Eye Health

Eye conditions explained

A guide to common eye conditions, what they are, what to watch for, and when to book a check.

Written by Ali Selman, Optometrist · Last reviewed July 2026

Jump to: Refractive errors Presbyopia Dry eye Pterygium Conjunctivitis Cataracts Glaucoma AMD Diabetic Keratoconus Floaters Retinal detachment Colour vision Children Injuries Urgent
By the numbers

Why do symptoms appear late?

Most serious eye conditions are painless in their early stages, so a check is what finds them.

Refractive errors

Myopia, hyperopia and astigmatism

The most common reasons people need glasses. The eye doesn't focus light precisely on the retina, so vision is blurred at certain distances.

Myopia (short sightedness)

Distance objects look blurry and close vision is clear. Often diagnosed in childhood and progresses through teen years. Modern myopia control can slow it.

Hyperopia (long sightedness)

Close up tasks become tiring or blurry. The eye works harder than it should, causing headaches and eye strain.

Astigmatism

Cornea is curved unevenly. Vision is blurry or distorted at all distances. Easily corrected with spectacles or toric contact lenses.

Signs to watch for

Squinting, headaches, eye strain after screens, holding things close or far, sitting too close to the TV (especially in children).

Age related

Presbyopia

From around age 40, the lens loses flexibility, making close up text harder to focus. It's not a disease and it happens to everyone, but it does need correcting.

You'll notice it first with menus in dim restaurants, mobile phone text, or fine print. By the mid-50s, almost everyone needs reading correction.

Your options

  • Reading glasses: simple if you don't otherwise need correction
  • Bifocals: distance and near in one lens with a visible line
  • Progressive lenses: distance, intermediate and near with no line
  • Multifocal contact lenses: for those who prefer to stay out of glasses
Signs to watch for

Holding your phone further away. Tired eyes after reading. Needing more light. Headaches at the end of a screen day.

Surface and comfort

Dry eye

A chronic condition where the tear film no longer lubricates or protects the eye properly. It has become more common as screen use has risen.

It's often confused with allergies, because the eye produces more reflex tears as it gets irritated. Treatment targets the quality of the tear film, not the quantity.

Common triggers

  • Long screen sessions, where we blink up to two thirds less than normal (Tsubota & Nakamori, New England Journal of Medicine, 1993)
  • Air conditioning, fans and dry indoor environments
  • Contact lens wear, especially with older lens types
  • Hormonal changes, particularly around menopause
  • Antihistamines, antidepressants, blood pressure medications

What we can do

A proper assessment looks at tear quality, blink quality, eyelid health and meibomian gland function. Treatments range from artificial tears, warm compresses and lid hygiene through to clinical procedures.

Signs to watch for

Burning, gritty or sandy feeling. Watery eyes, a common sign despite the name. Blurred vision that clears with a blink. Trouble wearing contact lenses you used to tolerate.

Surface and sun damage

Pterygium and pinguecula

Sometimes called surfer's eye. Both are growths on the surface of the eye, driven mostly by years of UV exposure, wind and dust. Australia's high UV levels make pterygium common here.

What's the difference?

Pinguecula is a yellowish bump on the white of the eye, usually near the nose. Harmless but can become inflamed.

Pterygium is a fleshy growth that extends onto the cornea. If it advances toward the pupil it can affect vision.

How we manage it

  • Lubricants and anti-inflammatory drops to settle irritation
  • UV blocking sunglasses, which is the main thing that prevents it
  • Monitoring growth over time with photography
  • Surgical referral if it's encroaching on vision
Signs to watch for

A persistent yellow or fleshy bump on the white of the eye, recurring redness in the same spot, gritty sensation in bright conditions, gradual blurring if a pterygium reaches the cornea.

Surface and inflammation

Conjunctivitis

Inflammation of the thin membrane covering the white of the eye and the inside of the eyelid. Common, and treatment depends on the cause.

The three main types

Viral: usually one eye first, then the other, with watery discharge, often alongside a cold. Highly contagious. Resolves in 1 to 2 weeks.

Bacterial: thick yellow or green discharge, eyelashes glued together. Usually responds quickly to antibiotic drops.

Allergic: both eyes, intensely itchy, often seasonal. Anti-allergy drops and cold compresses help.

