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Vision changes
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Vision changes

My vision is usually good - no glasses needed. But recently, at age 42, my distance vision in my right eye is deteriorating quite rapidly. My previous eye test was four months ago and I have changed another "quarter" (I don't know if this makes sense) in that four months. I would expect to have glasses for reading etc around this age, but I did not expect this change to my distance vision. Can you tell me if it is normal to have such a change at this age? Would it be normal to continue changing at this rate? What causes it?
I have recently been diagnosed with dry eye - would this be influencing anything sight-wise?
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Things change rapidly in our 40's and the eye changes faster than other parts of the body. If you mean a 'quarter' of a diopter that's not much change at all. The biggest change in our vision for most people is for near and reading. That problem is called 'presbyopia'.  There is so much variability in how presbyopia and middle age affect people that I can't generalize. If someone is farsighted then the aging process will eventually affect the distance and intermediate vision (shop, computers)

Your best solution would be to see an eye physician (Eye MD = Ophthalmologist), not have an exam in a store or commercial optician, not see an optometrist ( Optometrist = non-physician, limited eye care provider) but an ophthalmologist for a comprehensive medical eye examination which will include a refraction or glasses tests. Only this could give you the reassuranace that these are normal aging changes and not due to any eye pathology like cataracts.

JCH MD Eye Physician & Surgeon
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Thanks very much for your advice. I appreciate you taking the time to answer my question
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John C Hagan III, MD, FACS, FAAOBlank
Discover Vision Centers of Kansas City
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