Ophthalmologists identify three key causes of vision loss after age 40

Non-contact diagnostic methods can provide a comprehensive assessment of eye health in just one hour, according to specialists.
Feb 25, 2026
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A four-day registration period allows for a discounted full eye exam at the clinic.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

Ophthalmologists at the Svyatoslav Fyodorov Eye Microsurgery Clinic on Nikonova, 18, advise not to neglect eye health and invite Ural residents over 18 for an in-depth visual system examination with an ophthalmologist consultation at a special price — 2,950 rubles (approximately $33 at current rates) instead of 4,200 rubles (approximately $47 at current rates) according to the price list. To book an appointment, submit an application by February 2, 2026, and the discounted examination can be taken at a convenient time until February 23, 2026. The result of the in-depth ophthalmic diagnosis is a complete picture of your eye health, identified causes of poor vision, and treatment recommendations if necessary.

Chief physician Boris Romanenko, with over 35 years of experience, details causes of vision loss after forty.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

Our eye is a complex mechanism performing important functions. Light passes through natural lenses — the eye«s lens and cornea — the eye muscle is responsible for focusing on objects at different distances, the image is projected onto the retina and transmitted to the brain. After age 40, the lens gradually becomes denser, as well as less flexible and transparent, making it hard for the eye muscle to control focus on objects at varying distances, and near vision deteriorates. Therefore, most people with age begin to experience difficulties with reading, writing, and working on a computer.

Seven studies are conducted in an hour, ranging from absolute refraction measurement to retinal vessel assessment.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

«None of us can avoid this physiological process, nor slow it down. Age-related farsightedness — a decline in visual acuity after forty — is complained about even by those who previously had 100% vision,» says B.V. Romanenko.

Modern diagnostics use non-contact hardware to digitize the visual system based on over 100 parameters.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

Pathologies of the retina, which is responsible in our visual system for perceiving and transmitting images to the brain, are one of the causes of serious vision decline.

Patients with suspected retinal issues are referred for laser surgery consultation with specialists like Vasily Kislitsyn.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

«It is recommended to regularly be examined by an ophthalmologist for general diseases that appear with age, especially chronic ones: diabetes, atherosclerosis, kidney, heart, and vascular diseases. They are detrimental to the retina,» says retinologist (a specialist in retinal diseases) V.V. Kislitsyn. «During an examination »on a wide pupil,« we sometimes see signs of high blood pressure, deposits on vessel walls due to atherosclerosis earlier than these diagnoses are established. In diabetes, due to excess sugar, blood vessels become fragile, which provokes hemorrhages in the retina. The effect of treatment is better the earlier the problem is detected.»

All patients undergo detailed fundus examination on a dilated pupil to check for retinal changes.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

Cataract (clouding of the lens — the natural lens inside the eye) leads to a slow decline in vision, its speed is individual and depends on many factors: location of cloudiness, age, accompanying eye and general diseases of the patient. This process can take from several months to years. Without treatment, cataract leads to a noticeable decrease in activity and quality of life, and also contributes to the development of other eye diseases. For example, glaucoma — a chronic disease with an unfavorable prognosis. Without therapy, it leads to blindness.

Computerized visual field tests detect retinal pathologies, glaucoma, and lens opacity locations.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic

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Intraocular pressure measurement is mandatory for patients over 40 to rule out glaucoma.
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Svyatoslav Fyodorov Eye Microsurgery Clinic
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After examination, a consultation helps discuss surgery options and choose the best artificial lens.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic
Cataract treatment involves surgical lens replacement, a minimally invasive 20-minute procedure under local anesthesia.
Source:
Svyatoslav Fyodorov Eye Microsurgery Clinic
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