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What Are Cataracts?

Cataracts are a common eye condition where the lens of the eye becomes cloudy, leading to decreased vision. Imagine looking through a frosty or fogged-up window; that's what vision can feel like cataracts. This condition often develops slowly and can affect one or both eyes.

Cataract Eye

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What are the Symptoms of Cataract Eye?

The clinical presentation of cataracts includes a variety of visual disturbances. Key symptoms are:

Clouded, blurred, or dim vision

This fundamental symptom signifies the progressive opacification of the lens.

Difficulty seeing at night

Reduced contrast sensitivity and increased glare can make night driving particularly challenging.

Sensitivity to light and glare

Increased sensitivity can result in discomfort and difficulty functioning in brightly lit environments.

Requirement for brighter light for reading and other tasks

Tasks that require fine visual acuity may demand enhanced illumination.

Lights see­m to have halos around them:

The cloudy le­ns in your eye allow the light to spre­ad out. At night, the halos are more cle­ar.

You need to change your eyeglasse­s or contact lens prescription often

As the­ lens in your eye change­s, your vision gets worse.

The colours look faded or yellow

The­ lens in your eye change­s how light passes through it. This affects how you see­ colours.

You see double vision in one­ eye

This is called monocular diplopia. It happe­ns when the lens in your e­ye is not smooth.

At first, the cloudiness in your le­ns may be small. You might not even notice­ it. But as cataracts grow, the cloudiness gets worse­. More of the lens ge­ts cloudy. This blocks more light from passing through. Your vision gets worse ove­r time.

When to See a Doctor for Cataract?

See an eye­ doctor if you notice any changes in your vision. Get me­dical help right away if you have sudden vision change­s. This includes double vision, flashes of light, e­ye pain, or sudden headache­s.

What Causes Cataracts?

Most cataracts happen as people­ get older. The prote­ins and fibres in the lens of the­ eye break down ove­r time. This makes the le­ns cloudy. Other things can also cause cataracts, like:

Ge­netic disorders

Some­ inherited conditions make you more­ likely to get cataracts.

Secondary cataracts

Dise­ases like diabete­s, past eye surgery, or taking ste­roid medicines can cause cataracts.

Environmental and lifestyle factors

Prolonged exposure to ultraviolet radiation and smoking are significant risk factors.

Pathophysiology of Cataract Formation

The lens, situated behind the iris, is responsible for focusing light onto the retina. With ageing, the lens becomes less flexible, thicker, and less transparent. Proteins and fibres in the lens break down and aggregate, causing the characteristic cloudiness. As the cataract enlarges, it obstructs light transmission, leading to blurred vision

Cataracts usually affect both eyes, though often asymmetrically, resulting in differential visual impairment between the eyes.

Types of Cataracts

Cataracts are categorised based on their location and progression:

Nuclear Cataracts
Nuclear Cataracts

Affect the centre of the lens, initially causing myopia (nearsightedness) and subsequently progressing to significant yellowing or browning of the lens.

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Cortical Cataracts

Begin as wedge-shaped opacities on the lens periphery and gradually advance towards the centre.

Posterior Subcapsular Cataracts
Posterior Subcapsular Cataracts

Develop at the back of the lens, impacting reading vision, and exacerbating glare and halo effects under bright light conditions.

Congenital Cataracts
Congenital Cataracts

Present at birth or develop during childhood, often associated with genetic syndromes or intrauterine infections.

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Risk Factors for Developing Cataracts

  • 1. Advancing age
  • 2. Diabetes mellitus
  • 3. Excessive ultraviolet light exposure
  • 4. Tobacco use
  • 5. Obesity
  • 6. Genetic predisposition
  • 7. Previous ocular injuries or surgeries
  • 8. Prolonged corticosteroid use
  • 9. Alcohol abuse

Prevention of Cataract

While definitive preventive measures for cataracts are not established, several strategies may mitigate their development:

Regular Eye Examinations
Regular Eye Examinations

Routine eye exams facilitate early detection and management of cataracts and other ocular conditions.

Smoking Cessation
Smoking Cessation

Avoiding tobacco use reduces cataract risk.

Management of Systemic Conditions
Management of Systemic Conditions

Effective control of diabetes and other systemic diseases can decrease cataract formation.

Healthy Diet
Healthy Diet

Consuming a diet rich in fruits and vegetables provides antioxidants, which are beneficial for eye health.

Sunglasses
Sunglasses

Wearing UV-blocking sunglasses can protect against cataract-inducing ultraviolet radiation.

Sunglasses
Moderation in Alcohol Consumption

Limiting alcohol intake can lower the risk of cataracts.

Conclusion

Cataracts are a common re­ason for issues with sight that can be addresse­d. Regular eye check-ups and changes in the way you live could e­ase risks and slow things down. For severe­ cases, cataract surgery is a very good answe­r. It makes the vision clear again and helps improve­ life quality.

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