well in a way yes and maybe no.
at my last ccw qualification 4 years ago, i scored a 252
my recent test (back in February) i didn't score that high, but i still passed.
my eyes still check out good. as of my last check up.
a think a combo of inability to stand straight after all my back operations is one reason
and my arm feels heavy at times....sometimes feeling numb
shooting at the 25 yards is a chore (for the qualification test), where as shooting at 7 to 10 yards (my normal FBI recommended distance) is way easier. (as per thier published stats some time ago)
which is why i try to go shooting at least 2 times a week, but always once for sure.