Which of the following is NOT an ocular sign of aging?

Increased accommodation is not an ocular sign of aging because, as individuals age, their ability to accommodate—especially to focus on nearby objects—typically decreases rather than increases. This decline in accommodation is commonly associated with presbyopia, a condition that usually begins to manifest in the early to mid-40s. Consequently, the difficulty in focusing on close objects reflects the natural aging process of the eye rather than an improvement in this function.

In contrast, tear film abnormalities, reduced lid elasticity, and lens opacities are all recognized signs of aging. Tear film abnormalities can lead to dry eye symptoms, reduced lid elasticity can affect eyelid function, and lens opacities, which refer to cataracts, are common changes that occur in the lens as a person ages. These factors contribute to the overall deterioration of vision that is often seen in older adults. Understanding the changes that occur in the ocular system with age is crucial for addressing the needs of aging patients in eye care.