Its typically believed that glasses were invented in the late 13th century; what was it like for people who needed them before they were invented? Were people just walking around blind? What was it like for the ancient Egyptian or even the ancient Roman empires?
Posted Dec 22, 2019, 12:54 PM UTC
Thanks to u/whackajoe for linking my earlier answer and tagging me!
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There's no question that the prevalence of myopia (nearsightedness) was much lower in the Middle Ages than today. No, we have absolutely nothing even remotely resembling statistics, and just because in the past century or several there's been a noticeable increase in myopia doesn't itself say anything about medieval western Europe (what I'll be talking about here). However, medieval popular Christianity relied on visuality in some pretty basic ways I'm not sure it would have if 50% of some such of people couldn't see their own shoes. "Art is the book of the illiterate" was a basic philosophy of religious instruction. Church sculpture, mosaic, decorated rood screens, stained glass were meant to glorify God but also to instruct (hence the popularity of Last Judgment scenes over the tympanum). And watching the priest consume the Eucharist (bread and wine) could substitute for the person doing it themselves--even in the case of a saint like Nicholas von Flue.
But we also know that some people were indeed nearsighted, and obviously eyesight deteriorated in various ways (presbyopia/farsightedness, AMD, cataracts, etc) with ageing. I want to briefly introduce a distinction that scholars of disability and medicine make between "impairment" and "disability." Impairment in this sense is used as a deviation from the normative (not from the normal! lots of things are normal); disability refers to when an impairment affects someone's functioning in the world. Here, I'm going to talk more on managing visual impairment to minimize (not necessarily eliminate) disability.
This being the Middle Ages, obviously the first way people tried to cope was by praying for miracles. And indeed, miracle stories attached to saints and shrines offer some really interesting cases of the extreme end of visual impairment that's "not quite blindness," although we should keep in mind that "blind" is a subjective term that means different things in different contexts.
Two important themes that arise from miracle stories are the effect on mobility and on ability to work. One of St. Elisabeth of Hungary's miracles concerns a girl who, it's clear, has some vision but only a little; the story emphasizes that she can't even see well enough to find her way on a path. (Medieval "roads" could just be a trampled line through fields). There's a similar miracle concerning a middle-aged man who developed possibly cataracts (macula, stains) and similarly couldn't find his way on a path; he reported being ridiculed for it.
In these cases, the key was to lean on the support of other people. We read a lot about blind and otherwise visually impaired people being "led" to shrines. That's probably the single most common theme in anecdotes of people with disabilities in the Middle Ages--the ad hoc, case-by-case reliance on friends and family, or in a few cases monastic charity.
With respect to work, it seems that in a lot of cases the key was to find a task a person could perform. The miracles of St. Bertin tell of one evidently nearsighted man who couldn't see well enough to perform outdoor manual labor, but up very close could still see well enough to do needlework. So he sat with the women of the duke's household all day, working on embroidery and weaving!
The later Middle Ages did have knowledge of and practice rudimentary cataract surgery, sometimes even successfully. In 1351, aging abbot Gilles le Muisit of St. Martin's in Tournai had his cataracts removed only to find that behind them, he was farsighted:
The first "glasses", which were designed to be held rather than worn, were for reading (i.e. for farsightedness). Here's a photo I took in the Dominican church museum in Eisenach of a 1510 altarpiece relief from Thuringia--the scene is the death of the Virgin Mary, and the man with the book and glasses is probably supposed to be a physician. Glasses were one type of iconographic shorthand for physicians (another being a flask filled with urine. You do you, Middle Ages.)
Ronald Finucane and Irina Metzler have both pointed out that we are much less likely to read about nobles with disabling conditions. There was then as there is now a stigma attached to disability, even more so because of the stronger link between sin (moral failure) and impairment. So even in miracle stories that do involve knights and other nobles, the recorder will allow the healed to express a sense of shame--even to the point of feeling suicidal, in one case--a consciousness of emotion denied to lower classes.
