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Common Eye Conditions in Older Adults: Causes, Treatments and Symptoms

These common symptoms may be signs of an eye disease


an eye exam, glasses and various images of eyes
Photo Collage: AARP; (Source: Getty Images (6))

As we age, we can develop a wide range of issues that affect our eyes. In fact, adults aged 60 and older account for the majority of blindness cases worldwide. The top culprits? Age-related macular degeneration, cataracts, glaucoma and diabetic retinopathy.

The good news is that you can stay ahead of these issues by being aware of the warning signs of age-related eye problems and scheduling regular eye exams, as recommended by the American Optometric Association.

In this guide, we’ll break down common eye health problems, their symptoms and how to treat them. You’ll also find tips to keep your vision sharp and protect your eyesight as you age.

Recognizing symptoms of eye disease

As we age, our vision naturally begins to weaken. According to the Cleveland Clinic, changes can start as early as your 40s, with decreased tear production being one of the first signs. Over time, proteins in the eye's lens may break down, leading to cataracts, while the vitreous — a gel-like substance in the center of the eye — can shrink, resulting in floaters or even a more serious condition called retinal detachment.

Eye conditions can also pose safety risks, such as an increased likelihood of falls or accidents. Additionally, eye exams can sometimes reveal other underlying health conditions. These include issues like aneurysms, cancer, diabetes, heart disease, high blood pressure, multiple sclerosis, vitamin A deficiency, strokes and tumors.

Causes of eye conditions

A lot of factors can lead to vision problems, and some are more obvious than others. For example, a lack of nutritious foods in your diet, smoking, diabetes, high blood pressure, and skipping sunglasses on sunny days can all take a toll on your vision.

But it’s not just about lifestyle. Genetics play a big role too — your DNA shapes how your eyes develop and work, and changes in your genes can lead to conditions like color blindness. Sometimes, differences in how your eyes formed as a fetus or during childhood can also set the stage for problems later in life.

Environmental factors matter as well. Too much exposure to UV light, dust, or even the wrong humidity and temperature can contribute to eye issues. Then there are infections. Bacteria, viruses, fungi, and parasites can either attack your eyes directly or spread from other parts of your body.

Other chronic conditions, like Type 2 diabetes or thyroid disease, can also make your eyes more vulnerable. Past injuries might leave lasting effects, increasing your risk for future problems. And sometimes, the cause is simply unknown — what scientists call “idiopathic.”

No matter the reason, understanding these factors can help you stay ahead of potential issues and protect your vision.

Symptoms of age-related eye diseases

Many people with age-related eye diseases don’t notice symptoms in the early stages. But when symptoms do show up, they can look different depending on the condition. Common ones include:

  • Cloudy or blurry vision
  • Discomfort or burning
  • Too many or too few tears
  • Seeing spots or flashes of light
  • Sensitivity to light
  • Difficulty distinguishing colors
  • Tunnel vision

These symptoms can make everyday tasks harder. You might struggle to read small print, get frequent headaches, misjudge distances or have trouble focusing on things up close or far away. Night vision can also worsen, leaving you squinting in the dark, and your eyes might feel more tired than usual.

Eye conditions and symptoms to look out for

Cataracts

Cataracts are one of the most common age-related eye issues. Over time, proteins in your eye’s lens start breaking down, making your vision blurry or cloudy. This usually begins after age 40 and becomes more noticeable as you hit 60. While aging is the main cause, factors such as too much sun exposure, smoking or chronic illnesses can speed things up. You might notice trouble seeing at night, sensitivity to glare, or colors looking duller than usual.

The good news? Early cataracts can often be managed with better lighting or glasses, but surgery is the ultimate fix. Cataract surgery is typically a quick outpatient procedure that replaces the cloudy lens with a clear, artificial one. To help delay cataracts, wear sunglasses, eat a healthy diet and skip the smokes.

Learn more about the cause, symptoms and treatments for cataracts.

Blurred vision in one eye

If one eye suddenly gets blurry, it can be a sign of something serious. Causes range from strokes or brain tumors to retinal detachment and closed-angle glaucoma. Even dehydration can cause blurry vision by drying out your eyes or lowering blood pressure.

