Hopefully not quite there yet, but can feel the eye sight issue creeping in more and more. Many years back, a shooting friend (also instructor) recommended some eye exercises to help with the focusing issue. As you age, your eyes gradually lose the ability to transition focal planes quickly. So you can do some exercises. One is to focus on something say 1 foot away, then transition to something say 10 feet away, repeat. Maybe 2 years ago, my eye doctor started talking about eventually having to need reading glasses. So far, I've done without just fine and I think the eye exercises have helped. I view it as a "keep what you've got" than improving anything.
There was a guy that I shot with in SRGC that couldn't focus on the front sight of his AR. I don't recall the reason. Anyways, he's a really avid shotgunner and he would say that he pretty much point shoots when shooting clays. He would do that while shooting paper as well and he actually shot pretty good. While I wouldn't recommend anyone doing that by choice, I would say that it seemed to work for him given his capabilities.