That was the case with the knight Gilbert, whose story is told in the miracle of St. Foy. Twice in a row he received a head injury in combat--once while, apparently, breaking up a barfight--that caused vision problems. And he was, given the source, miraculously healed in several stages. (Draw your own medical conclusions.)
But one of the most interesting cases hops way above the others. Holy Roman Emperor Frederick II in the 13th century--the one who looked at the Crusades, said "I got u, fam" and negotiated his way into taking over Jerusalem from Muslim control--actually dealt with developing myopia over the course of his life. This could have been a hardship for him, as his true love was hunting. (He embarked on very few building projects over the course of his reign, but these included several hunting lodges, which is also where he preferred to spend much of his time). What did he do? He still hunted with great enthusiasm, apparently. But then, hunting in the Middle Ages wasn't about food (unless you were desperate and poaching), it was about power and masculinity and status and probably blowing off some steam. So even in the parts where humans didn't rely on their dogs and birds to do the work for them, perhaps there was not as much pressure to perform.
But then, of course, there's the ultimate solution. Can't fight like a knight, can't hunt as well as you want to?
Write a book about it.
And Frederick did.
Are there any theories as to why people's eyesight is worse now than it was then?
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This is an anecdote but might be of relevance here. An anthropologist I know did a few years of fieldwork in Mongolia. She told me it was the only time in her life that her vision actually improved. Her optometrist was surprised by this when she came home to Europe but told her that it had probably happened because her eyes were being used for long distance sight much more often than for reading. She spent very little time reading in Mongolia and a great deal of time on vast plains. Once she was back in Europe at a normal academic job, her eyesight resumed its steady decline. You can see some of her research about Mongolia here, though I'm not sure if this anecdote would be mentioned there at all: https://risweb.st-andrews.ac.uk/portal/en/persons/mette-marie-high(305ce721-d710-47ca-86a8-4223cc9d82c2)/researchoutput.html
The vast majority of people in the medieval and ancient worlds were illiterate. While they may well have had deteriorating vision, it's possible that unless it seriously blinded them (as described in the miracle stories in the top comment of this thread), it would not have been as noticeable because they didn't have to read; or, alternatively, because they didn't read much, their eyesight didn't decline as rapidly. While this isn't a scientific answer, it might help explain the discrepancy between now and then.
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Then we ask that you refrain from writing, thank you.
Thought that was for parent answers only, discussion/speculation is ok in the threads following?
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I am an optician and I can’t wait to show the other opticians, optometrists and techs your answer at work tomorrow! Thank you so much for this.
I'm sorry, but "There's no question that the prevalence of myopia was much lower in the Middle Ages than today" may certainly be the general received wisdom, and may even have been the case, but it's very distracting to suggest there's "no question". Please, what is this based off of? "Seeing their own shoes" is not a definition of myopia, and the visuality of the medieval period was very much of a different scale than that required by modernity, where literacy is equivalent to visual literacy in our mixed-text world.
Viewing a priest performing the eucharist does not require the precision of viewing a bus advertisement, for example: the etic properties of reporting on one vs. the other are so largely different, the criteria for others to determine if the event was actually viewed are drastically dissimilar. And as you state yourself, there is impairment and also disability - I know that if I were to not have glasses, I would not be disabled, but greatly impaired. If someone were to point out a detail in, like, a painting I coudln't see, it is possible I would dismiss them as seeing something not necessarily in the text, but a subtextual element, simply because I have always been myopic, and barring any culture of information about visuality, I would likely think (since I was impaired, not disabled) that my way of seeing was simply the norm. Hence, I would not be impaired, by my own definition. What is the basis suggesting that myopia was less prevalent in the middle ages? I'm not disagreeing with anything in your account, but "there's no question" is quite a claim
I'm sorry, I was banking off a couple of posts in the previous thread that were removed; similar links are also in this thread and were removed. I usually avoid them in my own answers to keep the discussion thread from ranging into the science on why, which I am definitely not qualified to comment on.
