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  • Writer's pictureAtanas Bogoev M.D. and Maria Cholakova

Menopause Eye Problems

Updated: Apr 11

Menopause is a natural phase in a woman's life. Along with its physical and hormonal effects, it may also negatively impact eye health and result in menopause eye problems. In this article, we explore and shed light on common vision-related issues women may experience during this transitional period. Understanding and managing eye problems, while navigating menopause starts with having adequate and reliable information. Read on to learn more.

The Hormonal Connection Between Eyesight and Menopause

The significant decrease in estrogen during menopause triggers a series of hormonal shifts. These changes can have far-reaching effects on all bodily systems, including the eyes.

For example, hormone imbalance may cause alterations in the shape and consistency of the eye's lens, responsible for focusing light onto the retina and allowing us to see clearly.

These changes are typically temporary. They may not require prescription glasses or other corrective measures but are still worth discussing with an eye specialist during regular check-ups.

Some of the common menopause eye problems include:

  • Dry eyes

  • Blurry vision

  • Fluctuating vision

  • Light sensitivity

  • Eye fatigue and strain

Dry Eyes

The hormonal changes from menopause contribute to the development or worsening of dry eyes. Estrogen, for example, plays a role in maintaining the tear-producing glands' health and the stability of the tear film. When estrogen levels decline, it leads to changes in tear production and composition.

Symptoms of dry eyes during menopause may include:

  • Burning or stinging sensation

  • Itchiness

  • Redness

  • Blurry Vision

  • Grittiness

  • Foreign body sensation

  • Increased sensitivity to light

Blurry Vision

Having blurry eyesight in menopause is often pretty normal. As estrogen levels decline, some women may notice temporary alterations in their vision, including haziness. When this is the case, the lens becomes less flexible, affecting its ability to adjust focus properly, thus contributing to blurry vision.

Fluctuating Vision

Fluctuating vision is another common complaint among women going through menopause. Some individuals report their vision changes throughout the day, with periods of clear vision followed by blurriness or difficulty focusing.

The eye's focusing ability depends on the coordination of various muscles and structures within the eye. Hormonal fluctuations may disrupt this coordination. While these changes are frustrating, they are often temporary and tend to improve as the body adapts to its new hormonal balance.

Sensitivity to Light

Photophobia, or hypersensitivity to light, is another common eye issue menopausal women may experience. Hormonal shifts make eyes more sensitive to brightness by altering the way the eye's cells and structures respond to light stimulation.

Bright lights, both natural and artificial, can become uncomfortable or even painful. This sensitivity can interfere with daily activities such as reading, working on a computer, or spending time outdoors on sunny days.

To manage photophobia, we advise wearing sunglasses with UV protection outdoors and adjusting lighting conditions indoors to reduce glare.

Eye Fatigue and Eye Strain

Eye fatigue and strain are also common menopause eye problems. The ocular muscles responsible for focusing on close objects may become less efficient. For that reason, tiring of the eyes is particularly common when engaging in activities requiring long periods of near vision. Those are, for instance, reading, using digital devices, or doing close-up work.

Some of the menopause eye strain symptoms are:

  • Eye discomfort

  • Headaches

  • Difficulty maintaining clear vision

To alleviate eye fatigue and strain, take occasional breaks while reading and staring at digital screens.

menopause eye problems

Managing Menopause Eye Problems

While menopause eye problems can be bothersome, they are rarely a cause of concern. Several strategies allow you to manage the annoying symptoms effectively.

Artificial Tears

Over-the-counter artificial tears and artificial gel tears are an effective relief for dry eyes. These lubricating solutions maintain moisture on the eye's surface so you can enjoy your life without eye discomfort.

Maintain Eye Health

Regular eye examinations are crucial during menopause. An eye care specialist can diagnose you and provide individual advice for managing specific eye problems that bother you. Going for eye exams is also a wonderful way to identify any underlying issues.

Protect Your Eyes from UV Rays

One of the most effective ways to manage photophobia is wearing sunglasses with UV filters when outside. The best protection you can get is UV400, so look for a relevant label or sticker when buying sunglasses. This reduces exposure to bright sunlight and minimizes discomfort from menopause eye problems.

Limit Screen Time

Limiting screen time during menopause can alleviate eye problems by reducing digital eye strain, minimizing exposure to sleep-disrupting blue light, and promoting outdoor activities. It also aids in preventing dry eye symptoms, reducing stress, and allowing the eyes to rest.

Hormone Replacement Therapy (HRT)

In some cases, hormonal therapy (prescribed by a doctor) may alleviate menopausal eye problems. However, HRT is a decision best made in consultation with a healthcare provider, considering individual risks and benefits.

In summary...

Understanding the potential menopause eye problems is crucial for women to seek timely guidance and care from eye specialists.

By being proactive about eye health and managing menopause-related eyesight issues, women ensure their vision remains clear and comfortable as they navigate this significant life transition. Regular eye check-ups, hydration, and lifestyle adjustments can minimize the impact of menopause on eyesight, allowing women to enjoy their post-menopausal years with visual clarity and comfort. Learn more about eye care in our ophthalmology blog.

Menopause resources:

Checked by Atanas Bogoev, MD.

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