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Vision Changes As You Age

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As we age, our bodies experience declines in overall performance, including the performance of our eyes. The age-related vision changes become more noticeable as we reach age 60 and older. Some vision changes are entirely normal and do not indicate disease, whereas others may be indications of major eye diseases. This is why eye exams become particularly important when you reach age 50!

Presbyopia

Presbyopia is an ordinary loss of focusing ability, typically noticed after the age of 40. The lens inside your eye hardens as you age and causes difficulty focusing on objects up close. The first signs of presbyopia are often holding a phone or reading material farther away from your eyes. As you age, presbyopia will worsen. Eventually, it requires reading glasses, progressive lenses, or multifocal contact lenses to focus on objects up close.

Structures of the Eye

As individuals age, the structures of the eye can lose strength or desensitize which causes your vision to change. These are often subtle changes over time and make slight impacts on vision.

Pupil Size

Muscles that control pupil size and reaction lose strength over time, causing the pupil to become smaller and less reactive to light.

Dry Eyes

Our bodies produce fewer tears as we age. Women after menopause may experience worse dry eye symptoms than others.

Peripheral Vision

It is normal to experience some loss of peripheral vision. The average decrease in the visual field is 1-3 degrees per decade of life.

Color Vision

The cells responsible for color vision decline in sensitivity as we age, which can cause colors to appear less bright.

Vitreous Detachment

The gel-like substance in your eye, called vitreous, begins to liquefy as you age. It is potentially causing spots and floaters in your vision.

As you age, you should expect vision changes. However, the only way to ensure those changes are normal and not due to eye disease is through comprehensive eye exams with your eye doctor. Additionally, the standard recommendation is for individuals over age 50 to have annual eye exams to protect the health of their eyes.

Written by Tracy Eickhoff

Dr. Tracy Eickhoff grew up in Friendswood, Texas and graduated from Friendswood High School. She went on to attend Texas A&M University and graduated cum laude with a Bachelor of Science Degree in Biomedical Science in 2004. From there she attended the University of Houston College Of Optometry where she received her Doctor of Optometry Degree in 2008. She is a member of The American Optometric Association, The Texas Optometric Association, and The Gold Key International Optometric Honor Society, The Ocular Nutrition Society, and has served as Adjunct Clinical Faculty at The University of Houston College of Optometry.

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