What to do

  • Don't share towels or pillowcases, viral types spread fast
  • Avoid contact lens wear until cleared
  • Avoid rubbing, which makes it worse
  • Get checked if there's pain, light sensitivity or vision loss
Signs to watch for

Pink or red eye, discharge, itch, gritty feeling, eyelid swelling. Vision should remain clear. If it does not, seek attention urgently.

Age related

Cataracts

A clouding of the eye's natural lens. Part of normal ageing, but the impact ranges from barely noticeable to severely disabling.

Vision becomes hazy, washed out, or smeared with glare. Night driving is often the first thing to suffer.

How it's managed

Early stages: an updated prescription and brighter task lighting. When cataracts affect day to day life, modern cataract surgery is one of the most commonly performed procedures in Australia, and your ophthalmologist will talk you through expected outcomes. We coordinate referral and continue post operative care.

Signs to watch for

Difficulty driving at night, halos around oncoming headlights, faded or yellowed colours, frequent prescription changes, glare in bright sunshine.

Sight threatening

Glaucoma

A group of conditions damaging the optic nerve, usually associated with elevated eye pressure. It progresses slowly and painlessly, so most people notice nothing until significant vision has been lost.

Around 300,000 Australians have glaucoma, and about half don't know it (Glaucoma Australia). Treatment with eye drops or laser can often slow progression when started early. Outcomes vary between individuals.

Higher risk groups

  • Family history of glaucoma
  • People over 50 (risk increases sharply with age)
  • High short sightedness or diabetes
  • Long term steroid medication users

How we assess it

A glaucoma assessment includes measuring eye pressure, examining the optic nerve and mapping peripheral vision with automated visual field testing. We refer to ophthalmology for treatment when needed and share the ongoing care.

Signs to watch for

Often none. That's why regular checks matter, especially if anyone in your family has had glaucoma. Late stage signs include tunnel vision and missing patches in side vision.

Sight threatening

Macular degeneration

AMD affects the macula, the small central part of the retina that handles fine detail and reading vision. Age-related macular degeneration is the leading cause of severe vision loss and blindness in Australia (Macular Disease Foundation Australia).

Two types

Dry AMD is more common. The macula thins gradually, often over years.

Wet AMD involves abnormal blood vessels growing under the retina. Timely treatment with anti-VEGF injections can help preserve vision, and your ophthalmologist will advise what is possible in your case.

What helps

  • Not smoking (the single biggest modifiable risk factor)
  • A diet rich in dark leafy greens and oily fish
  • UV blocking sunglasses
  • Macula supplements for at risk patients, where appropriate
  • Regular eye exams with a detailed retinal examination
Signs to watch for

Straight lines (door frames, lamp posts) appearing wavy or bent. A dim or blurry patch in the centre of your vision. Difficulty recognising faces. Sudden distortion is urgent.

Linked to general health

Diabetic eye disease

Diabetes affects the small blood vessels at the back of the eye. Over time, those vessels can leak, swell or close off, diabetic retinopathy.

Diabetes is the leading cause of preventable blindness in working age Australians (Diabetes Australia). An eye assessment at least every 2 years, and yearly where risk is higher, is part of standard diabetes care.

What we check

  • A detailed dilated retinal examination
  • The macula for signs of swelling (diabetic macular oedema)
  • Pressure and overall ocular health
  • Visual function and prescription stability

If we see something needing intervention, we refer urgently and stay involved in your ongoing care.

Signs to watch for

Often nothing in early stages. Floaters that "rain down", patches of missing vision, or sudden blur all warrant urgent attention.

Corneal disorder

Keratoconus

A progressive condition where the cornea thins and bulges into a cone shape. Typically appears in late teens or early twenties and can run in families.

Mild cases cause increasing astigmatism. As it progresses, vision becomes more distorted, with ghosting, halos and streaking around lights all typical.

What we can do

  • Careful monitoring of corneal shape and vision changes, with referral for corneal topography when needed
  • For specialty contact lenses (rigid gas permeable, hybrid or scleral) we refer you directly to an ophthalmology or specialty contact lens practice
  • Referral for corneal cross-linking (CXL) in younger patients
  • Long term shared care with corneal specialists
Signs to watch for

Rapidly changing prescriptions in your teens or twenties. Distorted vision that glasses can't fully fix. Halos and starbursts around lights. Family history.

Visual disturbance

Floaters and flashes

Floaters are little drifting spots in your vision, shadows cast by tiny clumps inside the vitreous. Most are harmless and become more common with age.