Articles like this one from Nature's blog, and this peer-reviewed journal article both give it as matter-of-fact that the prevalence of myopia has increased. That seems pretty good to me.
It's hard not to come off as snarky on the internet, so I want to try to convince anyone I am not attempting to have any kind of sass in my response below (well, a little bit, but directed at those researchers, not op), just an assessment of eg the sources you provided. This is a little critical of reliance on fields where we can only hope the practitioners can be trusted. We all have to do that, but it doesn't always work. I'm coming from a position of the epistemology of scientific thought, how it's used, and how it's abused, and the downstream effects of this process - ie, working its way into commonplaces that other disciplines eventually feel confident taking as prima facie grounds to base their work on. University PR and gatekeeping, scholars that must publish or perish, the issues surrounding p and significance, filtering journals like Nature cause a lot of problems. In short, there may be more myopia prevalence now than in any given historical period, but that would be outside the area of expertise of the authors of these studies, and well outside the purview of the studies themselves, which are certainly flawed, but also attempt to claim more than they responsibly should, in an ideal world.
Taking the blog from Nature, for example, it isn't until well into the article that the authors start considering the counter-argument, that self-reported quantitative measures are not particularly reliable. I am particularly convinced more by the distance factor rather than light, and the advocate has just as much ethos as the study authors, but of course, the article is about those authors - that's how Nature works. The Nature authors completely abandon the possibility, and all discussion, in the next paragraph, and instead focus on animal studies of birds to double down on the assumption of the article itself. This is... not a good practice. Unfortunately, the research they cite is insufficient to 'prove' what the article suggests is being proven. There are enough problems with the study that if the null hypothesis had been replaced with "there is a gene that doesn't give you myopia if there's bright light," then they would have found in support of that hypothesis. Obviously, this is where the article starts from, in its historical survey. It could just as easily be a circular argument, its thesis lacks coherence.
On to the metastudy: Probably the first most damning part of the metastudy is the fact that they have 6 research questions, each one posed to answer a question that assumes the other research questions are to some extent already valid. Now, even though I am anonymous here, so I won't outright dismiss it, I will say that there are a lot of red flags one should look for in meta studies - their data charts and methods are, if anything, "hardened" against review. But saying that there are red flags doesn't mean that they are trying to obscure results, just that someone attempting to obscure results would do what they did, mixing methodologies, age groups, cohorts, interventions, styles, time periods, criteria, etc. across a vast cultural spectrum of optometric practices and criteria, and then applying transformations, multiplying statistical results by various factors without explanation.
Also, all the intervention studies in the metastudy were of Chinese students. There are features of this fact which are concerning for combining into the results of non-intervention studies of other groups. Also notable is that for these studies, the results were solely derived from surveys of the parents. Combined with the heavy promotion of an agenda later in section 4, we see again how there are so many publications with such low standards for reviewers that virtually any bias is allowed in if it is couched in somewhat vague terms, although here we do see straight advocacy without concession, very strange.
I wrote a ton more, but deleted it, because it can mostly be summed up by saying that excel will draw a regression line for any set of data points; it doesn't warn you when your data are bad, or stupid. For illustration any single paragraph from section 3 or 4 could be effectively analyzed in a methods class - or, hell, maybe even an ethics class, although it is certainly not abnormal across publications in general. Not because it's necessarily wrong, but one has to ask why all the obscure transformations, why all the manipulation of results.
