Why is my eyesight getting worse?

Have you noticed your eyesight getting worse? Learn about the main causes and symptoms, what's normal and what needs to be treated.

Understanding deteriorating eyesight

Many people notice their eyesight getting worse as they get older. Most of the time, it's just a natural part of the ageing process and can be treated successfully. However, vision deterioration can sometimes be a sign of something more serious that needs to be checked. This guide explains more.

Deteriorating eyesight explained

Changes in various parts of your eye can contribute to worsening vision.

  1. 1 of 4

    Cornea

    The cornea is a clear dome‑shaped structure at the front of your eye that lets light in. As you get older, it becomes less sensitive.

  2. 2 of 4

    Pupil

    The pupil gets wider or narrower to control the amount of light coming in. As you get older, the pupil becomes narrower.

  3. 3 of 4

    Lens

    The lens flexes to focus light onto the retina. As you get older it becomes harder and less flexible.

  4. 4 of 4

    Retina

    The retina is made of millions of cells that turn light into electrical activity. This gets sent to your brain and processed into images. Diseases can damage the retina.

Why is my eyesight getting worse?

One of the main reasons people visit our stores is because they've noticed changes in their eyesight. Changing eyesight is a normal part of life that affects everyone. It's not usually urgent, but you should get any changes checked as soon as you can.

There are three main kinds of sight deterioration:

  1. Age‑related.

  2. Health‑related.

  3. Environment‑related.

We'll explore each of these in more detail below.

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Eyesight deteriorating quickly may be an emergency

Eyesight usually gets worse slowly over months or years. So, if you've noticed your eyesight deteriorating quickly in a few days or even hours, it could be a sign of something serious. Rapid eyesight deterioration can be a symptom of issues like retinal detachment, wet age related macular degeneration or optic neuritis. Call 111 or go to the ED if your vision gets worse fast.

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What the experts say about deteriorating vision

Our expert optometrists frequently see patients experiencing deteriorating vision. In this video, one of our optometrists explains what it could be and how to manage it.

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Symptoms of deteriorating vision

The way you experience worsening vision will depend on the underlying cause. For some people, it seems to happen quite fast, while for others it's more of a gradual thing. Here are some of the different types of worsening vision.

Things close to you are harder to focus on

This is a sign of a condition called presbyopia. You'll find it hard to focus on things near to you ‑ particularly in low light. Restaurant menus, newspaper text, or words in books become harder to read. 
Learn more about presbyopia

Cloudy vision

You might find that everything you see appears as if it’s in a fog or haze. Colours can also seem less vibrant or more washed out. 
Learn more about cloudy vision

Blurry vision

Things you look at will be blurry and out of focus. For some people, distant things look blurrier, while for others it’s objects nearby or in their peripheral (side) vision that are harder to see clearly. 
Learn more about blurry vision

Short‑sightedness (myopia)

This is when distant objects are less clear and are harder to focus on. For example, you might struggle to read writing on a sign in a train station. It affects people of all ages. 
Learn more about short‑sightedness

Long‑sightedness

This is when objects close to you appear blurry and are harder to focus on. For example, you may find yourself squinting to read a book or text on your phone screen. 
Learn more about long‑sightedness

Floaters

These are tiny clumps of cells that form in the fluid inside your eyeball ‑ you'll see small specks or spots that drift across your vision. They're usually harmless but can be distracting. 
Learn more about floaters

Discomfort in the eye

If you have deteriorating eyesight, you may feel physical discomfort in and around your eye (dry, sore or achy eyes are common). You may also get headaches.
Learn more about eye discomfort

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Causes of deteriorating vision

Lots of things can make your vision get worse. We've grouped them into three categories: age, health conditions and environment. Often, several things combine to gradually make your eyesight worse over time.

Age and eyesight deterioration

Practically everyone's eyesight gets worse with age. For some people, deteriorating eyesight starts sooner, for others it happens a bit later.

Ageing

As you get older, physical changes in your eyes will affect your vision. For example, pupils go narrower and lenses become less flexible. These changes happen slowly, but are more obvious after 40. A common issue is presbyopia. 
Learn more about presbyopia

Eye issues affecting younger people

If you notice your eyesight getting worse in your 20s or teen years, it's probably a refractive error. Most common is short‑sightedness (myopia). This can be treated with glasses or contact lenses. 
Learn more about myopia

Medical conditions can make eyesight worse

There are a few health conditions that can make eyesight worse. Some directly affect the eye itself, while others are caused by problems in other parts of the body that then impact your eyesight in various ways.

High blood pressure

Having chronic high blood pressure can damage the veins in your eyes and the retina. This may lead to eyesight deterioration. 

Diabetes

Diabetes is when your body can't regulate blood sugar levels. It can affect the small blood vessels in your eyes, affecting vision.
Learn more about diabetic retinopathy

Glaucoma

Glaucoma is a common eye condition in New Zealand. It refers to a few different disorders that increase pressure inside the eye. This can damage the optic nerve and affect your vision. 
Learn more about glaucoma

Age‑related macular degeneration (AMD)

The macula is part of your retina that lets you see things in front of you clearly. As you get older, problems in the macula can affect your vision. 
Learn more about macular degeneration

Cataracts

This is a common eye condition and is when the lens inside your eye starts to lose transparency. This can make the world around you look foggy or cloudy. 
Learn more about cataracts

Pregnancy

If you're pregnant, you may notice changes in vision (blurriness is fairly common). Your vision should return to normal after giving birth.

Environmental causes of eyesight getting worse

Lots of things in your surrounding environment can contribute to your eyesight getting worse. This also includes lifestyle choices and accidents.

