TABLE TABLE 14.1 Common Vision Impairments Among the Elderly
Cataracts. As early as age 50, about 10 percent of adults have cataracts, a thickening of the lens, causing vision to become cloudy, opaque, and distorted. By age 70, 30 percent do. Cataracts can be removed in outpatient surgery and replaced with an artificial lens.
Glaucoma. About 1 percent of those in their 70s and 10 percent in their 90s have glaucoma, a buildup of fluid within the eye that damages the optic nerve. The early stages have no symptoms, but the later stages cause blindness, which can be prevented if an ophthalmologist or optometrist treats glaucoma before it becomes serious. People with diabetes may develop glaucoma as early as age 40.
Macular degeneration. About 4 percent of those in their 60s and about 12 percent over age 80 have a deterioration of the retina, called macular degeneration. An early warning occurs when vision is spotty (e.g., some letters missing when reading). Again, early treatment—in this case, medication—can restore some vision, but without treatment, macular degeneration is progressive, causing blindness about five years after it starts.