reading materials farther away from the face.

Presbyopia is a natural part of the aging process, and it usually affects both eyes. It’s not caused by any underlying medical condition but can be corrected with eyeglasses, contact lenses, or surgery. If you are experiencing difficulty with near vision after 40, it’s a good idea to schedule an appointment with an optometrist and discover your best options to manage your presbyopia.

What is the most common vision problem in the elderly?

The most common vision problem in the elderly is age-related macular degeneration (AMD). AMD is a degeneration of the central portion of the retina, which is responsible for central vision. As the condition progresses, it can cause difficulty with central vision, making it hard to read, drive, or even recognize faces.

AMD typically affects people over the age of 60, and it is more common in women than in men. The risk of developing AMD increases with age, and it is also more common in people who smoke, have high blood pressure, or have a family history of the condition.

Symptoms of AMD can include blurred central vision, difficulty reading or recognizing faces, and a need for more light to see. In the early stages of the condition, treatment may involve lifestyle changes such as eating a healthy diet and avoiding smoking. In the later stages, treatment may involve medications, laser therapy, or surgery.

Can age-related vision loss be corrected?

Age-related vision loss can be corrected to some extent, but it depends on the specific condition and the stage of the disease. Some common age-related eye conditions that can be corrected include cataracts, presbyopia, and nearsightedness.

Cataracts can be corrected with surgery, in which the cloudy lens is removed and replaced with an artificial lens. This can significantly improve vision and reduce glare and halos.

Presbyopia can be corrected with eyeglasses, contact lenses, or surgery such as multifocal lens implant.

Nearsightedness, a condition in which objects far away appear blurry, can be corrected with eyeglasses, contact lenses, or refractive surgery such as LASIK.

However, other age-related vision loss, such as age-related macular degeneration (AMD) is not fully curable, and treatment options are limited to slowing down the degeneration process and preserving the remaining vision. Medications, laser therapy, or surgery can help slow the progression of the condition, but they cannot restore vision that has been lost.

How to prevent age-related vision loss

There are ways to minimize age-related vision loss. 

Lifestyle

  1. Eating a healthy diet: Eating foods rich in vitamins, minerals, and antioxidants, such as leafy greens, fish, and nuts, can help protect your eyes and reduce the risk of age-related eye diseases.
  2. Exercising regularly: Regular exercise can improve blood flow to the eyes and reduce the risk of conditions such as glaucoma and AMD.
  3. Wearing protective eyewear: Sunglasses and protective eyewear can help filter out harmful UV rays and reduce the risk of cataracts and other eye diseases.
  4. Maintaining a healthy weight: Being overweight or obese can increase the risk of eye diseases such as diabetic retinopathy, so maintaining a healthy weight is important for eye health.
  5. Not smoking: Smoking increases the risk of cataracts and AMD, so quitting smoking can help protect your eyes.
  6. Having regular eye exams: Scheduling regular eye exams with an eye doctor can help detect eye diseases early and prevent vision loss.
  7. Monitoring blood sugar and blood pressure: High blood sugar and blood pressure can increase the risk of diabetic retinopathy, so monitoring these levels and keeping them under control is important for eye health.
  8. Managing chronic diseases: Chronic diseases such as diabetes and high blood pressure can increase the risk of eye diseases, so managing these conditions is essential for eye health.

Know your family history

Family history is an important factor to consider when it comes to age-related vision loss. If you have a family history of eye diseases such as cataracts, glaucoma, or age-related macular degeneration (AMD), you may be at a higher risk of developing these conditions yourself. If you have a family member with an eye disease, it’s important to let your optometrist or ophthalmologist know so they can monitor your eye health more closely.

Additionally, if you have a family history of chronic conditions such as diabetes or high blood pressure, it’s important to keep these conditions under control as they can increase the risk of diabetic retinopathy and other eye diseases.

It’s also important to note that certain genetic conditions, such as retinitis pigmentosa, can cause vision loss and blindness. If you have a family history of these conditions, it’s important to let your doctor know so they can monitor your eye health more closely.

Summary and Conclusion

As we age, our eyes are more susceptible to certain conditions that can cause vision loss and blindness. However, by following a healthy lifestyle, taking precautions and having regular eye exams, we can prevent or slow down these changes. The key is to be proactive and take steps to protect your vision, so you can continue to see the world clearly as you age. Remember, prevention and early detection are key.

Thank you for reading. Live healthy!