Early symptoms: None

Late symptoms: Loss of side (peripheral) vision, blindness

Diagnosis: Dilated eye exam, perimetry tests, RNFL scans

Treatment: Medicines (usually eye drops), laser treatment, surgery

What is glaucoma?

Glaucoma is a group of eye diseases that can cause vision loss and blindness by damaging a nerve in the back of your eye called the optic nerve.

The symptoms can start so slowly that you may not notice them. The only way to find out if you have glaucoma is to get a comprehensive dilated eye exam.

There’s no cure for glaucoma, but early treatment can often stop the damage and protect your vision.

What are the types of glaucoma?

There are many different types of glaucoma, but the most common type in the United States is called open-angle glaucoma — that’s what most people mean when they talk about glaucoma. Other types of glaucoma are less common, like angle-closure glaucoma and congenital glaucoma.

What are the symptoms of glaucoma?

At first, glaucoma doesn’t usually have any symptoms. That’s why half of people with glaucoma don’t even know they have it.

Over time, you may slowly lose vision, usually starting with your side (peripheral) vision — especially the part of your vision that’s closest to your nose. Because it happens so slowly, many people can’t tell that their vision is changing, especially at first.

But as the disease gets worse, you may start to notice that you can’t see things off to the side anymore. Without treatment, glaucoma can eventually cause blindness.

Am I at risk for glaucoma?

Anyone can get glaucoma, but some people are at higher risk. You’re at higher risk if you:

  • Are over age 60
  • Are African American or Hispanic/Latino and over age 40
  • Have a family history of glaucoma

Talk with your doctor about your risk for glaucoma, and ask how often you need to get checked.

When to get help right away

Angle-closure glaucoma can cause these sudden symptoms:

  • Intense eye pain
  • Upset stomach (nausea)
  • Red eye
  • Blurry vision

If you have these symptoms, go to your doctor or an emergency room now.

What causes glaucoma?

Scientists aren’t sure what causes the most common types of glaucoma, but many people with glaucoma have high eye pressure (intraocular pressure) — and treatments that lower eye pressure help to slow the disease. There’s no way to prevent glaucoma. That’s why eye exams are so important — so you and your doctor can find it before it affects your vision.

How will my eye doctor check for glaucoma?

Eye doctors can check for glaucoma as part of a comprehensive dilated eye exam. The exam is simple and painless — your doctor will give you some eye drops to dilate (widen) your pupil and then check your eyes for glaucoma and other eye problems. The exam includes a visual field test to check your peripheral (side) vision.

Did you know?

Glaucoma can happen in one eye or both eyes

Some people with high eye pressure don’t get glaucoma — and there’s a type of glaucoma that happens in people with normal eye pressure

The amount of eye pressure that’s normal varies by person — what’s normal for one person could be high for another

What’s the treatment for glaucoma?

Doctors use a few different types of treatment for glaucoma, including medicines (usually eye drops), laser treatment, and surgery.

If you have glaucoma, it’s important to start treatment right away. While it won’t undo any damage to your vision, treatment can stop it from getting worse.

Medicines. Prescription eye drops are the most common treatment. They lower the pressure in your eye and prevent damage to your optic nerve.

Laser treatment. To lower pressure in your eye, doctors can use lasers to help the fluid drain out of your eye. It’s a simple procedure that your doctor can do in the office.

Surgery. If medicines and laser treatment don’t work, your doctor might suggest surgery. There are several different types of surgery that can help the fluid drain out of your eye.

Talk over your options with your doctor. While glaucoma is a serious disease, treatment works well. Remember these tips:

  • If your doctor prescribes medicine, be sure to take it every day
  • Tell your doctor if your treatment causes side effects
  • See your doctor for regular check-ups
  • If you’re having trouble with everyday activities because of your vision loss, ask your doctor about low vision services or devices that could help
  • Encourage family members to get checked for glaucoma, since it can run in families

Early symptoms: None 

Late symptoms: Blurry vision, colours that seem faded, sensitivity to light, trouble seeing at night, double vision

Diagnosis: Dilated eye exam

Treatment: Surgery

What are cataracts?

A cataract is a cloudy area in the lens of your eye. Cataracts are very common as you get older. In fact, more than half of all Americans age 80 or older either have cataracts or have had surgery to get rid of cataracts. 

At first, you may not notice that you have a cataract. But over time, cataracts can make your vision blurry, hazy, or less colourful. You may have trouble reading or doing other everyday activities. 

The good news is that surgery can get rid of cataracts. Cataract surgery is safe and corrects vision problems caused by cataracts.  

What are the types of cataracts?

Most cataracts are age-related — they happen because of normal changes in your eyes as you get older. 

But you can get cataracts for other reasons — for example, after an eye injury or after surgery for another eye problem (like glaucoma).

No matter what type of cataract you have, the treatment is always surgery.

You can get cataracts in one eye or both eyes — but they can’t spread from one eye to the other

By age 80, most people either have cataracts or have had cataract surgery

Cataract surgery is one of the most common operations in the United States

What are the symptoms of cataracts?

You might not have any symptoms at first, when cataracts are mild. But as cataracts grow, they can cause changes in your vision. For example, you may notice that:

Your vision is cloudy or blurry

Colors look faded

You can’t see well at night

Lamps, sunlight, or headlights seem too bright

You see a halo around lights

You see double (this sometimes goes away as the cataract gets bigger)

You have to change the prescription for your glasses often

These symptoms can be a sign of other eye problems, too. Be sure to talk to your eye doctor if you have any of these problems.