Keep an eye out for symptoms like flashing lights, floaters, or rapid vision changes — they’re all red flags. If anything seems off, get to an eye doctor as soon as possible. Treatment depends on the cause, whether that’s an urgent fix for a detached retina or long-term care for conditions like cataracts.

Learn more about the cause, symptoms and treatments for blurred vision in one eye.

Blurred vision in both eyes

Blurriness in both eyes might not be as urgent as a sudden change in one eye, but it still deserves attention. It could point to common issues like dry eyes, cataracts, or even more serious conditions like a stroke or diabetes complications.

If your vision suddenly takes a turn for the worse, especially if combined with other symptoms like dizziness or confusion, don’t wait — see a doctor.

Learn more about the cause, symptoms and treatments for blurred vision in both eyes.

Light sensitivity (photophobia)

If bright lights make you squint, wince, or even feel pain, you might have photophobia. It’s often linked to migraines, dry eyes or certain medications. You might also notice eye pain or headaches triggered by bright light.

Addressing the root cause — like treating dry eyes or managing migraines—is key. Lifestyle tweaks can help too, like wearing UV-blocking sunglasses or using tinted lenses to reduce blue light exposure. Devices which emits soothing green light, might also offer relief.

Learn more about the cause, symptoms and treatments for light sensitivity in your eyes.

Diabetic retinopathy

For people with diabetes, diabetic retinopathy is a leading cause of vision loss. In the early stages, high blood sugar can damage blood vessels in the retina, causing blurry vision or swelling (nonproliferative retinopathy). Advanced stages (proliferative retinopathy) can lead to bleeding, scarring, or retinal detachment.

The best way to protect your vision is to manage your diabetes carefully. Keep blood sugar, blood pressure and cholesterol in check, and get regular eye exams.

Learn more about the cause, symptoms and treatments for diabetic retinopathy.

Graves’ disease

Graves’ disease also known as Thyroid Eye Disease (TED), is an autoimmune disorder that can also affect your eyes. It’s linked to an overactive thyroid and can cause dry, swollen, or irritated eyes, as well as blurry or double vision. Some people might even notice bulging eyes or increased sensitivity to light.

Treatment focuses on controlling thyroid function and addressing eye symptoms with medications or, in severe cases, surgery.

Learn more about the cause, symptoms and treatments for Graves’ disease.

Flashing lights behind eyes

Seeing flashes of light or flickers in your vision can feel alarming — and for good reason. It could be caused by something as harmless as retinal migraines or as serious as a retinal tear or detachment. These often happen as the gel in your eye changes with age and tugs on the retina.

If you notice these symptoms, especially alongside floaters or rapid vision changes, see an eye doctor right away.

Learn more about the cause, symptoms and treatments for flashing lights behind your eyes.

Floaters

Floaters can appear as rings, squiggles, strands, or even cobweb-like shapes. They’re easiest to see when you’re looking at a bright background, like a clear sky or a white wall.

Most of the time, floaters are just the result of age-related changes in the vitreous, the gel-like substance inside your eye. But they can also show up after an eye injury, an infection, or as a symptom of conditions like uveitis (inflammation inside the eye) or diabetes.

Learn more about the cause, symptoms and treatments for eye floaters.

Tunnel vision

Peripheral vision loss, also called tunnel vision, can happen gradually or suddenly, and it’s linked to several eye conditions and overall health issues. This condition makes it harder to see from the outer field of vision, which can make simple tasks like walking through crowded areas or driving at night feel tricky. While some narrowing of peripheral vision is normal as we age, a significant or sudden loss isn’t. If that happens, it’s important to see a doctor.

Several health issues can lead to peripheral vision loss, including glaucoma, diabetic retinopathy, stroke and retinal detachment. The changes can be subtle at first, and peripheral vision loss often sneaks up on you. Many people don’t notice it until it begins to interfere with daily activities.

Learn more about the cause, symptoms and treatments for tunnel vision.

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Editor's note: Kimberly Hayes was a contirbutor to this series of articles. She has written on health and social justice issues for numerous organizations, including the National Organization for Women, the Robert Wood Johnson Foundation, and the Lawyers’ Committee for Civil Rights. Previously, she served as editor of the Native American Report.

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Eye Health: Causes and Symptoms

Knowing early warning signs may prevent permanent damage

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