Arterial hypertension, depression, and cognitive impairments are common in the elderly with visual impairment, while hypertension affects more than 50% of people over 60 years of age. Depression that occurs late is associated with risk factors for vascular diseases and changes in the white matter of the brain, affecting the level of health and physical activity. Specific white matter lesions have been identified in patients with hypertension and visual impairment, which may indicate a relationship with dementia. Early treatment of risk factors for cardiovascular diseases can prevent symptoms of depression in old age. The aim of the study was to determine whether arterial hypertension is an independent predictor of depression symptoms in a sample of elderly people with visual impairment. Materials and methods. The baseline study was conducted in 2023, and the follow—up in 2024. The data were obtained through individual surveys containing information on health status, symptoms of depression, cognitive abilities, and anthropometric measurements. Arterial hypertension was determined by the participants' responses to questions about diagnosis and treatment. Depressive symptoms were assessed using a modified version of the depression scale of the Center for Epidemiological Studies (CES-D). Binary logistic regression models were used for the analysis. Results and discussion. The study involved 328 people with an average age of 68.4 ± 6.9 years. The results showed that more than half of the participants (57.2%) rated their health as poor, and 34.2% reported falls over the past two years. A significant proportion of respondents (24.3%) suffered from cognitive impairments, which underscores the need for an integrated approach to health assessment. Data analysis showed that elderly patients with hypertension have a higher proportion of poor self-assessment of health (67.1% vs. 51.5%) and are more likely to report falls (38.9% vs. 31.6%). There is also a high prevalence of concomitant diseases such as diabetes mellitus (19.7% vs. 12.0%) and ischemic cardiopathy (5.9% vs. 1.9%). The multiple regression model revealed that arterial hypertension is a significant independent risk factor for depressive symptoms (β=0.290, p