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Top 4 reasons you need your eyes checked more frequently as you get older.


Top 4 reasons you need your eyes checked more frequently as you get older.

The American Academy of Ophthalmology has recommendations for how often adults need to get their eyes examined.  The recommendations vary according to the level of risk you have for eye disease.

For people who are not at elevated risk the recommendations are:

Baseline eye exam at age 40

Ages 40-54 every 2-4 years

Ages 55-64 every 1-3 years

Ages 65 and older every 1-2 years

Those recommendations are just for people who have NO added risk factors.  If you are diabetic or have a family history of certain eye diseases (see eye diseases that run in families) then you need exams more frequently.  

As you can see, the guidelines recommend more frequent eye exams as you get older.  Here are the top 4 reasons why you need your eyes examined more frequently as you get older:

1-   Glaucoma

Glaucoma is the second leading cause of blindness in the US.  It has no symptoms when it begins.  The only way to detect glaucoma is through a thorough eye exam.  Glaucoma gets more and more common as you get older.  Your risk of glaucoma is less then 1% if you are under 50 and over 10% if you are 80 or over. The rates are even higher in African Americans.  Glaucoma can be treated but not cured.  The earlier it is detected and treated the better your chances are of keeping your vision. For more on Glaucoma click here.

2-   Macular Degeneration

Macular degeneration is the leading cause of blindness in the US. Like glaucoma, it gets more and more common as you get older.  It affects less than 2% of people under 70, rises to 10% in your 80s and can get as high as 50% in people in their 90s.  The rates are highest in Caucasians.  Macular degeneration can also be treated but not cured.  Early intervention leads to better outcomes. For more on Macular Degeneration click here.

3-   Cataracts

Just as in the cases above, cataracts get more common as you get older.  If you live long enough almost everyone will develop some degree of cataracts.  In most people cataracts develop slowly over many years and people may not recognize that their vision has changed.  If your vision is slowly declining from cataracts and you are not aware of that change it can lead to you having more difficulty in performing life’s tasks. We get especially concerned about driving since statistics show that you are much more likely to get in a serious car accident if your vision is reduced.  There is also evidence that people with reduced vision from cataracts have a higher rate of hip fractures from falls. For more on Cataracts click here.

4-   Dry Eyes

Dry eyes can affect anyone at any age but the incidence tends to be at its highest in post-menopausal women.  Dry eyes can present with some fairly annoying symptoms (foreign body sensation in the eye, burning, intermittent blurriness). Sometimes there aren’t any symptoms but on exam we can see the surface of the cornea drying out.  Dry eye can lead to significant corneal problems and visual loss if it gets severe and is left untreated. For more on Dry Eye click here.

One of the most heart-breaking things we see in the office is the 75 year old new patient who hasn’t had an eye exam in 10 years and comes in because his vision “just isn’t right” and his family has noticed he bumps into things sometimes.   On exam his eye pressures are through the roof and he is nearly blind from undetected glaucoma.  At that point there is no getting back the vision he has lost.  If he had only come in several years earlier and just followed the guidelines, all this could have been prevented.  Now he is going to have to live out the rest of his years struggling with severe vision loss.

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Wednesday, 01 December 2021

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