Adult Vision: 60-80 Years of Age

April 11, 2023 | Cataract

As we age, our eyes change and become more susceptible to diseases and conditions that can lead to visual impairment and even blindness. While not all vision problems are age-related, they become more prevalent in the elderly population. Therefore, it is essential to know about the various eye diseases and conditions, their causes, and treatment options. This article will discuss the common eye problems that affect individuals aged 60-80 years and how they can be diagnosed and treated. At 43Vision, we are dedicated to treating patients over the age of 43. We have the most advanced technology available and offer advanced treatments to help ensure our patients have the best vision possible, no matter what their age is. Call or visit the 43Vision website today to schedule your consultation and start your journey to better vision. 

What are the most common age-related vision problems for adults age 60-80 years of age?


A cataract is a clouding of the lens in the eye that affects vision. Cataracts are prevalent in individuals over the age of 60, and they occur when protein in the lens of the eye clumps together, forming a cloudy area that obstructs vision. The symptoms of cataracts include cloudy, blurred, or dim vision, difficulty seeing at night, and sensitivity to glare. Cataract surgery is the most common treatment option, and it involves removing the cloudy lens and replacing it with an intraocular lens. Cataract surgery is extremely safe, can significantly improve vision, and is the only treatment for removing cataracts.

Age-Related Macular Degeneration (AMD)

Age-related macular degeneration is a leading cause of vision loss in older adults. The macula is a part of the retina that is responsible for sharp, central vision. As we age, the macula can become damaged, leading to a loss of visual acuity in the center of our field of vision. The early warning signs of AMD include blurry vision, distorted central vision, and blind spots in the field of vision. Family history is one of the main risk factors for AMD.

There are two forms of AMD - dry and wet. Dry AMD is the most common form and occurs when the macula thins and breaks down over time. Wet AMD, on the other hand, occurs when abnormal blood vessels grow under the retina, causing damage and leakage of fluid, leading to sudden and severe vision loss. While there is no cure for AMD, there are several treatment options available that can slow down the disease's progression and preserve vision. These include dietary supplements, laser treatment, and medication injections into the eye.


Glaucoma is a group of eye diseases that damage the optic nerve, which is responsible for transmitting visual information from the eye to the brain. It is a leading cause of blindness in the United States, and it is more prevalent in individuals over the age of 60. There are several types of glaucoma, but the most common type is primary open-angle glaucoma. The signs and symptoms of glaucoma include increased pressure in the eye, reduced peripheral vision, and loss of visual field. There is no cure for glaucoma, but it can be treated and managed with eye drops, medication, laser surgery, or conventional surgery.

Diabetic Retinopathy

Diabetic retinopathy is a complication of diabetes that affects the eyes. It occurs when high blood sugar levels damage the blood vessels in the retina, causing them to leak fluid or bleed, leading to vision loss. The symptoms of diabetic retinopathy include blurred vision, dark or empty spots in the field of vision, and difficulty seeing at night. The risk of developing diabetic retinopathy increases with the duration of diabetes, high blood pressure, high blood sugar levels, and smoking. Diabetic retinopathy can be treated with medication injections into the eye, laser treatment, or surgery, but prevention is the best treatment option. It is essential to control blood sugar levels and blood pressure, maintain a healthy diet, exercise regularly, and quit smoking. If left untreated diabetic retinopathy can lead to permanent vision loss.

Dry Eye Syndrome

Dry eye syndrome occurs when the eyes do not produce enough quality tears, leading to discomfort, irritation, and blurred vision. Dry eye syndrome, also known as keratoconjunctivitis sicca, is a common eye condition that affects many adults aged 60 and above.

The risk of developing dry eye syndrome increases with age, especially in women. Hormonal changes during menopause can lead to dry eyes, and age-related changes in the eye's structure and function can also contribute to the condition. Additionally, certain medications commonly used by older adults, such as antihistamines and diuretics, can cause or worsen dry eye syndrome.

Symptoms of dry eye syndrome can include:

  • A gritty or sandy feeling in the eyes

  • Burning or stinging sensations

  • Redness and irritation

  • Blurred vision

  • Sensitivity to light

  • Eye fatigue

  • Excessive tearing

  • Difficulty wearing contact lenses

If left untreated, dry eye syndrome can lead to corneal damage and vision loss. However, there are several treatment options available to manage the symptoms and prevent complications. These include:

  • Artificial tears: Over-the-counter eye drops that lubricate the eyes and help replace natural tears.

  • Prescription eye drops: Medications that stimulate tear production or reduce inflammation in the eye.

  • Punctal plugs: Small devices inserted into the tear ducts to prevent tears from draining away too quickly.

  • LipiFlow: A device that uses heat and pressure to clear blocked oil glands in the eyelids.

  • Nutritional supplements: Omega-3 fatty acids and other dietary supplements may help improve tear quality and reduce inflammation.