Over time, cataracts can lead to vision loss.

Am I at risk for cataracts?

Your risk for cataracts goes up as you get older. You’re also at higher risk if you:

Have certain health problems, like diabetes

Smoke

Drink too much alcohol

Have a family history of cataracts

Have had an eye injury, eye surgery, or radiation treatment on your upper body

Have spent a lot of time in the sun

Take steroids (medicines used to treat a variety of health problems, like arthritis and rashes)

If you’re worried you might be at risk for cataracts, talk with your doctor. Ask if there is anything you can do to lower your risk.

What causes cataracts?

Most cataracts are caused by normal changes in your eyes as you get older.

When you’re young, the lens in your eye is clear. Around age 40, the proteins in the lens of your eye start to break down and clump together. This clump makes a cloudy area on your lens — or a cataract. Over time, the cataract gets more severe and clouds more of the lens.

How can I prevent cataracts?

You can take steps to protect your eyes and delay cataracts.

Wear sunglasses and a hat with a brim to block the sun.

Quit smoking. 

Eat healthy. Eat plenty of fruits and vegetables — especially dark, leafy greens like spinach, kale, and collard greens.

Get a dilated eye exam. If you’re age 60 or older, get a dilated eye exam at least once every 1 years.

How will my eye doctor check for cataracts?

An eye doctor can check for cataracts as part of a dilated eye exam. The exam is simple and painless — your doctor will give you some eye drops to dilate (widen) your pupil and then check your eyes for cataracts and other eye problems.

What’s the treatment for cataracts?

Surgery is the only way to get rid of a cataract, but you may not need to get surgery right away. 

Home treatment

Early on, you may be able to make small changes to manage your cataracts. You can do things like:

Use brighter lights at home or work

Wear anti-glare sunglasses

Use magnifying lenses for reading and other activities

A new prescription for eyeglasses or contact lenses can help you see better with cataracts early on.

Surgery

Your doctor might suggest surgery if your cataracts start getting in the way of everyday activities like reading, driving, or watching TV. During cataract surgery, the doctor removes the clouded lens and replaces it with a new, artificial lens (also called an intraocular lens, or IOL). This surgery is very safe, and 9.9 out of 10 people who get it can see better afterwards.

Early symptoms: None

Late symptoms: loss of central vision

Diagnosis: Dilated eye exam

Treatment: Dietary supplements (vitamins and minerals), injections and laser treatment

What is AMD?

Age-related macular degeneration (AMD) is an eye disease that can blur the sharp, central vision you need for activities like reading and driving. “Age-related” means that it often happens in older people. “Macular” means it affects a part of your eye called the macula.

AMD is a common condition — it’s a leading cause of vision loss for people age 50 and older. AMD doesn’t cause complete blindness, but losing your central vision can make it harder to see faces, drive, or do close-up work like cooking or fixing things around the house.

AMD happens very slowly in some people. Even if you have early AMD, you may not experience vision loss for a long time. For other people, AMD progresses faster and can lead to central vision loss in one eye or both eyes.

What are the symptoms of AMD?

As AMD progresses, many people see a blurry area near the center of their vision. Over time, this blurry area may get bigger or you may see blank spots. Things may also seem less bright than before.

Some people may also notice that straight lines start to look wavy. This can be a warning sign for late AMD. If you notice this symptom, see your eye doctor right away.

Am I at risk for AMD?

Your risk for AMD increases as you get older. People over age 60 are more likely to have AMD. The risk for AMD is also higher for people who:

  • Have a family history of AMD
  • Are Caucasian
  • Smoke

If you are at risk for AMD because of your age, family history, or other factors, it’s important to get regular eye exams. Early AMD doesn’t have any symptoms, so don’t wait for your vision to change!

How can I lower my risk for AMD?

Research shows that you may be able to lower your risk of AMD (or slow its progression) by making these healthy  choices:

  • Quit smoking — or don’t start
  • Get regular physical activity
  • Maintain a healthy blood pressure and cholesterol levels
  • Eat healthy foods, including leafy green vegetables and fish

Did you know?

Late AMD can happen in one eye or both eyes.

If you have late AMD in only one eye, you may not notice any changes in your vision — but it’s still important to get your eyes checked.

Having late AMD in one eye puts you at higher risk of developing late AMD in your other eye.

How will my eye doctor check for AMD?

Eye doctors can check for AMD as part of a comprehensive dilated eye exam. The exam is simple and painless — your doctor will give you some eye drops to dilate (widen) your pupil and then check your eyes for AMD and other eye problems.

If your doctor dilates your pupils, your vision may be blurry and sensitive to light for a few hours after the exam. It’s a good idea to ask a friend or family member to drive you home — especially if you’ve never had a dilated eye exam before.

Your doctor may also recommend doing a test called an optical coherence tomogram (OCT). This test lets the doctor see the back of your eye.

If you get an OCT test, your eye doctor will take pictures of the inside of your eye with a special machine. The machine won’t touch your eye. Your doctor may also dilate your pupils as part of an OCT test.

What’s the treatment for AMD?

There’s currently no treatment for early AMD, so your eye doctor will probably just keep track of how your eyes are doing with regular eye exams. Eating healthy, getting regular exercise, and quitting smoking can also help.

