"Survival of the fittest" governed human evolution for thousands of years. Now, technology and medicine means that many of those with defects or disabilities, who would have probably died before, get to live normal lives and procreate. This is great news for them (including me - I'm blind as a bat without my glasses and that's just for starters!) but what does it mean for future generations?
The "bad" genes are now still in the pool. We're passing on our defects, and they're gonna mount up down the line. Or am I missing something?
I think you need to take a somewhat broader view of this question.
Natural selection, as I understand it, favours those organisms that are best adapted to their environment. The Great White Shark essentially stopped evolving a long time ago, because it was perfectly adapted to its environment, which remained unchanged--until humans came along.
As other people have mentioned, the sorts of traits you mention, like near-sightedness, are only disadvantageous in certain environments. Environments without eyeglasses, for example. So long as we don't lose the knowledge and ability to grind corrective lenses, there is no selection in favour of those with strong eyesight.
There is, however, selection in favour of those who are best adapted to civilization (in its broadest sense). For example: once we started herding animals, those of us who could tolerate lactose and consume animal milk had an advantage over those of us who couldn't. As a result, we have been evolving to become lactose-tolerant, and the ability to drink milk and eat things like cheese has been spreading, over time.
Like other animals, we are now evolving under the pressure of our own built-up artifical environment. Certain animals with certain advantageous traits (like cockroaches and rats and coyotes) flourish in this environment; others do not. Assuming that civilization doesn't fall off the Olduvai Cliff, traits that facilitate living in civilized societies should become more common over time, and should compensate for the increasing prevalence of traits like near-sightedness.
Bottom line: the fittest are still surviving--only the fitness test has changed. In the future, everyone will be a near-sighted computer nerd. And the opposite sex will find nerdiness hot.