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How to care for your vision and eyes as you age

Looking after your vision now can preserve your point of view for decades.
Queen Elizabeth II wearing glasses

As we age, our vision can deteriorate, potentially causing glaucoma, vision loss, blindness and dry eyes.

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Beyond glasses, there are simple ways to protect your eyes against these conditions that can impact your quality of life, and time with loved ones.

We spoke to Dr Colin Clement, an ophthalmologist at Sydneyโ€™s North Shore Eye Centre to get all the information you need to know about how to care for your eyes, so you can keep living the colourful life you want.

What happens to your eyes in your 50s?

Whatโ€™s going on?

โ€œBy now itโ€™s likely youโ€™ve already experienced some degree of trouble with your reading vision and that will likely continue to decline during this decade,โ€ says Dr Colin Clement.

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As eye muscles weaken they change the shape and position of the lens, which means a single-eye prescription may no longer be the best solution for you.

Dr Clement says, โ€œAlong with menopause-related dry eye conditions, your risk of glaucoma and cataract rises and youโ€™re possibly struggling to focus up close [presbyopia].โ€

Sight Check-ups

Regular eye examinations with an optometrist or ophthalmologist are the best way to protect your eyes and detect various diseases, such as symptom-free glaucoma, which can lead to permanent loss of vision.

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โ€œFor someone who has no specific risk factors and is unaware of other problems with their eyes, these check-ups are recommended every second year,โ€ he explains.

Protect your eyes

Increased exposure to UV light is known to be a contributing factor in eye diseases.

โ€œShield your eyes by wearing sunglasses and prescription spectacles that offer adequate UV protection,โ€ Dr Clement advises.

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Some medications can cause visual side effects or dry eyes, so tell your doctor about any prescription or over-the-counter meds youโ€™re taking.

โ€œIf you have an eye condition or problem with tear production, taking antidepressants, anti-epileptics or sleeping tablets may worsen symptoms,โ€ he says. Artificial tear drops can often provide relief.

Boost your vision.

โ€œMany eye diseases involve free radicals and oxidation, so what you eat can potentially accelerate or halt the process,โ€ Dr Clement says. Although carrots spring to mind, many other foods can also give an instant eye health boost.

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Try salmon, kale, spinach, brussels sprouts, eggs, beans, nuts and seeds.

What happens to your eyes in your 60s?

Whatโ€™s going on?

Eyesight deterioration continues with age, and the risk for eye disease increases. More subtle changes to vision and eye structures begin taking place, including reduced pupil size, loss of colour perception and diminished ability to see in low light.

โ€œPresbyopia (also known as age-related far-sightedness) has finally reached its peak and, by now, youโ€™ve probably noticed the occasional black spot or shadow in your vision,โ€ Dr Clement says.

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This occurs when a gel-like substance in the eye lifts away, resulting in harmless visual disturbances. The production of fewer tears will also lead to drier eyes.

Sight Check-ups

Annual eye examinations are recommended for everyone aged 60-plus. โ€œIn addition to a routine eye check-up, ask your GP for an annual physical to identify underlying conditions that could potentially cause eye problems,โ€ Dr Clement suggests.

Left untreated, diabetes and high blood pressure can cause permanent vision loss from diabetic retinopathy, macular degeneration and eye strokes.

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Protect your eyes

โ€œEase dry eye symptoms and improve the quality of your tears by applying a warm compress containing either baby shampoo or sodium bicarbonate to closed eyelids, each time you have a shower โ€“ the detergent action helps to open the glands in the eyelid,โ€ Dr Clement says.

Use brighter lights for reading and give yourself extra time to refocus when emerging from low-lighting situations. Also, wear spectacles with photochromic lenses and anti-reflective coating to reduce eye strain in environments where youโ€™re exposed to bright sunlight.

Boost your vision

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โ€œIn addition to antioxidant-rich fare, choose foods rich in vitamins A and C, and omega-3 fatty acids to protect your macula, the part of your eye responsible for central vision,โ€ Dr Clement says.

Have no more than two standard drinks in a sitting and watch your diet โ€“ too much alcohol, fat and sugar can be harmful to the eyes. He says, โ€œBeing overweight raises your risk of diabetes, which can lead to loss of vision.โ€

What happens to your eyes in your 70s?

Whatโ€™s going on?

By now it may have become obvious that colours arenโ€™t as bright, and a loss of some of your peripheral vision may make driving more difficult. โ€œAs well as an increased risk of glaucoma, chances are you have cataracts or have already had them removed,โ€ Dr Clement says.

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โ€œThis is also the time when youโ€™re most likely to develop macular degeneration, a type of vision loss that causes progressive loss of central vision.โ€

Sight check-ups

As you age, testing becomes even more important. Continue having an annual eye check-up โ€“ ask your GP to increase your overall health check-up to once every six-to-12 months.

โ€œRegular eye exams are particularly important because an early diagnosis can limit vision loss and preserve your eyesight,โ€ Dr Clement says.

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Even if vision problems havenโ€™t become an issue, do visit the optometrist regularly. If any vision changes do become apparent, report them to your doctor immediately.

Protect your eyes

Ask an optometrist about eyewear for different light conditions and whether the glasses you currently wear are suitable for your needs.

โ€œThereโ€™s a link between certain types of lenses and an increased risk of falls, which can worsen with age,โ€ Dr Clement says. โ€œWith anyone particularly active, the risk of having a fall is greater when they wear multifocal lenses, compared to monofocal lenses.โ€

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Also be mindful of driving โ€“ especially at night. Increase your range of vision by physically turning your head to look both ways at intersections.

Boost your vision

Continue eating plenty of fruit and vegetables. โ€œNumerous studies have shown that diets high in leafy greens, omega-3 fatty acids and selenium-rich foods, such as Brazil nuts, have a positive effect on preventing macular degeneration,โ€ Dr Clement says.

And if you havenโ€™t quit smoking, now is the time to stop. He adds, โ€œSmoking can harm your health at any age, but in your seventies itโ€™s particularly damaging because it increases your risk of eye disease progressing.โ€

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