If you are diagnosed with intermediate or late AMD, ask your eye doctor about treatment options and how the condition may affect your vision in the future.

If you have intermediate or late AMD, special dietary supplements (vitamins and minerals) may be able to stop it from getting worse.

For people with a type of late AMD called “wet” or neovascular AMD, there are other treatments that may be able to stop further vision loss:

  • Medicines called anti-VEGF drugs that the doctor injects in your eye
  • Laser treatment, called photodynamic therapy (PDT)

Symptoms: Poor vision in one eye

Diagnosis: Dilated eye exam

Treatment: Eye drops, Glasses, eye exercises in the form of an eye patch

What is amblyopia?

Amblyopia (also called lazy eye) is a type of poor vision that happens in just 1 eye. It develops when there’s a breakdown in how the brain and the eye work together, and the brain can’t recognize the sight from 1 eye. Over time, the brain relies more and more on the other, stronger eye — while vision in the weaker eye gets worse.

It’s called “lazy eye” because the stronger eye works better. But people with amblyopia are not lazy, and they can’t control the way their eyes work.

Amblyopia starts in childhood, and it’s the most common cause of vision loss in kids. Up to 3 out of 100 children have it. The good news is that early treatment works well and usually prevents long-term vision problems.

What are the symptoms of amblyopia?

Symptoms of amblyopia can be hard to notice. Kids with amblyopia may have poor depth perception — they have trouble telling how near or far something is. Parents may also notice signs that their child is struggling to see clearly, like:

Squinting

Shutting 1 eye

Tilting their head

In many cases, parents don’t know their child has amblyopia until a doctor diagnoses it during an eye exam. That’s why it’s important for all kids to get a vision screening at least once between ages 3 and 5.

Is my child at risk for amblyopia?

Some kids are born with amblyopia and others develop it later in childhood. The chances of having amblyopia are higher in kids who:

Were born early (premature)

Were smaller than average at birth

Have a family history of amblyopia, childhood cataracts, or other eye conditions

Have developmental disabilities

What causes amblyopia?

In many cases, doctors don’t know the cause of amblyopia. But sometimes, a different vision problem can lead to amblyopia.

Normally, the brain uses nerve signals from both eyes to see. But if an eye condition makes vision in 1 eye worse, the brain may try to work around it. It starts to “turn off” signals from the weaker eye and rely only on the stronger eye.

Some eye conditions that can lead to amblyopia are:

Refractive errors. These include common vision problems like

nearsightedness (having trouble seeing far away)

farsightedness (having trouble seeing things up close)

astigmatism (which can cause blurry vision). 

Normally, these problems are easy to fix with glasses or contacts. But if they’re not treated, the brain may start to rely more on the eye with stronger vision.

Strabismus. Usually, the eyes move together as a pair. But in kids with strabismus, the eyes don’t line up. One eye might drift in, out, up, or down.

Cataract. This causes cloudiness in the lens of the eye, making things look blurry. While most cataracts happen in older people, babies and children 

How will my child’s doctor check for amblyopia?

As part of a normal vision screening, your child’s doctor will look for signs of amblyopia. All kids ages 3 to 5 need to have their vision checked at least once.

What’s the treatment for amblyopia?

If there’s a vision problem causing amblyopia, the doctor may treat that first. For example, doctors may recommend glasses or contacts (for kids who are nearsighted or farsighted) or surgery (for kids with cataract).

The next step is to re-train the brain and force it to use the weaker eye. The more the brain uses it, the stronger it gets. Treatments include:

Wearing an eye patch on the stronger eye. By covering up this eye with a stick-on eye patch (similar to a Band-Aid), the brain has to use the weaker eye to see. Some kids only need to wear the patch for 2 hours a day, while others may need to wear it whenever they’re awake.

Putting special eye drops in the stronger eye. A once-a-day drop of the drug atropine can temporarily blur near vision, which forces the brain to use the other eye. For some kids, this treatment works as well as an eye patch, and some parents find it easier to use (for example, because young children may try to pull off eye patches).

After your child starts treatment, their vision may start to get better within a few weeks. But it will probably take months to get the best results. After that, your child may still need to use these treatments from time to time to stop amblyopia from coming back.

It’s important to start treating children with amblyopia early — the sooner the better. Kids who grow up without treatment may have lifelong vision problems. Amblyopia treatment is usually less effective in adults than in children.

Early Symptoms: None

Late Symptoms: Blurry vision, Floating spots in front of the eye, Blindness

Diagnosis: Dilated eye exam

Treatment: Medicine, Laser treatment, Surgery

What is diabetic retinopathy?

Diabetic retinopathy is an eye condition that can cause vision loss and blindness in people who have diabetes. It affects blood vessels in the retina (the light-sensitive layer of tissue in the back of your eye).  

If you have diabetes, it’s important for you to get a comprehensive dilated eye exam at least once a year. Diabetic retinopathy may not have any symptoms at first — but finding it early can help you take steps to protect your vision. 

Managing your diabetes — by staying physically active, eating healthy, and taking your medicine — can also help you prevent or delay vision loss. 

Other types of diabetic eye disease?

Diabetic retinopathy is the most common cause of vision loss for people with diabetes. But diabetes can also make you more likely to develop several other eye conditions: 

Cataracts. Having diabetes makes you 2 to 5 times more likely to develop cataracts. It also makes you more likely to get them at a younger age. Learn more about cataracts. 

