Eye Care Facts for Older Americans

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  • The ability to see fine details when one is looking directly at an object, no matter how close or far away it is, starts to decline
  • Vision changes so that straight lines look wavy or broken
  • Dark spots, lines, or shadows appear in your field of view

There is no cure for macular degeneration, but several possible treatments can slow vision loss and help a person keep useful vision for many years if they are started early enough.

Diabetic eye disease

As we age, our risk for developing diabetes increases. One of the major effects of diabetes is to make blood vessels "leaky".

The retina (the layer of nerve cells that lines the inside of the back of the eye) has a layer of blood vessels. When diabetes makes these blood vessels leak, fluid can build up in the retina. This can blur vision. Eventually, the blood vessels can break open and bleed, and new blood vessels will grow to take their place. All of this can cause permanent loss of vision.

The best way for someone with diabetes to prevent the loss of vision is to follow the doctor’s advice about control of blood sugar, blood pressure, diet, exercise and medication, and to schedule an eye examination at least once a year.

Cataracts

The eye contains a lens that focuses light so we can see. Sometimes this lens turns cloudy, and this is called a cataract. Most cataracts are a normal result of aging, although they can be caused by injury or other medical conditions. The only treatment is to surgically remove the clouded lens.

Cataract surgery is usually performed with local anesthesia. That is, the patient is awake but does not feel the procedure. The surgeon will make a small opening in the front of the eye so the cloudy lens can be removed and replaced by a new clear plastic lens.

Almost 2 million people per year in the United States have cataract surgery and receive an intraocular lens. It is the most frequently performed operation in the world, and also one of the most successful.

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Last Updated: 4/7/2008

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