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Ocular Surface Health in the Aging Population

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One of the major concerns of the aging population is age-related eye disorders and vision loss. Early detection and treatment are crucial for this.

Written by

Dr. Asha. C

Medically reviewed by

Dr. Aditi Dubey

Published At April 17, 2024
Reviewed AtApril 17, 2024

Introduction:

People's sensory modalities, including vision, gradually deteriorate, and most serious eye illnesses are age-related. Three categories of potential issues can be encountered with the aging eye: visual function impairments, common aging-related eye conditions, and eye diseases. Beyond 65, the prevalence of certain disorders that might cause blindness increases. Though vision loss can affect people of different ages, most of those who suffer from vision problems and blindness are over 50. The quality of life of elderly people is greatly impacted by changes in the eyes due to aging.

What Are Some Common Eye Problems That Can Occur Due to Aging?

Common Eye Problems Due to Aging:

  • Floaters - Floaters are called tiny flecks or specks that move through the field of vision. It can be spotted when observing a bright screen in an illuminated space or on a sunny day outside. This might be a typical aspect of aging. Although they are largely benign, if they start abruptly or dramatically, it may indicate a more serious eye condition. If it is visible in the light flashes, retinal detachment from the back of the eye could be the cause. Consulting an eye care specialist right away is necessary if there is a rapid change in the kind or quantity of spots or flashes.

  • Tearing: Tear up means eyes producing excessive tears. It may happen due to sensitivity to changes in temperature, wind, or light. Sometimes, the issue might be resolved by covering the eyes or sunglasses. If that does not work, tearing might have a more serious issue, such as a tear duct obstruction or eye infection. Furthermore, dry eyes are prone to irritation, so those with them can tear up frequently.

  • Presbyopia - It means the incapacity to read small print or see close objects. It is a typical process that occurs over a lifetime. No changes may happen until 35 or 40 years old. Individuals with presbyopia can get better vision using multifocal (bifocal) lenses or reading glasses.

  • Dry Eyes - When tear glands cannot generate enough tears or only create inadequate standard tears, dry eyes result. Dry eye is a prevalent and frequently persistent issue, especially among the elderly. Tears preserve the vitality of the cornea and ensure sharp vision. Itching, burning, and sometimes even partial blindness can be symptoms of dry eyes. Eye care specialists might advise using artificial tears or a humidifier. More severe cases of dry eyes may require surgery.

Medical Eye Conditions Affecting Older People

  • Cataracts - Cataracts are areas that are clouded or opaque in a typically clear eye lens. Vision becomes blurred due to cataracts because they prevent light from freely passing through the lens and onto the retina at the rear of the eye. They may obstruct normal vision, depending on their size and position. Cataracts typically affect both eyes, though one may progress more quickly than the other. Blurred vision, dulling of colors, greater susceptibility to glare, diminished contrast sensitivity, and impaired ability to see in low light are potential manifestations of cataracts. If they become problematic, eye care professionals can surgically remove them and replace the lenses with artificial ones. Among the most common surgeries performed on the eyes, cataract surgery is extremely safe.

  • Age-Related Macular Degeneration (AMD) - The macula, the core of the light-sensitive retina in the back of the eye, is affected by the eye condition known as age-related macular degeneration (AMD), resulting in loss of central vision. The macula is responsible for the capacity to see colors and fine details. Efficient central vision, facilitated by the macula, is necessary for tasks like reading, watching television, driving, and identifying faces. Although it impairs central vision, it does not result in total blindness because side or peripheral vision is unaffected. Supplemental nourishment can be beneficial in the early stages, but there is no treatment if the condition is advanced. A pharmaceutical injection or laser treatment may be beneficial for individuals with more advanced AMD.

  • Diabetic Retinopathy - Diabetic retinopathy affects people who have diabetes. It is the outcome of the gradual deterioration of the microscopic blood vessels that supply the retina. Blurred vision is caused by leaking blood and other fluids from these injured blood vessels, which enlarge the retinal tissue. Affected individuals can experience blind patches, floaters, or blurred vision as the illness worsens. Usually, both eyes are impacted by the illness. The chance of having diabetic retinopathy increases with the duration of diabetes.

  • Glaucoma - Usually, high intraocular pressure can lead to glaucoma. This illness has the potential to cause blindness and permanent visual loss if left untreated. Generally, glaucoma causes no pain and may not show symptoms until a noticeable side vision loss occurs. Both eyes are usually affected, though usually one eye is affected first.

  • Retinal Detachment - Retinal detachment is a condition where the inner and outer layers of the retina can tear or separate from the surrounding tissue. Most frequently, spontaneous changes to the gel-like vitreous fluid that fills the back of the eye cause retinal detachment. Other reasons include head or eye trauma, inflammatory eye illnesses, and medical conditions such as severe diabetes. The abrupt emergence of spots or flashes of light, black shadows anywhere in the field of vision, and wavy vision are all signs of retinal detachment. It can result in irreversible vision loss if treatment is delayed.

How Should the Aged Population Care for Their Eyes to Have Good Vision?

  • Regular eye examinations are necessary to determine eye diseases in the early stages, reducing the risk of age-related eye disorders or blindness. It is essential to have an eye check-up every year after the age of 55.

  • Controlling medical conditions such as diabetes and high blood pressure helps reduce early vision loss.

  • For individuals with a family history of glaucoma or vision loss, it is recommended to get dilated eye exams even more often.

  • The sun’s ultraviolet (UV) rays are harmful to the eye’s tissues, cornea, and lens, as they can increase the risk of developing eye diseases such as cataracts. So, wearing sunglasses is often recommended to reduce the risk of vision loss.

  • Smoking can increase the risk of vision problems such as AMD, cataracts, diabetic retinopathy, glaucoma, and dry eyes. So, it is important to quit smoking.

  • Eating a nutrient-rich diet, such as foods rich in antioxidants, vitamins, and minerals like vitamins A, C, E, and zinc‌, omega-3 fatty acids, lutein, and zeaxanthin, will help prevent eye disease progression.

Conclusion:

Age-related vision loss is very common in older adults. It can lead to discomfort in their daily life, from reading to driving. So, to maintain healthy vision in old age, regular medical and eye examinations play a significant role, as they aid in the early detection of any eye conditions. It is also pivotal to follow a healthy lifestyle, such as quitting smoking, following a good diet, wearing sunglasses, and so on.

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Dr. Aditi Dubey
Dr. Aditi Dubey

Ophthalmology (Eye Care)

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aging populationsocular surface health
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