Open-angle glaucoma. Having diabetes nearly doubles your risk of developing a type of glaucoma called open-angle glaucoma. Learn more about glaucoma. 

What are the symptoms of diabetic retinopathy?

The early stages of diabetic retinopathy usually don’t have any symptoms. Some people notice changes in their vision, like trouble reading or seeing faraway objects. These changes may come and go. 

In later stages of the disease, blood vessels in the retina start to bleed into the vitreous (gel-like fluid in the center of the eye). If this happens, you may see dark, floating spots or streaks that look like cobwebs. Sometimes, the spots clear up on their own — but it’s important to get treatment right away. Without treatment, the bleeding can happen again, get worse, or cause scarring.

What other problems can diabetic retinopathy cause?

Diabetic retinopathy can lead to other serious eye conditions: 

Diabetic macular edema (DME). Over time, about half of people with diabetic retinopathy will develop DME. DME happens when blood vessels in the retina leak fluid, causing swelling in the macula (a part of the retina). If you have DME, your vision will become blurry because of the extra fluid in your macula.  

Neovascular glaucoma. Diabetic retinopathy can cause abnormal blood vessels to grow out of the retina and block fluid from draining out of the eye. This causes a type of glaucoma.

Retinal detachment. Diabetic retinopathy can cause scars to form in the back of your eye. When the scars pull your retina away from the back of your eye, it’s called tractional retinal detachment.

Am I at risk for diabetic retinopathy?

Anyone with any kind of diabetes can get diabetic retinopathy — including people with type 1, type 2, and gestational diabetes (diabetes that can develop during pregnancy).   

Your risk increases the longer you have diabetes. More than 2 in 5 Americans with diabetes have some stage of diabetic retinopathy. The good news is that you can lower your risk of developing diabetic retinopathy by controlling your diabetes.  

Women with diabetes who become pregnant — or women who develop gestational diabetes — are at high risk for getting diabetic retinopathy. If you have diabetes and are pregnant, have a comprehensive dilated eye exam as soon as possible. Ask your doctor if you’ll need additional eye exams during your pregnancy. 

What causes diabetic retinopathy?

Diabetic retinopathy is caused by high blood sugar due to diabetes. Over time, having too much sugar in your blood can damage your retina — the part of your eye that detects light and sends signals to your brain through a nerve in the back of your eye (optic nerve).  

Diabetes damages blood vessels all over the body. The damage to your eyes starts when sugar blocks the tiny blood vessels that go to your retina, causing them to leak fluid or bleed. To make up for these blocked blood vessels, your eyes then grow new blood vessels that don’t work well. These new blood vessels can leak or bleed easily. 

How will my eye doctor check for diabetic retinopathy?

Eye doctors can check for diabetic retinopathy as part of a dilated eye exam. The exam is simple and painless — your doctor will give you some eye drops to dilate (widen) your pupil and then check your eyes for diabetic retinopathy and other eye problems.

If you have diabetes, it’s very important to get regular eye exams. If you do develop diabetic retinopathy, early treatment can stop the damage and prevent blindness.  

If your eye doctor thinks you may have severe diabetic retinopathy or DME, they may do a test called a fluorescein angiogram. This test lets the doctor see pictures of the blood vessels in your retina. 

What can I do to prevent diabetic retinopathy?

Managing your diabetes is the best way to lower your risk of diabetic retinopathy. That means keeping your blood sugar levels as close to normal as possible. You can do this by getting regular physical activity, eating healthy, and carefully following your doctor’s instructions for your insulin or other diabetes medicines.  

To help control your blood sugar, you’ll need a special test called an A1c test. This test shows your average blood sugar level over a 3-month period. Talk with your doctor about lowering your A1c level to help prevent or manage diabetic retinopathy.

Having high blood pressure or high cholesterol along with diabetes increases your risk for diabetic retinopathy. So controlling your blood pressure and cholesterol can also help lower your risk for vision loss.

What’s the treatment for diabetic retinopathy and DME?

In the early stages of diabetic retinopathy, your eye doctor will probably just keep track of how your eyes are doing. Some people with diabetic retinopathy may need a comprehensive dilated eye exam as often as every 2 to 4 months.  

In later stages, it’s important to start treatment right away — especially if you experience changes in your vision. While it won’t undo any damage to your vision, treatment can stop your vision from getting worse. It’s also important to take steps to control your diabetes, blood pressure, and cholesterol. 

Injections. Medicines called anti-VEGF drugs can slow down or reverse diabetic retinopathy.

Other medicines, called corticosteroids, can also help.

Laser treatment. To reduce swelling in your retina, eye doctors can use lasers to make the blood vessels shrink and stop leaking.

Eye surgery. If your retina is bleeding a lot or you have a lot of scars in your eye, your eye doctor may recommend a type of surgery called a vitrectomy.

Symptoms: Trouble telling the difference between colours

Diagnosis: Colour vision test

Treatment: Special glasses and contact lenses, visual aids

What is color blindness?

If you have color blindness, it means you see colors differently than most people. Most of the time, color blindness makes it hard to tell the difference between certain colors.

Usually, color blindness runs in families. There’s no cure, but special glasses and contact lenses can help. Most people who are color blind are able to adjust and don’t have problems with everyday activities.

What are the types of color blindness?

