Note: This article is for information purposes only. It is not intended for any type of treatment. Consult your healthcare provider for expert eye care.

This is important information for both yourself and to share with your workforce. The bottom line with eye problems is to have regular eye exams so any problems can be detected early.                                                                                                     

Have your eyes checked regularly by an eye care professional—either an ophthalmologist or optometrist. People over age 65 should have yearly eye exams. During this exam, the eye care professional should put drops in your eyes that will widen (dilate) your pupils so that he or she can look at the back of each eye. This is the only way to find some common eye diseases that have no early signs or symptoms. If you wear glasses, your prescription should be checked too.

See your doctor regularly to check for diseases like diabetes and high blood pressure. These diseases can cause eye problems if not treated.

See an eye care professional right away if you:

  • Suddenly cannot see or everything looks blurry
  • See flashes of light
  • Have eye pain
  • Experience double vision
  • Have redness or swelling of your eye or eyelid

Protect your eyes from too much sunlight by wearing sunglasses that block ultraviolet (UV) radiation and a hat with a wide brim when you are outside.

Common problems

  • Presbyopia (prez-bee-OH-pee-uh) is a slow loss of ability to see close objects or small print. It is normal to have this as you get older. People with presbyopia often have headaches or strained, tired eyes. Reading glasses usually fix the problem.
  • Floaters are tiny specks or “cobwebs” that seem to float across your vision. You might see them in well-lit rooms or outdoors on a bright day. Floaters can be a normal part of aging. But sometimes they are a sign of a more serious eye problem such as retinal detachment. If you see many new floaters and/or flashes of light, see your eye care professional right away.This is a medical emergency.
  • Tearing (or having too many tears) can come from being sensitive to light, wind, or temperature changes, or having dry eyes. Wearing sunglasses may help, as might eye drops. Sometimes tearing is a sign of a more serious eye problem, like an infection or a blocked tear duct. Your eye care professional can treat these problems.
  • Eyelid problems can result from different diseases or conditions. Common eyelid problems include red and swollen eyelids, itching, tearing, and crusting of eyelashes during sleep. These problems may be caused by a condition called blepharitis (ble-fa-RI-tis) and treated with warm compresses and gentle eyelid scrubs.

Diseases And disorders

Certain eye conditions can lead to vision loss and blindness. There may be few or no early symptoms. Regular eye exams are your best protection.

Cataracts are cloudy areas in the eye’s lens causing blurred or hazy vision. Some cataracts stay small and don’t change your eyesight a lot. Others become large and reduce vision. Cataract surgery can restore good vision. It is a safe and common treatment. If you have a cataract, your eye care professional will watch for changes over time to see if you would benefit from surgery.

Corneal diseases and conditions can cause redness, watery eyes, pain, problems with vision, or a halo effect of the vision (things appear to have an aura of light around them). Infection and injury are some of the things that can hurt the cornea. Some problems with the cornea are more common in older people. Treatment may be simple—for example, changing your eyeglass prescription or using eye drops. In severe cases, surgery may be needed.

Dry eye happens when tear glands don’t work well. You may feel itching, burning, or other discomfort. Dry eye is more common as people get older, especially for women. Your eye care professional may tell you to use a home humidifier, special eye drops (artificial tears), or ointments to treat dry eye.

Glaucoma often comes from too much fluid pressure inside the eye. If not treated, it can lead to vision loss and blindness. People with glaucoma have no early symptoms or pain. You can protect yourself by having regular dilated eye exams. Glaucoma can be treated with prescription eye drops, lasers, or surgery.

Retinal disordersare a leading cause of blindness in the United States. Retinal disorders that affect aging eyes include:

  • Age-related macular degeneration, or AMD.AMD can harm the sharp vision needed to see objects clearly and to do common things like driving and reading. During a dilated eye exam, your eye care professional will look for signs of AMD. There are treatments for AMD. If you have AMD, ask if special dietary supplements could lower your chance of it getting worse.
  • Diabetic retinopathy. This problem may occur if you have diabetes. Diabetic retinopathy develops slowly and with no early warning signs. If you have diabetes, be sure to have a dilated eye exam at least once a year. Keeping your blood sugar under control can prevent diabetic retinopathy or slow its progress. Laser surgery can sometimes prevent it from getting worse.
  • Retinal detachment.THIS IS A MEDICAL EMERGENCY. When the retina separates from the back of the eye, it’s called retinal detachment. If you see new floaters or light flashes, or if it seems like a curtain has been pulled over your eye, go to your eye care professional right away. With surgery or laser treatment, doctors often can prevent loss of vision.

Low vision

Low vision means you cannot fix your eyesight with glasses, contact lenses, medicine, or surgery. Low vision affects some people as they age. You may have low vision if you:

  • Can’t see well enough to do everyday tasks like reading, cooking, or sewing
  • Can’t recognize the faces of your friends or family
  • Have trouble reading street signs
  • Find that lights don’t seem as bright

If you have any of these problems, ask your eye care professional to test you for low vision. There are special tools that can help people with low vision to read, write, and manage daily tasks. These include large-print reading materials, magnifying aids, closed-circuit televisions, audio tapes, electronic reading machines, and computers with large print and a talking function.

Other changes that may help are:

  • Change the type of lighting in your room.
  • Write with bold, black felt-tip markers.
  • Use paper with bold lines to help you write in a straight line.
  • Put colored tape on the edge of your steps to help you see them and prevent you from falling.
  • Install dark-colored light switches and electrical outlets that you can see easily against light-colored walls.
  • Use motion lights that turn on by themselves when you enter a room. These may help you avoid accidents caused by poor lighting.
  • Use telephones, clocks, and watches with large numbers; put large-print labels on the microwave and stove.
  • Ask your eye doctor if your vision is okay for safe driving.

For more Information

Here are some helpful resources:

National Eye Institute
31 Center Drive MSC 2510
Bethesda, MD 20892-2510
1-301-496-5248
www.nei.nih.gov

National Library of Medicine
MedlinePlus
www.medlineplus.gov

For more information about health and aging, contact:

National Institute on Aging
Information Center
P.O. Box 8057
Gaithersburg, MD 20898-8057
1-800-222-2225 (toll-free)
1-800-222-4225 (TTY/toll-free)
www.nia.nih.gov
www.nia.nih.gov/espanol