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Vision Changes

Why floors look like holes, mirrors feel like strangers, and shadows become threats.

Dementia changes how the brain processes what the eyes see, even when the eyes themselves are fine. Depth, contrast, and movement can become confusing or frightening. What looks normal to you may look very different to them.

Key points

  • Dark rugs or tile patterns can read as holes in the floor.
    Dark rug on a light floor, as it actually looks
    Normal vision
    Dark rug on a light floor, as it can appear with dementia
    With dementia
  • Mirrors can show 'a stranger in the house.'
    Reflection in a bathroom mirror, as it actually looks
    Normal vision
    Reflection in a bathroom mirror, as it can appear with dementia
    With dementia
  • Shiny floors may look wet or slippery, even when dry.
    Polished hallway floor, as it actually looks
    Normal vision
    Polished hallway floor, as it can appear with dementia
    With dementia
  • Low light and shadows can turn ordinary objects into threats.
    Dim hallway with shadows, as it actually looks
    Normal vision
    Dim hallway with shadows, as it can appear with dementia
    With dementia

What you might see

  • They step carefully over a dark mat or refuse to cross it.
  • They talk to or argue with their reflection.
  • They pull back from a shower entrance or doorway.
  • They reach for things that aren't there, or miss things that are.

Try this

  • Add warm, even lighting. Reduce shadows in hallways and bathrooms.
  • Cover or remove mirrors that cause distress.
  • Use solid, contrasting colors, a dark plate on a light table makes food easier to see.
  • Walk beside them, not behind, so they can see you and feel safe.

Their world looks different now. Small changes to the room can bring big calm.

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