The most common type of color blindness makes it hard to tell the difference between red and green. Another type makes it hard to tell the difference between blue and yellow. People who are completely color blind don’t see color at all, but that’s not very common.

What are the symptoms of color blindness?

The main symptom of color blindness is not seeing colors the way most people do. If you’re color blind, you may have trouble seeing:

The difference between colors

How bright colors are

Different shades of colors

Symptoms of color blindness are often so mild that you may not notice them. And since we get used to the way we see colors, many people with color blindness don’t know they have it.

People with very serious cases of color blindness might have other symptoms, too — like quick side-to-side eye movements (nystagmus) or sensitivity to light.

Am I at risk for color blindness?

Men have a much higher risk than women for color blindness. You’re also more likely to have color blindness if you:

Have a family history of color blindness

Have certain eye diseases, like glaucoma or age-related macular degeneration (AMD)

Have certain health problems, like diabetes, Alzheimer’s disease, or multiple sclerosis (MS)

Take certain medicines

When to get your child tested?

It can be tricky to diagnose color blindness in children. Kids who are color blind might try to hide it. But being color blind can make it harder to read off a chalkboard or do other activities, so it’s important to get your child tested if you’re concerned.

Get your child tested if they have a family history of color blindness or if they seem to be having trouble learning colors.

Ask your child’s eye doctor to test them. You also may be able to get your child tested at school.

What causes color blindness?

The most common kinds of color blindness are genetic, meaning they’re passed down from parents.

Color blindness can also happen because of damage to your eye or your brain. And color vision may get worse as you get older — often because of cataracts (cloudy areas in the lens of the eye).

Did you know?

Everyone sees color a little differently — even people who aren’t color blind

About 1 in 12 men are color blind

How can I find out if I have color blindness?

Your eye doctor can usually use a simple test to tell you if you’re color blind.

During the test, your eye doctor will show you a circle made of many different colored dots. The circle has a shape inside it that’s made out of dots — like a number, a letter, or a squiggly line. This shape is easy to see if you don’t have color blindness, but people who are color blind have a hard time seeing it.

What's the treatment for color blindness?

There’s no cure for color blindness that’s passed down in families, but most people find ways to adjust to it. Children with color blindness may need help with some classroom activities, and adults with color blindness may not be able to do certain jobs, like being a pilot or graphic designer. Keep in mind that most of the time, color blindness doesn’t cause serious problems.

If your color blindness is happening because of another health problem, your doctor will treat the condition that’s causing the problem. If you’re taking a medicine that causes color blindness, your doctor may adjust how much you take or suggest you switch to a different medicine.

If color blindness is causing problems with everyday tasks, there are devices and technology that can help, including:

Glasses and contacts. Special contact lenses and glasses may help people who are color blind tell the difference between colors.

Visual aids. You can use visual aids, apps, and other technology to help you live with color blindness. For example, you can use an app to take a photo with your phone or tablet and then tap on part of the photo to find out the color of that area.

Symptoms: Burning, dry or scratchy feeling, blurry vision red eye

Diagnosis: Eye exam, measuring amount and thickness of tears

Treatment: Medicines(pills or eye drops), lifestyle changes

What is dry eye?

Dry eye happens when your eyes don’t make enough tears to stay wet, or when your tears don’t work correctly. This can make your eyes feel uncomfortable, and in some cases it can also cause vision problems.

Dry eye is common — it affects millions of Americans every year. The good news is that if you have dry eye, there are lots of things you can do to keep your eyes healthy and stay comfortable.

What are the symptoms of dry eye?

Dry eye can cause:

A scratchy feeling, like there’s something in your eye

Stinging or burning feelings in your eye

Red eyes

Sensitivity to light

Blurry vision

Am I at risk for dry eye?

Anyone can get dry eye, but you might be more likely to have dry eye if you:

Are age 50 or older

Are female

Wear contact lenses

Don’t get enough vitamin A (found in foods like carrots, broccoli, and liver) or omega-3 fatty acids (found in fish, walnuts, and vegetable oils)

Have certain autoimmune conditions, like lupus or Sjögren syndrome

What causes dry eye?

Normally, glands above your eyes make tears that keep your eyes wet. Dry eye happens when your tears don’t do their job. This could mean:

Your glands don’t make enough tears to keep your eyes wet

Your tears dry up too fast

Your tears just don’t work well to keep your eyes wet

Learn more about the causes of dry eye

How will my eye doctor check for dry eye?

Your doctor can check for dry eye as part of a comprehensive dilated eye exam.

To find out if you have dry eye, your doctor might check:

The amount of tears your eyes make

How long it takes for your tears to dry up

The structure of your eyelids

Learn more about the tests for dry eye

Dry eye can happen if you spend a lot of time looking at your computer, tablet, or smart phone

If severe dry eye isn’t treated, it can sometimes damage your cornea, the clear outer layer of your eye

What’s the treatment for dry eye?

Treatment for dry eye usually depends on what’s causing your symptoms. There are a few different types of treatment that can ease your symptoms and help keep your eyes healthy.

Over-the-counter eye drops. The most common treatment for mild dry eye is a type of eye drops called artificial tears. You can get these eye drops without a prescription. There are also over-the-counter moisturizing gels and ointments that may help your eyes feel better.

Prescription medicines. If your dry eye is more serious, your eye doctor may give you a prescription for medicines called cyclosporine (Restasis) or lifitegrast (Xiidra). These medicines are both types of eye drops that can help your eyes make more tears.

