A method, system or computer usable program product for detecting visual interaction factors indicative of visual impairment through normal use of a mobile device including monitoring and recording in memory visual interaction of a user with content presented by the mobile device during normal use of the mobile device in accordance with predetermined parameters establishing a baseline pattern of visual interaction factors in accordance with the predetermined parameters utilizing a processor to compare the visual interaction of the user with the baseline factors to determine a set of differences and responsive to the set of differences exceeding a predetermined threshold, providing a notification of visual impairment.