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The eyes are the window to our soul, they are responsible for allowing us to see the world around us in all its beauty. However, during menopause, they can undergo significant changes. In our blog, discover how the eyes are affected in the menopause. Learn about common issues like dryness and changes in vision, and explore strategies for maintaining optimal eye health during this transformative stage of life.

Regular eye checks can help identify any potential problems with your vision and provide you with the information needed to make informed decisions about your care.



A picture depicting the anatomy of the eye


The eye sits in a bony socket called the orbit, which protects it from injury. The orbit is a pear-shaped structure formed by several bones, including the cheekbone, forehead, temple, and side of the nose. The orbit also contains the muscles that move the eye, blood vessels, and nerves.

Extraocular Muscles

There are six extraocular muscles in the orbit that are attached to the eye. These muscles move the eye up and down, side to side, and rotate it. The extraocular muscles are responsible for controlling the movements of the eye.


The white part of the eye is called the sclera, and it is the outermost layer of the eyeball. The sclera is made up of tough, fibrous tissue that helps to protect the eye and maintain its shape.


The conjunctiva is a thin, transparent membrane that covers the sclera and the inside of the eyelids. It helps to lubricate the eye and protect it from infection.


The cornea is the transparent, dome-like structure on the front part of the eye. It is the first part of the eye that light passes through when it enters the eye. The cornea is responsible for refracting light and bending it to help the eye focus.


A picture depicting the inner eye anatomy


This is a thin layer of tissue that lines the back of the eyeball. It contains specialized cells called photoreceptors, which convert light into electrical signals that are sent to the brain through the optic nerve. These signals are interpreted by the brain as visual images.


Optic nerve

This is a bundle of nerve fibres that carries the electrical signals generated by the retina to the brain. The optic nerve is responsible for transmitting visual information from the eye to the brain.


Vitreous humor

This is a clear gel-like substance that fills the space between the lens and the retina. It helps maintain the shape of the eyeball and provides a medium through which light can pass on its way to the retina.




This is a small, specialized area in the centre of the retina that is responsible for sharp, detailed vision. It contains a high concentration of photoreceptor cells called cones, which are sensitive to colour and fine detail.



This is a small depression in the centre of the macula that contains the highest concentration of cones. It is responsible for our ability to see fine details and is crucial for tasks like reading and recognizing faces.


Overall, the inner structure of the eyeball plays a critical role in our ability to see. The retina and its photoreceptor cells convert light into electrical signals, which are transmitted to the brain through the optic nerve. The vitreous humor helps maintain the shape of the eyeball and provides a medium for light to pass through. The macula and fovea are specialized areas in the retina that are responsible for our ability to see sharp, detailed images.



Fluctuating Hormone Levels

During menopause, hormone levels can fluctuate greatly, leading to several effects, including changes in vision. Fluctuating oestrogen levels can cause changes in the cornea’s elasticity, leading to discomfort for contact lens wearers and other visual symptoms.


Increased Risk of Eye Diseases

Menopause can increase the risk of several eye diseases, including glaucoma and cataracts. The hormonal changes during menopause can cause an increase in intraocular pressure, which can damage the optic nerve and lead to glaucoma. Additionally, the decreased oestrogen levels can cause cataracts, a clouding of the eye’s natural lens.


Dry Eye Syndrome

A diagram showing the cell changes between normal eyes and dry eyes and how the lubrication changes

One of the conditions that can result from the hormonal changes during menopause is dry eye syndrome. This is a condition that affects the ocular surface of the eye and tears, leading to discomfort, blurred vision, and other symptoms.


How to Manage Eye Health During Menopause

Learn effective strategies for managing eye health during menopause in our insightful guide. With the eyes affected in the menopause, it’s crucial to address common issues like dryness and changes in vision. Discover practical tips and proactive steps to ensure optimal eye health and comfort during this transformative stage of life.

Regular Eye Exams

One of the most important steps in managing eye health during menopause is to get regular eye exams. Regular eye exams can help detect eye diseases early, allowing for prompt treatment and minimizing the risk of vision loss.


Monitor Eye Pressure

As mentioned earlier, the hormonal changes during menopause can lead to an increase in intraocular pressure, which can damage the optic nerve and lead to glaucoma. Monitoring eye pressure through regular eye exams can help detect this condition early and prevent vision loss.


Use Artificial Tears

For women experiencing dry eye syndrome, using artificial tears can help relieve discomfort and improve vision. Artificial tears are available over-the-counter and can provide relief from dryness, irritation, and other symptoms.


Manage Overall Health

Maintaining overall health can also help manage eye health during menopause. Eating a healthy diet, getting enough sleep, and managing stress can help reduce the risk of eye diseases and promote overall well-being.


Use Corrective Lenses

As vision changes occur during menopause, using corrective lenses can help maintain good vision. Women who wear contact lenses may need to switch to glasses during this time, as the changes in corneal elasticity can make contact lenses uncomfortable.


Consider Hormone Replacement Therapy (HRT)

Hormone replacement therapy (HRT) can help manage menopause symptoms, including those related to eye health. However, HRT is not suitable for all women and can have side effects, so it is important to discuss the risks and benefits with a healthcare provider before considering this option.

Understanding how the eyes are affected in menopause is crucial for women’s overall well-being during this transformative phase. By recognizing common issues such as dryness and vision changes, individuals can take proactive steps to maintain optimal eye health. Remember, regular eye exams and adopting healthy habits can go a long way in preserving clear vision and comfort throughout menopause and beyond. Visit Pause and Co Healthcare for expert guidance and personalised care tailored to your eye health needs.

Nadira Awal

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