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Vision & dementia

Better sight helps someone living with dementia stay safe and connected.

Sight and dementia are closely linked. A regular eye test can ease confusion, reduce falls and help a person make sense of the world around them - and our opticians are experienced in testing sight without relying on conversation.

An Opticall optician gently carrying out a sight test with an older resident in an armchair

Is it worth testing the sight of someone living with dementia? Yes. As sight is a key sense, it's vital for everyone to have a regular eye test - and even more so with dementia. Better sight helps a person interpret their surroundings and navigate safely, which can reduce the disorientation dementia already causes. Our optometrists use objective testing methods, so a person doesn't need to read a chart or answer questions.

The connection

How dementia can affect eyesight.

Dementia doesn't only affect memory. Because much of what we "see" is actually the brain interpreting signals from the eyes, dementia can change how a person perceives the world - even when their eyes are healthy.

A person may find it harder to judge depth, tell colours apart, recognise faces, or make sense of patterns and reflections. This can be mistaken for confusion or "difficult" behaviour, when the real cause is a visual one that's often treatable.

On top of this, ordinary age-related conditions like cataracts, glaucoma and macular degeneration become more common with age - and a routine sight test can pick these up early, before they take more sight away.

Common visual difficulties

Depth & contrast - steps, edges and changes in floor colour can be misread, raising the risk of falls.
Colour - similar shades can blur together, making food, drinks or a toilet seat hard to distinguish.
Faces & objects - recognising familiar people or everyday items can become harder.
Patterns & reflections - busy carpets or shiny floors can look like objects or water.
For families & carers

Signs a sight test might help.

Someone living with dementia may not be able to tell you their sight has changed. These everyday signs can be a prompt to arrange a check.

Hesitating at steps or thresholds

Stepping cautiously, reaching for support, or avoiding changes in floor colour.

Reaching or feeling for objects

Struggling to pick up a cup or cutlery, or missing when reaching for things.

Leaving food on the plate

Especially where food and plate are similar colours and hard to tell apart.

Not recognising familiar faces

Or seeming startled when approached from the side.

Losing interest in reading or TV

Giving up hobbies they used to enjoy that rely on clear sight.

Glasses that no longer suit them

An old or lost prescription, or glasses that are scratched or the wrong strength.

An Opticall optometrist adapting an eye test using portable equipment in a resident's room
Our approach

A sight test that adapts to the person.

Our optometrists are Dementia Friends certified and experienced in testing sight for people with limited communication or concentration. An eye test never relies on the person being able to read a chart or answer questions - we adapt to them.

Objective testing methods

We can measure the prescription and check for long or short sight by examining the eyes directly, without spoken responses.

In familiar surroundings

Testing at home or in the care home - even at the bedside - keeps a person calm and comfortable.

Unhurried & patient

We take time, work at the person's pace, and involve family or carers wherever it helps.

Engraved & identified glasses

We can engrave frames for identification and provide a photo eyecare report, so glasses stay with the right resident.

Setting up the room helps. Where possible, we test in a room with good lighting and blinds or curtains that can darken it when needed, with about three metres of clear space in front of the person's chair or bed and access to a plug socket. We'll always guide you on what's needed beforehand.

Common questions

Vision & dementia - your questions answered.

Can someone who doesn't communicate verbally still have an eye test?
Yes. Eye tests are tailored to the individual and don't rely on speech. People who have had a stroke, live with dementia, or have learning disabilities can still have an effective test - our optometrists look at the eyes directly to assess whether a person is long or short sighted and to check for signs of eye disease.
Why do people in residential care especially need eye tests?
An eye test is a vital health check for anyone, at any age or ability - but it's easily overlooked when a person can't explain that something is wrong. Good vision supports independence and wellbeing and can help prevent falls, and a routine test can pick up conditions like glaucoma, cataracts and macular degeneration, as well as signs of other health problems.
How often should the test be repeated?
Most people who qualify for a free NHS eye test can have one every two years, though your optometrist may recommend testing more often. For people living with dementia, whose needs can change, we'll advise on the right interval and our Digital Eye Care Portal keeps track of recall dates for care homes.
What information helps our optician on the day?
It's helpful to have the date of the person's last eye test, their previous prescription or existing glasses, whether they're having any problems with their eyes, any history of hospital eye care in the person or close family, and a list of current medication. If some of this isn't available, we can often work it out from their glasses.
Do you offer training for our care staff?
Yes - we provide free Visual Awareness Training that helps carers recognise the signs of sight loss and support residents living with low vision and dementia. You can read more on our staff training page.

Arrange a dementia-friendly sight test.

Whether it's for a loved one or your residents, our team will visit at a time that suits, work gently at their pace, and keep families and carers informed.

Dementia Friends certified
Patient, adapted assessments
No chart to read
Objective testing methods
Where eligible
NHS-funded home visits