Why Do Your Eyes Get Red When You Smoke? PerfectLensWorld PerfectLensWorld Combined Effect of Vaping and Smoking May Worsen Vision Did you know smoking and vaping can impact your eye health over time? Moorfields experts explain how these habits may contribute to the development of conditions like glaucoma, cataract and age related macular Curious about how smoking and vaping affect your vision? Studies show that if you smoke and or vape, you're at an increased risk for issues like: Dry eye Cataracts Age related