  • Lifestyle changes: Avoiding dry, windy environments, using a humidifier, and taking frequent breaks from reading or computer work can all help reduce dry eye symptoms.

It's important to note that dry eye syndrome can also be a symptom of other underlying health conditions, such as diabetes, rheumatoid arthritis, and thyroid disorders. If you're experiencing persistent dry eye symptoms, it's important to see an eye care professional for a comprehensive eye examination and proper diagnosis.

Can age-related vision problems in adults ages 60-80 affect their ability to drive?

Age-related vision impairment can make driving difficult, but not all individuals with these problems will have to stop driving altogether. The ability to drive depends on the severity of the vision problems and how they affect an individual's visual function.

In the United States, each state has different laws regarding driving with vision impairments. Some states require individuals to have a minimum visual acuity, visual field, or contrast sensitivity to be able to drive, while others do not have specific requirements. It is important to check with your state's Department of Motor Vehicles for specific requirements.

For those with mild age-related vision problems, driving may still be possible with corrective lenses, such as glasses or contacts. However, as the condition progresses and visual function is significantly impacted, driving may become unsafe.

Conditions such as cataracts and macular degeneration can cause significant visual impairments, such as glare sensitivity, blurred vision, and loss of central vision. In some cases, surgery may be an option to improve vision and allow for safer driving. Cataract surgery involves the removal of the clouded lens and replacement with an artificial intraocular lens. This can improve visual acuity and reduce glare sensitivity.

Surgery for macular degeneration is not as common, as it cannot cure the condition, but it may be an option in certain cases. One type of surgery is a vitrectomy, which involves removing the gel-like substance in the eye (vitreous) and replacing it with saline solution. Another type of surgery is submacular surgery, which involves the removal of abnormal blood vessels in the macula. However, these surgeries are typically reserved for advanced cases of macular degeneration and are not always successful in improving vision.

It is important to note that even with surgery, some individuals may still have visual impairments that affect their ability to drive safely. In these cases, it may be necessary to limit or stop driving altogether. It is important to prioritize safety when it comes to driving, as impaired vision can increase the risk of accidents and injuries.

In addition to eye surgery, there are other treatments and aids that can help individuals with age-related visual perception problems, such as low vision aids, visual rehabilitation, and vision therapy. It is important to consult with an eye doctor to determine the best course of treatment for your specific condition and to ensure that you are still able to drive safely.

What types of vision surgeries are most common in adults age 60-80 years of age?

  • Cataract Surgery: Cataracts are the most common cause of vision loss in adults aged 60 and above. Cataract surgery is a relatively safe and effective procedure that involves removing the clouded lens of the eye and replacing it with an artificial lens. This surgery is usually performed on an outpatient basis and is minimally invasive.

  • Glaucoma Surgery: If medications and laser treatments do not control the intraocular pressure in the eye, surgery may be necessary to prevent further damage to the optic nerve and vision loss. There are several types of glaucoma surgery, including trabeculectomy, tube shunt surgery, and laser trabeculoplasty.

  • Retinal Surgery: Surgical procedures may be necessary for retinal detachment, macular holes, or epiretinal membranes. These procedures include pneumatic retinopexy, scleral buckle surgery, and vitrectomy. The goal of retinal surgery is to reattach the retina or remove abnormal tissue from the retina.

  • Corneal Surgery: Corneal surgery may be necessary to treat conditions such as corneal dystrophy, corneal ulcers, or corneal scars. Procedures include corneal transplantation, corneal cross-linking, and phototherapeutic keratectomy. The goal of corneal surgery is to improve vision by replacing or reshaping the cornea.

  • Refractive Surgery: Refractive surgery is a surgical procedure that corrects vision problems such as nearsightedness, farsightedness, and astigmatism. Popular options include LASIK, PRK, and SMILE. Refractive surgery aims to reduce dependence on glasses or contact lenses.

  • Eyelid Surgery: As people age, their eyelids can become droopy, causing vision problems and a tired appearance. Eyelid surgery, or blepharoplasty, can improve vision and appearance by removing excess skin and fat from the eyelids.

The decision to undergo surgery should be made in consultation with an eye care professional and should take into account the risks and benefits of the procedure, as well as the patient's individual needs and preferences. An experienced and highly trained refractive surgeon like those at 43Vision will recommend the procedure that is optimal for your individualized needs.

43Vision is the first vision correction facility exclusively for patients over the age of 43 who wish to lessen or remove their dependence on reading glasses or bifocals. Our facility utilizes the most current technology available to combat presbyopia and prevent the development of cataracts in the future. We offer specialized vision correction that is customized to meet your unique needs. To learn more about the vision correction procedures we offer or to schedule your consultation, visit our website or call the office today.


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So the question for you is… why wait any longer?

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