We regularly carry out home eye tests for patients living with dementia.

Dementia is not a disease itself, but a term used to describe a group of symptoms that affect memory, thinking, and everyday functioning.

These symptoms are most commonly associated with Alzheimer’s disease, which is the most common cause of dementia, but dementia can also be caused by other neurological conditions.

The symptoms of dementia vary depending on which part of the brain is affected and the condition causing it.

In addition to memory problems, dementia can affect speech, mood, personality, and visual processing.

Did you know that one of the lesser-known symptoms of dementia is changes to vision?

How Does Dementia Affect Vision?

Dementia can affect vision because both the eyes and the brain rely on complex nerve pathways.

While the eyes themselves may remain healthy, dementia can interfere with how the brain interprets what the eyes are seeing.

This means that a person with dementia may have good visual acuity on an eye test, but still struggle to understand, recognise, or respond to visual information.

Here are the Common Causes of Vision Problems in Dementia :

  • Eye conditions such as cataracts, macular degeneration and glaucoma.
  • Health conditions including stroke and diabetes.
  • Normal ageing changes affecting the eyes.
  • Dementia-related conditions such as Alzheimer’s disease, Parkinson’s disease and Posterior Cortical Atrophy (PCA) which directly affect visual processing of the brain.

Some dementia patients experience visual problems even when their eyes are healthy.

This is because dementia can affect perception — how the brain makes sense of shapes, depth, movement and contrast — rather than how clearly the eyes can see.

Common Vision Problems in Alzheimer’s Disease

The following visual difficulties are commonly identified in people with Alzheimer’s disease:

  • Reduced ability to detect motion.
  • Reduced contrast sensitivity, making objects blend into their background.
  • Problems with depth perception and judging distances.
  • Difficulty recognising certain colours, particularly blue and purple.
  • Reduced peripheral vision (vision around the edges while looking straight ahead).

Signs of Vision Problems in Dementia – What Carers Should Look Out For

If you are a carer for someone with dementia, vision problems may not always be obvious.

Look out for the following signs:

  • Difficulty reading or writing.
  • Problems recognising familiar people.
  • Struggling with changes in lighting such as bright or dim environments.
  • Misplacing objects or forgetting where things are.
  • Bumping into furniture or door frames.
  • Difficulty reaching for objects like door handles.
  • Ongoing visual problems even when wearing glasses.

Why Regular Eye Tests Are Important for Dementia Patients

Regular eye tests are essential for people living with dementia.

They help distinguish between eye health issues and visual processing problems caused by dementia.

Regular eye tests allow changes in vision to be monitored over time.

It is important to inform your optician about any diagnosis of dementia and any changes in behaviour or vision that have been noticed.

Free NHS Home Eye Tests for Dementia Patients

Home Eyecare provides free NHS home eye tests for housebound dementia sufferers aged over 60.

Dementia patients under the age of 60 may also qualify for a free NHS home eye test if they receive certain benefits.

If you or someone you care for is living with dementia and is unable to attend a high street optician, a home eye test ensures they receive professional eye care in a familiar and comfortable environment.

To book a home eye test, contact us today on

01527 529010 to speak to our friendly team.