Why Does Eyesight Tend to Worsen as We Age?

Why Does Eyesight Tend to Worsen as We Age?

As we age, many of us notice that our eyesight isn’t what it used to be. We may find ourselves reaching for reading glasses more often or struggling to see clearly in low light. This is a common experience, and it’s a natural part of the aging process. But why does our eyesight tend to worsen as we get older? In this article, we’ll explore the reasons why is my eyesight getting worse and discuss what we can do to maintain healthy vision as we age.

The Aging Eye

To understand why our eyesight tends to deteriorate as we age, it’s important to first understand how the eye works and how it changes over time. The eye is a complex organ that relies on different structures working together to produce clear vision. One of the most important of these structures is the lens, which is responsible for focusing light onto the retina at the back of the eye. When we are young, the lens is flexible and able to change shape easily, allowing us to focus on objects at different distances. However, as we age, the lens becomes less flexible and less able to change shape, making it harder for us to focus on close-up objects.

In addition to changes in the lens, the muscles that control the size of the pupil also become less efficient as we age, leading to a decrease in the amount of light that reaches the retina. This can make it harder to see in low light conditions, such as at night or in dimly lit rooms. The retina itself can also change with age, including a decrease in the number of light-sensitive cells and a thickening of the retinal tissue, which can affect our ability to see clearly.

Common Age-Related Vision Problems

As a result of these changes, many people experience a decline in their vision and dry eyes as they get older. Some of the most common age-related vision problems include:


This is a condition that affects the ability to focus on close-up objects, and it is a natural part of the aging process. People with presbyopia often find that they need reading glasses or bifocals to see up close.


Cataracts are a clouding of the lens that can cause blurry vision and difficulty seeing in bright light. They are a common age-related condition, and they can usually be treated with surgery to replace the cloudy lens with a clear artificial one.

Age-related macular degeneration

This is a condition that affects the macula, the central part of the retina that is responsible for sharp, detailed vision. It can increase your chances of causing a loss of central vision and make it difficult to see fine details.

Glaucoma: Glaucoma is a group of eye diseases that can cause damage to the optic nerve and lead to vision loss. It is more common in older adults, and it can often be managed with medication or surgery.

Maintaining Healthy Vision as We Age

While some degree of age related macular degeneration AMD vision decline is inevitable, there are steps that we can take to maintain eyes healthy vision as we get older. One of the most important things that we can do is to have regular eye exams. Many age-related loss of vision problems can be detected and treated early with a comprehensive eye exam, so it’s important to see an eye doctor at least once a year, or more often if you have a family history of eye disease or other risk factors.

In addition to regular eye exams, some lifestyle changes and limit screen time can help to preserve our vision as we age. Eating a healthy diet that is rich in fruits and vegetables, particularly those that are high in vitamins A, C, and E, can help protect the eyes from age-related damage. Regular exercise and having a balanced diet can also help to maintain good eye health, as can avoiding smoking and protecting the eyes from UV rays radiation by wearing sunglasses outdoors.

Finally, it’s important to be proactive about managing any existing health conditions that can affect the eyes, such as diabetes or high blood pressure. These conditions can increase the risk of age-related vision problems, so it’s important to work with a healthcare provider to keep them under control.


Our eyesight tends to worsen as we age due to a combination of changes in the structure and function of the eye. While some degree of age-related vision decline is normal, there are steps that we can take to maintain healthy vision as we get older. By having regular eye exams, making healthy lifestyle choices, and managing any existing health conditions, we can help preserve our vision and enjoy clear eyesight for years to come.

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Dr. Kimberly Langdon

Kimberly Langdon

Dr. Kimberly Langdon has been an MD for 31 years, board-certified obstetrician/gynecologist with 19-years of clinical experience. She graduated from The Ohio State University College of Medicine, earning Honors in many rotations. She then completed her OB/GYN residency program at The Ohio State University Medical Center, earning first-place accolades for her Senior Research Project and Score of 98th percentile on a National Proficiency Test.

During her clinical career, she delivered over 2000 babies and specialized in minimally invasive procedures, menopause, endometriosis, menstrual disorders, and polycystic ovarian syndrome. After retiring from clinical practice, she founded a medical device company to commercialize her two patented and four patent-pending medical devices for both life-threatening and non-life-threatening infections.

Kimberly Langdon M.D.

Founder and Chief Scientific Officer, Coologics, 2010-present
The Ohio State University College of Medicine, Doctor of Medicine 1987-1991
The Ohio State University Hospital Department of Obstetrics and Gynecology Residency Program 1991-1995
Private practice 1995-2010

Po-Chang Hsu

Po-Chang Hsu

Po-Chang Hsu, M.D., received his medical doctorate from Tufts University School of Medicine in Boston. During his medical school training, Dr. Hsu worked with various patients, including adult and pediatric patients with acute and chronic conditions. Dr. Hsu’s interests include neurology, psychiatry, pediatrics, and sleep medicine.

Before medical school, Dr. Hsu finished a master’s degree at Harvard University and wrote a thesis on neuroimaging in schizophrenia patients at Brigham and Women’s Hospital, a Harvard Medical School-affiliated hospital. Dr. Hsu was also a part of the 2008 NASA Phoenix Lander Mission team, which sent a robotic spacecraft to the North polar region of Mars. Dr. Hsu also had research experience on neuroimaging in neonates at Boston Children’s Hospital, another Harvard Medical School-affiliated Hospital.

Since graduating from medical school, Dr. Hsu has worked as a full-time medical writer and consultant. In addition, he has experience writing and ghostwriting books and articles for physicians and health technology start-up companies. Dr. Hsu believes good communication between healthcare providers and patients creates the best results.


-Peer Reviewed Journal Article:
Kounaves, S.P., Hecht, M.H., West, S.J., Morookian, J.-M., Young, S.M.M., Quinn, R., Grunthaner, P., Wen, X., Weilert, M., Cable, C.A., Fisher, A., Gospodinova, K., Kapit, J., Stroble, S., Hsu, P.-C., Clark, B.C., Ming, D.W. and Smith, P.H. The MECA wet chemistry laboratory on the 2007 phoenix mars scout Lander. Journal of Geophysical Research. 2009, Mar; 114(E3): 10.1029/2008je003084.

-Poster Presentation:
2011 Harvard Psychiatry Mysell Poster Session; Boston, MA
Hsu, P.C., Rathi, Y., Eckbo, R., Nestor, P., Niznikiewicz, M., Thompson, E., Kubicki, M., Shenton, M.E. (March, 2011). Two-Tensor Diffusion Tensor Imaging of Acoustic Radiations in Schizophrenia

Dr. Nicolette Natale

Nicolette Natale

Dr. Nicolette Natale is a physician, with a background in Psychology, General Medicine, and English Literature, combining her expertise to provide readers with the most accurate, easy-to-understand, and comprehensive information regarding healthcare. She received her Doctorate in Osteopathic Medicine from Nova Southeastern University, and her bachelor’s in English Literature and Psychology from the University of Miami. Dr. Natale seeks to empower individuals with knowledge, fostering a greater understanding of holistic health and encouraging a proactive approach to well-being