I'm at threescore and started having trouble using long gun irons in my mid-40's, but managed to get about another decade of shooting in before the situation became bad enough to make shooting a chore rather than a pleasure. "Loss of accommodation" was my ophthalmologist's verdict. "Golden years" my azz!
Any front sight with pretensions to precision will blur to a ghost for me unless it is WAY the hell out front, which is fine for a flintlock long rifle or a 36" BPCR. Using a small enough aperture rear can help out, but they tend to be problematic for fast work or where the light isn't optimum. I can manage a shotgun with a big white bead, but if there is a rear on it, it has to be a ghost ring or one of the low-profile XS express shallow "V" sights. Carbines all get an Aimpoint H-1, which may not always be the ideal optic, but is small enough that it does't bug me (although a slight astigmatism "blobs" the dot, making a 2 MOA my choice); rifles get an appropriate scope. FWIW, I keep irons in place because they are still better than nothing in a pinch… and "minute of broad side of a barn" I can still do.
While I use - and prefer - Ultradots on any handgun other than straight SD/HD rigs, at SD distances, I have learned to instinctively tilt my head up to get the front sight into the "magic zone" of my bifocals. (If I had any shooting style points to begin with, this would erase them- it's somewhat akin to Rooster Cogburn snapping his head from side to side when firing his two Colts, only up-and-down, and really, really nerdy.) Unfortunately, anything with a stock on it prevents me from using this bobble-head technique, which is probably just as well as it is not a mid- or long-range panacea.
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