The first time users play, they complete a short series of activities to determine their Eye Age. Users train every day to lower their Eye Age and challenge their abilities in the five major categories of Focus Power: Hand-Eye Coordination, Peripheral Vision, Dynamic Visual Acuity, Momentary Vision and Eye Movement. They can get good results from just 15 minutes a day. The challenge is to improve the Eye Age and boost Focus Power through daily training.

Like the Brain Training franchise, Sight Training features a calendar that tracks the days users have completed their training by giving stamps. For playing each day, more activities and sports-based training activities are unlocked. Each time users complete an activity, their results are added to graphs and charts so that they can visually follow their progress.