The real problem, however, is explicitly this - however true it may be that myopia levels in East Asia have risen in the last 50 years and can be mitigated by additional sunlight hours (as reported by parents), this doesn't tell us anything fully productive about myopia incidence in medieval Europe 500-1000 years ago. There is simply too much noise between here and there to connect current research, in the current world, to such a distant point, and to assume these trends hold and have held true. I'm not saying I doubt the assertion, again; and it makes logical sense? That if these researchers are correct, then perhaps if a lot of time was spent medievally outdoors, then maybe the incidence was lower? But surely we must admit two things: a) a lot of things are different between our modern world and the medieval one - food, air, lifestyle, genes, parasite load, exposure to pathogens, exposure to specific pathogens - so that what is true of modernity might not therefore, and probably cannot be, true of such an earlier period, or if it is, it may not be for the same reasons, and b) that the measures and criteria of seeing-ness are very different in these two periods, namely, that tests of the type we now administer, and what we consider normal, would have been very different in an age that was very much pre-literate and pre-scientific (and I do mean pre-literate for everyone, in the larger sense of literacy as a community practice, where what you could read was mediated differently than it is now; thus, including even literate, well-read scholars in this batch, who would be considered not visually unimpaired in modernity, simply because the aids they had were different than the system now - I am trying really hard not to digress about Heath and literacy events and communities of practice and the layers of changing modes in the media of visual literacy between now and then). We learn to read academically, and these researchers know where people read, and so that is where they distorted things, where they knew they would attract non-specialists in meta-analysis.
tl;dr - you could easily be right, but those sources suck (their fault, fully, they should have done better), since your argument doesn't require it, no need to mention it when it's so obviously something that really pops out to readers who have anterior interests. No need to drop in an assumption that you don't need to defend. And yes, this is my day job, I try to keep scientists from making claims like these in their work, but they don't always listen or get it.
You don't come across as snarky at all! Learning from posts like yours is one of the reasons I love AskHistorians so much. :D Thank you!
No, not in this post at all...but this answer was a copy-paste that I've used a couple of times before. And back then, believe it or not, I was raked across the coals for NOT saying that myopia is more common today. So the introductory bit eventually made it into the post to shut up those people. (Okay, I could have and should have been less emphatic, but...sometimes being a mod and being able to see the removed posts, too, is not an emotional advantage.)
Thanks again!
I’d just like to listen to you talk about history. You have a very conversational and understandable way of explaining things. You should have a podcast or something. Give dan Carlin a run for his money.
Do you have any more info/sources on medieval cataract removal? I can only imagine how dangerous it might have been. I’m intrigued to learn more about that!
Couching! Couching cataracts (couching for cataracts?) is ancient. It basically involves squishing the foggy lens down to the bottom or side of the eye, using something sharp.
Minus a lens, of course, the patient can't exactly see--but it is generally considered better than the complete cloudiness of a cataract.
Oculists, the specialists who usually performed this procedure in the later Middle Ages, were...not exactly the most prestigious of medical practitioners.
Interesting you bring up Frederick ll as I am currently studying the Crusades. I never knew that about him. You sir/madame have my upmost respect.
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Great response. Is there really no evidence of people using alternatives before glasses though? Depending on the type of vision deficit, simply looking through the reflection of a mirror or a body of water can help converge the image for someone. It's hard to believe that no one notable even wrote in their journal that they found it easier to see when looking at reflections on a clear lake. I can just imagine some people with minor vision problems keeping a glass vase around to look through.
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I question it. That which can be asserted without evidence can be dismissed without evidence. You are making assumptions without foundation. For example
Well, what choice did believers have when the penalty for disbelief was torture or death?
Ah, my bad. The removed posts in this thread (and the previous one, to which this answer was originally written) were full of links to peer-reviewed articles asserting the increased prominence of myopia in the 20th-21st century. Generally I stay away from them in my own answers because they concern today and science, not history. ;)
u/DogsFolly cites an article in the International Journal of Environmental Research and Public Health (peer-reviewed)
u/eyes-open links an article from Nature's blog that discusses the above study
To be clear, these articles are linked to support the prevalence of myopia; I cannot adequately assess the research.
...That's not how the Middle Ages worked. Or the Inquisition, for that matter.
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