Hormonal changes throughout life can influence tear production, corneal shape, and fluid balance in the eye, leading to temporary or longer‑term vision changes. These effects are often most noticeable during puberty, pregnancy, and menopause.
Common Effects
Fluctuations in hormones can cause dry eye symptoms, contact lens intolerance, or mild shifts in prescription. Some people notice increased sensitivity to light or migraine‑related visual symptoms during hormonal cycles.
- Fluid retention may alter corneal curvature slightly, changing focus
- Pre‑existing conditions such as diabetes can interact with hormonal shifts
- Hormonal medications, including contraceptives, may influence tear stability
- Most changes are mild and reversible but can be bothersome
When to Seek Advice
Significant or persistent visual changes during hormonal transitions warrant eye and medical assessment. Adjustments to spectacle or contact lens prescriptions may be needed once hormones have stabilised.
- Inform your eye care professional about pregnancy, menopause, or hormonal treatments
- Do not plan elective refractive surgery during periods of unstable hormones if possible
- Report sudden loss of vision, flashes, or severe headache urgently
- Targeted dry eye management often helps during hormonally active phases