Lifestyle changes. If something in your life or your environment is causing your dry eye, or making it worse, your doctor may suggest changes to help protect your eyes.

For example, if a medicine you take for another health condition is causing dry eye, your doctor may also suggest that you try a different medicine.

Your eyes may also feel better if you:

Try to avoid smoke, wind, and air conditioning

Use a humidifier to keep the air in your home from getting too dry

Limit screen time and take breaks from staring at screens

Wear wraparound sunglasses when you’re outside

Drink plenty of water — try for 8 to 10 glasses every day

Get enough sleep — about 7 to 8 hours a night

Tear duct plugs. If tears are draining too quickly from your eyes, your doctor may suggest putting special plugs (called punctal plugs) in your tear ducts (small holes in the inner corners of your eyes). These plugs can help keep your tears in your eyes.

Surgery. In some cases, dry eye can happen because your lower eyelids are too loose, causing tears to drain too quickly out of your eye. If this is the cause of your dry eye, your eye doctor may suggest surgery to fix your eyelids and and help your tears stay on your eyes. This treatment is not very common.

Symptoms: Small black spots or squiggly lines that move around in your vision

Diagnosis: Dilated eye exam

Treatment: None(mild), Surgery(severe)

What are floaters?

Floaters are little “cobwebs” or specks that float about in your field of vision. They are small, dark, shadowy shapes that can look like spots, thread-like strands, or squiggly lines. They move as your eyes move and seem to dart away when you try to look at them directly. They do not follow your eye movements precisely, and usually drift when your eyes stop moving.

Most people have floaters and learn to ignore them; they are usually not noticed until they become numerous or more prominent. Floaters can become apparent when looking at something bright, such as white paper or a blue sky.

Floaters and retinal detachment

Sometimes a section of the vitreous pulls the fine fibers away from the retina all at once, rather than gradually, causing many new floaters to appear suddenly. This is called a vitreous detachment, which in most cases is not sight-threatening and requires no treatment.

However, a sudden increase in floaters, possibly accompanied by light flashes or peripheral (side) vision loss, could indicate a retinal detachment. A retinal detachment occurs when any part of the retina, the eye’s light-sensitive tissue, is lifted or pulled from its normal position at the back wall of the eye.

A retinal detachment is a serious condition and should always be considered an emergency. If left untreated, it can lead to permanent visual impairment within two or three days or even blindness in the eye.

Those who experience a sudden increase in floaters, flashes of light in peripheral vision, or a loss of peripheral vision should have an eye care professional examine their eyes as soon as possible.

What causes floaters?

Floaters occur when the vitreous, a gel-like substance that fills about 80 percent of the eye and helps it maintain a round shape, slowly shrinks.

As the vitreous shrinks, it becomes somewhat stringy, and the strands can cast tiny shadows on the retina. These are floaters.

In most cases, floaters are part of the natural aging process and simply an annoyance. They can be distracting at first, but eventually tend to “settle” at the bottom of the eye, becoming less bothersome. They usually settle below the line of sight and do not go away completely.

However, there are other, more serious causes of floaters, including infection, inflammation (uveitis), hemorrhaging, retinal tears, and injury to the eye.

Am I at risk for floaters?

Floaters are more likely to develop as we age and are more common in people who are very nearsighted, have diabetes, or who have had a cataract operation.

What are the symptoms of floaters?

Floaters are little “cobwebs” or specks that float about in your field of vision. They are small, dark, shadowy shapes that can look like spots, thread-like strands, or squiggly lines. They move as your eyes move and seem to dart away when you try to look at them directly. They do not follow your eye movements precisely, and usually drift when your eyes stop moving.

What's the treatment for floaters?

For people who have floaters that are simply annoying, no treatment is recommended.

On rare occasions, floaters can be so dense and numerous that they significantly affect vision. In these cases, a vitrectomy, a surgical procedure that removes floaters from the vitreous, may be needed.

A vitrectomy removes the vitreous gel, along with its floating debris, from the eye. The vitreous is replaced with a salt solution. Because the vitreous is mostly water, you will not notice any change between the salt solution and the original vitreous.

This operation carries significant risks to sight because of possible complications, which include retinal detachment, retinal tears, and cataract. Most eye surgeons are reluctant to recommend this surgery unless the floaters seriously interfere with vision.

Symptoms: Pink or red eyes, itchy or burning eyes, discharge coming out of the eyes

Diagnosis: Eye exam, lab tests

Treatment: Medicine(drops and ointments)

What is pink eye?

Pink eye, or conjunctivitis, causes swelling and redness in the inside of your eyelid and the white part of your eye. Your eye may also feel itchy and painful.

Pink eye is common, and some types of pink eye spread very easily. You can keep from spreading it to other people by washing your hands often and not sharing items like pillowcases, towels, or makeup.

Some types of pink eye get better on their own. If your case is mild, you can ease your symptoms at home using a cold compress and eye drops you can get over the counter, meaning without a prescription. Other types of pink eye may need treatment from a doctor.

Pink eye in newborns

Pink eye can cause serious health problems for newborn babies. Call a doctor now if your baby has:

Unusual fluid (discharge) coming from the eye

Puffy red eyelids

What are the symptoms of pink eye?

