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Vision Loss and Chronic Illness: What You Need to Know

"Discover the link between age-related vision impairment and chronic diseases, and how to protect your sight."


As we age, the prevalence of chronic diseases steadily increases, placing a greater burden on healthcare systems. These conditions not only diminish an individual’s quality of life but also drive up healthcare costs due to the complex care they often require. Given their impact on daily functioning and overall well-being, chronic diseases have become a focal point of research and public health initiatives.

The interplay between vision impairment and chronic diseases is a well-documented concern. While it's understood that vision problems often coexist with conditions like diabetes and heart disease, systematic analyses exploring a broad spectrum of chronic diseases and their relationship to vision health have been lacking. This gap in research prompted a new study to investigate the prevalence of chronic conditions among older adults with vision impairment.

A groundbreaking study by John E. Crews and colleagues at the Centers for Disease Control and Prevention in Atlanta, USA, has shed light on this critical issue. Their research delves into the associations between vision impairment and a range of chronic diseases in older adults, providing valuable insights for healthcare professionals and individuals alike.

How Common Chronic Diseases Impact Your Vision

Symbolic image of healthy eye connected to vibrant tree of life, representing health and longevity.

The CDC researchers used data from the US National Health Interview Survey (2010-2014) to analyze the health status of over 36,000 individuals aged 65 and older. The survey included a comprehensive list of 20 chronic conditions identified by the US Department of Health and Human Services for targeted research. The study focused on 12 of these conditions, along with hearing impairment, as additional factor.

Vision impairment was defined by asking participants whether they had trouble seeing, even with glasses or contact lenses. A significant 13.6% of those surveyed reported experiencing vision impairment. This group tended to be older (85+), more often female, and disproportionately of Hispanic or Black ethnicity. They were also less physically active and had lower levels of education compared to those without vision problems.
  • Hypertension (High Blood Pressure): 70.3% of those with vision impairment also had hypertension, compared to 60.6% without.
  • Heart Disease: 38.7% of individuals with vision impairment suffered from heart conditions, versus 27.3% without.
  • High Cholesterol: A significant 58% of those with vision problems also had high cholesterol, compared to 52.3% of their counterparts.
  • Stroke: Individuals with vision impairment reported a 14.4% incidence of stroke, nearly double the 7.1% among those with good vision.
  • Arthritis: Almost 63% of people with vision impairment also had arthritis, compared to 47.3% without vision problems.
  • Asthma: 10.5% of those with vision impairment also had asthma.
  • COPD (Chronic Obstructive Pulmonary Disease): 14% of the visually impaired also suffered from COPD, versus 8% without.
  • Cancer: Over 27% of people with vision problems also had cancer.
  • Kidney Weakness: 9.4% of those with vision impairment also had kidney problems.
  • Diabetes: Over 28% of individuals with vision impairment also had diabetes, compared to 19.5% without.
  • Hepatitis: 4.7% of those with vision impairment also had hepatitis, versus 3.8% without.
  • Depression: 20.4% of people with vision problems also had depression.
  • Hearing Impairments: More than half (51.4%) of those with vision loss also experienced hearing difficulties, versus 35.3% without vision problems.
The study revealed a strong association between vision impairment and overall health status. Older adults with both vision impairment and chronic diseases were more likely to report being in poor health. For example, among those with hypertension, 44.1% of those with vision impairment reported poor health compared to only 23.6% of those without vision problems. Similarly, for heart disease, the figures were 51.1% versus 30.9%, and for COPD, 61.7% versus 40.9%.

Protecting Your Vision as You Age

This research underscores the importance of regular eye exams, especially for older adults managing chronic conditions. Early detection and management of both vision problems and underlying health issues are key to maintaining quality of life. By taking proactive steps to protect your vision, you can reduce your risk of vision loss and enjoy a healthier, more independent future.

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