Flashes are brief sparkles or arcs of light, often most visible in side vision or at night. They happen when the vitreous tugs on the retina.

When they're normal

Long standing floaters that you've had for years are typically benign. The vitreous shrinks and pulls away from the retina with age (posterior vitreous detachment, PVD), a normal part of getting older.

When they're urgent

A sudden shower of new floaters, especially with flashing lights or a shadow or curtain across part of your vision, can mean a retinal tear or detachment. Same day emergency.

Signs to act on

A sudden burst of new floaters. Flashes you've never had. A "veil" or "curtain" coming across your vision. Loss of side vision. Don't wait.

Sight threatening · urgent

Retinal detachment

When the retina pulls away from the back of the eye. Without prompt treatment, vision in that eye is permanently lost.

It often starts with a small tear caused by the vitreous tugging on the retina. A sudden change is treated as a same day emergency.

Higher risk groups

  • People with high short sightedness
  • Anyone who has had eye surgery (especially cataract surgery)
  • A blow to the eye or head trauma
  • Family history of retinal detachment
Signs to act on, same day

Sudden flashes, shower of new floaters, dark "curtain" across part of your vision, or sudden blurry vision in one eye. Treat as emergency.

Inherited vision

Colour vision deficiency

Around 8% of men and 0.5% of women have some form of colour vision deficiency, commonly called "colour blindness" (Colour Blind Awareness). Most cases are inherited.

The most common is red-green deficiency. Total colour blindness is rare.

Why we test

  • It can affect career choices, since aviation, electrical, defence and maritime industries all have vision standards
  • Often picked up in school aged children with colour coded learning
  • Sudden adult changes can flag underlying optic nerve disease

For some types, specialised tinted lenses may enhance colour discrimination, though benefit varies.

Signs to watch for

Children mixing colours in artwork. Family history. A sudden change in colour perception. Book promptly.

Children's vision

Children's vision

Children's vision develops through to about age 8. If something interferes during those years, the brain can stop using one eye properly. The window to fix it gets smaller each year.

Conditions we look for

Amblyopia (lazy eye): reduced vision in one eye that the brain has switched off. Treatable with patching, atropine or glasses.

Strabismus (eye turn): one eye drifts. Early intervention is essential.

Myopia progression: evidence based myopia control options can slow progression in many children (International Myopia Institute).

When to bring them in

  • Before starting school, even with no obvious concerns
  • If a teacher flags trouble seeing the board
  • If they squint, sit close to the TV, or rub one eye
  • Family history of strong prescriptions or eye turn
Signs to watch for

Tilting the head, closing one eye, sitting close to the screen, complaining of headaches, difficulty with reading after starting school.

Trauma and foreign bodies

Eye injuries

Most eye injuries happen at home, at work or playing sport. What you do in the first few minutes matters, so these are the five we are asked about most.

Common scenarios

Foreign body: blink, then flush gently with clean water or saline. If it does not shift, do not rub. Come and see us.

Chemical splash: irrigate immediately with running water for at least 15 minutes, removing contact lenses if present, then go straight to a hospital emergency department.

Corneal abrasion: painful, light sensitive, watery. Most heal in 24 to 48 hours with treatment.

Blunt trauma: even if vision seems fine, get checked. Internal damage can take time to appear.

Penetrating injury: do not touch or wash. Cover loosely and go straight to hospital.

Prevention

  • Safety glasses for power tools, gardening, chemicals and sport
  • Children's sunglasses with shatter resistant lenses
  • Sport specific protective eyewear
  • Replace damaged or scratched eyewear promptly
Always urgent

Anything piercing or cutting the eye, chemical splashes, vision loss after trauma, persistent pain. Do not wait. Present to a hospital emergency department.

Don't wait

When should you seek help the same day?

Call us about urgent concerns

For urgent eye concerns, call us on +61 402 725 735. If we can see you the same day, we will. If you can't reach us, present to a hospital emergency department or call 000.

Routine Check Due?

How often should you have a check?

With a valid Medicare card your eye examination is bulk billed, regardless of when your last test was, and we take care of the billing. From age 65, or if you have a monitored condition, we recommend a check every year. We bulk bill Medicare card holders at home, at school, in aged care and in the community. Workplace visits are privately billed, with private health fund claiming available.

Book My Eye Exam Who we serve

Information on this page is general in nature and not a substitute for professional advice. If you have any concerns about your eyes, contact us.