Table : TABLE 23.1Common 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 have cataracts. They 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. Early stages have no symptoms. Without treatment, glaucoma causes blindness, but the damage can be prevented. Testing is crucial, particularly for African Americans and people with diabetes, since the first signs of glaucoma may occur for them 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, blindness occurs about five years after macular degeneration starts.