The most common symptoms of pink eye are:

Pink or red eyes

Itchy or burning eyes

Watery eyes

White, yellow, or green fluid (discharge) coming from your eyes. Crust along your eyelids or eyelashes, which may keep your eyes from opening when you wake up

Pink eye may also cause:

Swollen eyelids

A feeling like something’s stuck in your eye

Sensitivity to bright light

Blurry vision

A lump in front of your ear

If you wear contact lenses, you may notice that they feel uncomfortable or don’t stay in place.

Am I at risk for pink eye?

Anyone can get pink eye. It’s one of the most common eye problems for both children and adults.

You’re more likely to get pink eye if you:

Come in contact with someone else who has pink eye

Recently had a respiratory infection, like a cough or a cold

Wear contact lenses

Come in contact with something you’re allergic to

Newborn babies are also at higher risk for pink eye — and it can be very serious

What causes pink eye?

Most of the time, pink eye is caused by a virus or bacteria. Viral pink eye is the most common type.

You can also get pink eye from allergies to things like pollen or pet fur — or from other things that can bother your eyes, like pool water with chlorine, air pollution, or makeup.

It can be hard to figure out the exact cause of pink eye, because the symptoms are usually the same. 

How can I prevent pink eye from spreading?

Viral and bacterial pink eye spread very easily from person to person — but you can take steps to keep pink eye from spreading.

If you’re around someone who has pink eye:

Wash your hands often with soap and water. If you don’t have soap and water, you can use hand sanitizer with alcohol in it.

Wash your hands after you touch the person with pink eye or something that person used — for example, if you help put eye drops in their eyes, or put their bed sheets in the washing machine.

Always wash your hands before touching your eyes.

Don’t share personal items that the person with pink eye has used — including pillows, towels, makeup, or glasses.

If you have pink eye:

Wash your hands often with soap and water. Be extra careful about washing them after you touch your eyes or use eye drops or medicine. If you don’t have soap and water, you can use hand sanitizer with alcohol in it.

Avoid touching or rubbing your eyes.

If you have discharge, wash the area around your eyes 2 or 3 times a day. Use a clean, wet washcloth or a fresh cotton ball each time. Be sure to wash your hands before and after washing your eyes.

Don’t share personal items with other people — including pillows, towels, makeup, or glasses.

Clean your glasses regularly.

If you wear contact lenses, follow your eye doctor’s instructions for cleaning, storing, and replacing them.

You can also take steps to prevent getting pink eye again:

Throw away any makeup that you used while you had pink eye. This includes eye makeup, face makeup, and brushes or sponges.

Throw away contact lens solution, contact lenses, and cases that you used while you had pink eye.

Clean your glasses and cases.

When do I need to see a doctor for pink eye?

Most cases of pink eye get better on their own. Go to the doctor if:

You have a lot of pain in your eye

Your eye is very red

You notice a lot of mucus coming from your eyes

Your vision is blurry or you’re sensitive to light — and it doesn’t get better when you wipe away discharge from your eye

Your symptoms don’t get better after a few days — or they get worse

You have a health condition that weakens your immune system, like cancer or HIV

You have symptoms of pink eye and you wear contacts, or you recently scratched your eye

What’s the treatment for pink eye?

Pink eye often gets better on its own after 7 to 10 days. But sometimes, you need treatment from a doctor.

Symptoms: Blurred vision

Diagnosis: Eye exam

Treatment: Glasses, Contact lens, surgery

What are refractive errors?

Refractive errors are a type of vision problem that makes it hard to see clearly. They happen when the shape of your eye keeps light from focusing correctly on your retina (a light-sensitive layer of tissue in the back of your eye).

Refractive errors are the most common type of vision problem. More than 150 million Americans have a refractive error — but many don’t know that they could be seeing better. That’s why eye exams are so important.

If you have a refractive error, your eye doctor can prescribe eyeglasses or contact lenses to help you see clearly.

What are the types of refractive errors?

There are 4 common types of refractive errors:

Nearsightedness (myopia) makes far-away objects look blurry

Farsightedness (hyperopia) makes nearby objects look blurry

Astigmatism can make far-away and nearby objects look blurry or distorted

Presbyopia makes it hard for middle-aged and older adults to see things up close 

What are the symptoms of refractive errors?

The most common symptom is blurry vision. Other symptoms include:

Double vision

Hazy vision

Seeing a glare or halo around bright lights

Squinting

Headaches

Eye strain (when your eyes feel tired or sore)

Trouble focusing when reading or looking at a computer

Some people may not notice the symptoms of refractive errors. It’s important to get eye exams regularly — so your eye doctor can make sure you’re seeing as clearly as possible.

If you wear glasses or contact lenses and still have these symptoms, you might need a new prescription. Talk to your eye doctor and get an eye exam if you are having trouble with your vision.

Am I at risk for refractive errors?

Anyone can have refractive errors, but you’re at higher risk if you have family members who wear glasses or contact lenses.

Most types of refractive errors, like nearsightedness, usually start in childhood. Presbyopia is common in adults ages 40 and older.

Talk with your doctor about your risk for refractive errors, and ask how often you need to get checked.

Am I at risk for pink eye?

Anyone can get pink eye. It’s one of the most common eye problems for both children and adults.

What causes refractive errors?

Refractive errors can be caused by:

Eyeball length (when the eyeball grows too long or too short)

Problems with the shape of the cornea (the clear outer layer of the eye)

Aging of the lens (an inner part of the eye that is normally clear and helps the eye focus)

How will my eye doctor check for refractive errors?

