The Dimming View — Age-Related Eyesight Decline

An explanation and some advice

Tom Kane
Plainly Put
3 min readJun 2, 2024

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Man wearing spectacles
Image by Nightcafe

As you sip your morning coffee and glance out the window, have you noticed that the vibrant details of the world outside seem just a bit blurrier than they did years ago? You’re not alone.

Age-related changes in vision affect millions globally, turning crystal-clear views into distant memories. There are complex reasons behind the deterioration of eyesight as we age, shedding light on this natural yet often frustrating phenomenon.

Why our eyesight declines with age

Eyesight deterioration is a universal aspect of ageing, involving several factors that alter the way our eyes function, and when you understand these, it can help you prepare or manage the inevitable changes.

The anatomy of aging eyes

Corneal Changes: Over time, the cornea — the eye’s outermost lens — becomes less sensitive, making tear production less effective and leaving us susceptible to dry eyes.

Lens Stiffening: Crucial for focusing, our lens hardens and loses elasticity, a condition known as presbyopia, which particularly hinders close-up vision.

Retinal and Nerve Changes: The retina and the optic nerve, which are vital for converting visual signals to the brain, also degrade. This can lead to conditions like age-related macular degeneration (AMD) or glaucoma.

Underlying conditions

Underneath seemingly normal changes, more serious health issues can worsen vision in the elderly:

Systemic diseases such as diabetes and hypertension

Eye-specific diseases like cataract and glaucoma

Understanding and managing these conditions with regular check-ups can slow or sometimes even halt the progression of vision impairment.

Different stages of visual decline

As we age, our eyes go through stages of changes, each affecting our vision differently, and observing these stages can help in anticipating and adjusting to vision changes more effectively.

The early changes (40s to 60s)

In early middle age, the first signs of presbyopia appear. People may find themselves holding books or menus at arm’s length to read text clearly.

Advanced changes (70s and beyond)

As we step into our 70s, risks of cataracts, AMD, and diabetic retinopathy increase significantly. Vision care becomes crucial, including possibly more frequent prescription updates and even surgeries.

Maintaining our sight

While we can’t stop the ageing clock, adopting certain strategies can help maintain eye health longer and reduce the severity of vision loss.

Dietary and lifestyle adjustments

Balanced Diet:

* Omega-3 fatty acids, found in fish, are crucial for membrane health.

* Antioxidants and vitamins like A, C, and E can slow eye aging.

Regular Exercise:

* Helps manage systemic diseases affecting the eyes.

Regular Eye Exams

Regular check-ups can catch issues before they become severe. Interventions like corrective glasses, contact lenses, or surgery can make substantial differences.

Technological aids

Advances in technology, from apps that enhance reading text to specially designed lighting fixtures, can assist in managing reduced vision.

What comes next?

Engaging with the realities of ageing eyes requires awareness and proactive care. By understanding the mechanisms of visual deterioration and taking appropriate preventative measures, we can all aspire to a clear vision, or at least a manageable one, well into our later years.

Remember, every year over 40 deserves an eye exam. The journey of maintaining good eyesight is indeed lifelong, intertwining diligence with medical advancement, and by staying informed and active in eye health management, we can appreciate the beauty of the world, albeit with a few more wrinkles around our eyes.

While we can’t turn back the clock on our eyes’ natural ageing, we can definitely slow it down and manage its effects effectively through knowledge and care.

This should be your vision for the future — seeing the world clearly, for as long as you can.

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Tom Kane
Plainly Put

Retired Biochemist, Premium Ghostwriter, Top Medium Writer,Editor of Plainly Put and Poetry Genius publications on Medium