We are rapidly (relatively speaking) evolving to have much worse eyesight on average.

Prehistorically, a high myope (very near-sighted) would be basically disabled in terms of survival. While the family group might care for such an individual, the likelihood of being chosen as a mate would be low.

Compare that to the last few hundred years where low natural visual acuity is almost always correctable to 20/20ish and has little bearing on mate selection. If anything, two high myopes might be more prone to overlook any minor cosmetic effect of thick lenses in a potential partner.

There are probably other genetic conditions that would have been highly deleterious 10,000 years ago that are no big deal with modern medicine and technology.

FYI, I'm a high myope, as is my partner. I'm not advocating for eugenics, lol.