Eye doctors can check for refractive errors as part of a comprehensive eye exam. The exam is simple and painless. Your doctor will ask you to read letters that are up close and far away. Then, they may give you some eye drops to dilate (widen) your pupil and check for other eye problems.

What’s the treatment for refractive errors?

Eye doctors can correct refractive errors with glasses or contact lenses, or fix the refractive error with surgery.

Glasses. Eyeglasses are the simplest and safest way to correct refractive errors. Your eye doctor will prescribe the right eyeglass lenses to give you the clearest possible vision.

Contacts. Contact lenses sit on the surface of your eyes and correct refractive errors. Your eye doctor will fit you for the right lenses and show you how to clean and wear them safely.

Surgery. Some types of surgery, like laser eye surgery, can change the shape of your cornea to fix refractive errors. Your eye doctor can help you decide if surgery is right for you.

See your doctor for eye exams regularly

Tell your doctor if your vision gets worse or if you are having problems with your glasses or contact lenses

Encourage family members to get checked for refractive errors, since they can run in families

Symptoms: A sudden increase in the number of specks floating in your vision (floaters), flashes of light in one eye or both eyes, a “curtain” or shadow over your field of vision

Diagnosis: Dilated eye exam

Treatment: If you have any of these sudden symptoms, go to your eye doctor or the emergency room right away. Retinal detachment can cause permanent vision loss — but getting treatment right away can help protect your vision.

What is retinal detachment?

Retinal detachment is an eye problem that happens when your retina (a light-sensitive layer of tissue in the back of your eye) is pulled away from its normal position at the back of your eye.

What are the symptoms of retinal detachment?

If only a small part of your retina has detached, you may not have any symptoms.

But if more of your retina is detached, you may not be able to see as clearly as normal, and you may notice other sudden symptoms, including:

A lot of new gray or black specks floating in your field of vision (floaters) 

Flashes of light in one eye or both eyes

A dark shadow or “curtain” on the sides or in the middle of your field of vision

Retinal detachment can be a medical emergency. If you have symptoms of a detached retina, it’s important to go to your eye doctor or the emergency room right away.

The symptoms of retinal detachment often come on quickly. If the retinal detachment isn’t treated right away, more of the retina can detach — which increases the risk of permanent vision loss or blindness.

Am I at risk for retinal detachment?

Anyone can have a retinal detachment, but some people are at higher risk. You are at higher risk if:

You or a family member has had a retinal detachment before

You’ve had a serious eye injury

You’ve had eye surgery, like surgery to treat cataracts

Some other problems with your eyes may also put you at higher risk, including:

Diabetic retinopathy (a condition in people with diabetes that affects blood vessels in the retina)

Extreme nearsightedness (myopia), especially degenerative myopia

Posterior vitreous detachment (when the gel-like fluid in the center of the eye pulls away from the retina)

Certain other eye diseases, including retinoschisis or lattice degeneration

If you’re concerned about your risk for retinal detachment, talk with your eye doctor.

What causes retinal detachment?

There are many causes of retinal detachment, but the most common causes are aging or an eye injury.

There are 3 types of retinal detachment: rhematogenous, tractional, and exudative. Each type happens because of a different problem that causes your retina to move away from the back of your eye.

How can I prevent retinal detachment?

There’s no way to prevent retinal detachment — but you can lower your risk by wearing safety goggles or other protective eye gear when doing risky activities like playing sports.

If you experience any symptoms of retinal detachment, go to your eye doctor or the emergency room right away. Early treatment can help prevent permanent vision loss.

It’s also important to get comprehensive dilated eye exams regularly. A dilated eye exam can help your eye doctor find a small retinal tear or detachment early, before it starts to affect your vision.

Did you know?

Retinal detachment can happen to anyone

If you have an eye injury or trauma (like something hitting your eye), it’s important to see an eye doctor to check for early signs of retinal detachment

Seeing a few small specks in your vision (floaters) is normal — but if you suddenly see a lot more floaters than usual, it’s important to get your eyes checked right away

How will my eye doctor check for retinal detachment?

If you see any warning signs of a retinal detachment, your eye doctor can check your eyes with a dilated eye exam. The exam is simple and painless — your doctor will give you some eye drops to dilate (widen) your pupil and then look at your retina at the back of your eye.

If your eye doctor still needs more information after a dilated eye exam, you may get an ultrasound or an optical coherence tomography (OCT) scan of your eye. Both of these tests are painless and can help your eye doctor see the exact position of your retina.

What’s the treatment for retinal detachment?

Depending on how much of your retina is detached and what type of retinal detachment you have, your eye doctor may recommend laser surgery, freezing treatment, or other types of surgery to fix any tears or breaks in your retina and reattach your retina to the back of your eye. Sometimes, your eye doctor will use more than one of these treatments at the same time.

Freeze treatment (cryopexy) or laser surgery. If you have a small hole or tear in your retina, your doctor can use a freezing probe or a medical laser to seal any tears or breaks in your retina. You can usually get these treatments in the eye doctor’s office.

Surgery

If a larger part of your retina is detached from the back of your eye, you may need surgery to move your retina back into place. You will probably get these surgeries in a hospital.

Treatment for retinal detachment works well, especially if the detachment is caught early. In some cases, you may need a second treatment or surgery if your retina detaches again — but treatment is ultimately successful for about 9 out of 10 people.