Ultraviolet (UV) light

If you are often exposed to high levels of UV rays from the sun, this can damage your eyesight. The New Zealand Association of Optometrists points out that most of us don't protect our eyes enough.

Computer eye strain

Lots of time staring at computer and mobile screens can cause eye discomfort and blurry vision. This normally goes away if you stop using screens. 
Learn more about computer eye strain

Smoking

Smoking tobacco has an enormous range of negative health consequences, and can damage your eyes and the veins that supply your eyes in various ways.

Eye injuries

Direct impacts on your eyes, chemical splashes, infections or foreign objects piercing your eyeball can all cause temporary or permanent vision loss.

Let’s get your vision sorted

Noticed your eyes hurting, or a change in your sight? Whether it’s something new or something that’s been bothering you for a while, we’re here to help.

Genetics and deteriorating vision

Certain eye conditions that lead to deteriorating vision run in families. Your risk of developing glaucoma, age‑related macular degeneration, cataracts, and other eye problems may be higher if a parent or grandparent experienced them. 
 
You might want to ask your parents and relatives about their eye health. If these issues are common in your family, regular eye tests can help spot symptoms early.

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A person with long hair and a tattoo sits on a couch, looking at a laptop screen in a bright living room.

Diagnosing deteriorating vision

If you've noticed your eyesight getting worse, it's really important to get this checked by an optometrist. At Specsavers, we'll use a variety of different techniques to work out why your eyesight seems to be getting worse.

An eye doctor examines an older man's eyes using specialized ophthalmology equipment in a clinical setting.

OCT scan

An OCT is a powerful machine that allows optometrists to examine the layers beneath the surface of your eyes. It helps detect early signs of conditions that could lead to vision loss. 
Learn more about OCT scans

Slit lamp exam

A slit lamp is a powerful microscope with a light attached. It lets the optometrist view the front surface of your eyes in fine detail and spot any damage.

Eye pressure tests

A small puff of air will be blown into your eyes using a device called a tonometer. This can help with diagnosing eye conditions such as glaucoma.

Visual acuity tests

The optometrist will ask you to look at letters, numbers and images and describe what you can see. This helps them understand your eye's health.

Retinoscopy

This tool checks how well your eyes are able to focus. It's useful for estimating how long or short‑sighted you are and measures any changes over time.

Ophthalmoscopy

This is a technique that allows the optometrist to look at the retina in the back of your eyes, the optic nerve and its blood vessels to spot any signs of damage.

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Treatment for deteriorating eyesight

If you've noticed your eyesight getting worse, there are lots of effective treatments out there. Your optometrist will choose a treatment depending on the underlying cause. Some treatments focus on improving vision, others aim to prevent further deterioration, and some address specific symptoms.

Corrective lenses

If your deteriorating vision is caused by things like presbyopia or myopia, corrective or bifocal lenses (in the form of spectacles or contacts) can help you see more clearly again. 
Learn more about glasses

Eye surgery

Sometimes, eyesight deterioration can be treated with surgical procedures. Surgery for things like cataracts, myopia or glaucoma can significantly improve your vision.

Treating underlying health conditions

If your vision deterioration is caused by things like diabetes or high blood pressure, treating or managing these conditions can reduce the risk of negative effects for your eyes.

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Preventing eyesight deterioration

It's not always possible to stop eyesight getting worse ‑ some things, like ageing, are unavoidable. However, there are steps you can take to give yourself the best chance of slowing down the progression of eyesight deterioration.

Get your eyes tested often

Going for eye tests every 1‑2 years (depending on age) will allow your optometrists to monitor your eyes' health and spot any early signs of eye disease or sight loss.

Sun protection

Sunglasses and hats can protect your eyes from harmful UV rays that can damage them. Due to New Zealand's especially high UV levels, you should always wear hats and sunglasses outdoors.

Improve your diet

A varied diet that's rich in protein, unsaturated fats (especially omega‑3), vitamins and minerals will give your eyes all the nutrients they need to repair any damage and work effectively.

Stop smoking

Smoking can increase your risk of a wide range of eye health conditions (and other diseases). By breaking the habit, you can protect your eyes.

Reduce screen time

If you use computer screens for long periods at work or for video games, try to follow the 20‑20‑20 rule. Every 20 minutes look at something 20 feet (6 metres) away for 20 seconds. More blinking helps too.

Wear eye protection

Use suitable eye protection to reduce the risk of an eye injury. Things like goggles, glasses or helmets should be used when doing DIY, playing sports or riding bicycles or motorbikes.

Spend time outdoors

Studies have shown that when people (and particularly children) spend more time outside, they are less likely to develop things like short‑sightedness.

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Common Deteriorating Eyesight Questions

Did you know?

AA Members are entitled to a free eye test (valued at $60), once every two years. Remember to present your AA Membership card in‑store.

Written with care and checked for accuracy

https://images.ctfassets.net/uuaxywrybmpn/5Kb6atC40MprLd85Eg9345/98d5bdf03ca4987837f16eb54c0ee750/Acyel_Al-Alosi.jpg

Acyel Al‑Alosi

M. Clinical Optom

Acyel Al‑Alosi has worked for Specsavers since 2016. She graduated in 2018 from University of New South Wales with a Masters of Clinical Optometry. Since 2018, she has practiced on the South Coast of NSW where she took an interest in paediatrics, dry eye and Indigenous outreach.

She has mentored multiple young optometrist and has a keen interest in the development of early‑career optometrists. Currently, she is the Clinical Performance Consultant for NSW/ACT where she supports and coaches optometrists and partners to obtain improved patient outcomes.

Could it be something else?

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