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Learn About Vision Loss

Understand different terms and phrases related to vision loss.

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What Is Normal Vision?


Our eyes function differently when we reach our 60s than they did when we were in our 30s. We simply don't see as well at certain distances. By the time we celebrate our 80th birthday, our eyesight will have almost certainly declined further. Such changes in vision are perfectly normal, offer few serious risks, and, in general, are easily corrected with eyeglasses or contact lenses.

But how do you know what constitutes a "normal" change in vision strength and what is more serious? To determine the answer, your doctor will want to know your specific symptoms.

The Aging Eye—Normal Changes and Their Symptoms

Symptom: Difficulty reading newsprint or prescription bottles.

What's happening? The most likely culprit is presbyopia, which is the tightening of the muscles of the eye that allow us to focus at close distances. Familiar to almost everyone over 40, this condition occurs naturally and is easily corrected with bifocals or reading glasses.

You may also be experiencing reduced visual acuity. Normal visual acuity is 20/20 for a young person, and 20/40 for an older person. In other words, an older person will normally be able to see at a 20-foot distance what a younger person sees at a 40-foot distance. Again, this is to be expected and is not a dramatic enough change to prevent you from functioning fairly normally.

Symptom: Increased need for light; dimness makes it difficult to focus on close tasks like sewing or handcrafts.

What's happening? As we grow older, the once-clear lens of the eye grows progressively hazy and yellow, allowing for less light to pass through. An older person normally requires four times more light than a younger person—by age 80, it might be ten times. To compensate, natural sunlight works best, followed by natural full spectrum bulbs that imitate sunlight and are now available commercially.

Symptom: "Do these socks match? Are they both black or is one dark blue? I can't quite make out the white plates when they're resting on the white tablecloth."

What's happening? It's common for the aging eye to experience reduced contrast sensitivity, which makes it difficult to differentiate similar patterns and colors. The simple use of bolder contrasts can make your home safer and easier to navigate.

Other normal symptoms of the naturally aging eye:

  • Difficulty adapting to changes in light and dark environments
  • Difficulty with glare
  • Reduced depth perception
  • Reduced ability to see colors
  • Eye dryness
  • Floaters (tiny specks, usually noticeable in bright sunlight)

Is It Serious? The Warning Signs

While we can all expect some decline in vision as we grow older, severe or persistent symptoms could indicate a serious degenerative condition that could lead to low vision, or even blindness. Contact your eye care professional immediately if you experience:

  • Sudden hazy or blurred vision
  • Recurrent pain in or around the eye
  • Double vision
  • Seeing flashes of light
  • Seeing halos around lights
  • Unusual, even painful, sensitivity to light or glare
  • Changes in the color of the iris
  • Sudden development of persistent floaters

At any age, it's important to have your eyes checked regularly. If symptoms or concerns arise, contact your eye care professional as soon as possible.



Older woman smiling Understanding my diagnosis helped me take control of my vision loss. Close Quote

Janette Smith
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