Dull vision is a non‑specific description combining elements of blur, reduced contrast, and lack of sparkle. It often accompanies chronic ocular or systemic disease.
Possible Factors
Long-standing cataract, low-grade macular disease, optic nerve damage, and glaucoma frequently make vision feel dull rather than sharply blurred. Chronic dry eye and general fatigue can also contribute to a persistent sense of visual tiredness.
- Patients may say their eyes never feel fully “awake” or sharp
- Symptoms may be bilateral and slowly progressive
- Systemic illnesses such as anaemia or depression can colour visual perception
- Medication side effects sometimes play a role
Approach
A holistic assessment, including full eye examination and review of systemic health, helps tease apart contributing factors. Management often combines ocular treatment, optical optimisation, and addressing general wellbeing.
- Updating glasses and managing cataract or dry eye can brighten vision
- Screening for systemic disease is advisable when ocular findings are mild
- Lifestyle changes, rest, and mental health support may also help
- Follow-up ensures that subtle but important changes are not missed
