About Cataracts

Cataracts, also known as cataract disease, are a leading cause of vision loss, particularly among older adults. These are clouding formations within the normally clear lens of the eye. The lens plays a crucial role in focusing light rays onto the retina, the light-sensitive layer at the back of the eye. When cataracts develop, they disrupt how light travels through the eye, leading to blurry vision and other visual disturbances.

What you should know about cataracts

Symptoms | Diagnosis | Causes | Diagnosis | Treatment | Outlook | FAQs

Symptoms of Cataracts

Cataract symptoms typically develop gradually over time and can vary depending on the location and severity of the clouding. Here are some common signs to watch out for:

  • Blurred or cloudy vision: This is the most prevalent symptom of cataracts. It may feel as if you’re looking through a foggy or hazy window, making it difficult to see details clearly.
  • Increased sensitivity to light: You might experience glare or halos around lights, especially at night. Oncoming headlights while driving can become particularly bothersome.
  • Double vision or ghosting: You may see one object appear as two or have a faint duplicate image next to the original. This can be quite disorienting.
  • Fading or dullness of colors: Colors may appear less vibrant or washed out, losing their usual richness and depth.
  • Difficulty seeing well at night or in low light: You might need more light to read or perform activities in dimly lit environments.
  • Frequent changes in eyeglass prescription: As cataracts progress, your current eyeglasses may become less effective. You might need more frequent adjustments to your prescription to compensate for changing vision.

If you experience any of these symptoms, it’s important to schedule a comprehensive eye exam with your ophthalmologist or optometrist (types of eye doctors) to determine the cause of your vision problems. Early detection and diagnosis of cataracts are crucial for maintaining good vision and preventing them from significantly impacting your daily life.

Causes of Cataracts

The exact cause of cataracts is not fully understood, but several factors are known to contribute to their development:

  • Age: Age-related cataracts are the most common type, typically affecting people over 55. As we age, the proteins in the lens of the eye can break down and clump together, leading to cloudiness.
  • Family history: Having a family history of cataracts increases your risk of developing them.
  • Medical conditions: Certain medical conditions, such as diabetes and high blood pressure, can be associated with cataracts.
  • Eye injuries: Injuries or trauma to the eye, even seemingly minor ones, can damage the lens and contribute to cataract formation.
  • Medications: Long-term use of certain medications, such as corticosteroids, can increase cataract risk.
  • Ultraviolet (UV) radiation exposure: Excessive exposure to UV light from the sun can damage the lens and contribute to cataracts. Wearing sunglasses that block UV rays is essential for protecting your eyes.

Diagnosis of Cataracts

Diagnosing cataracts typically involves a comprehensive eye exam by your ophthalmologist or optometrist. The exam may include the following:

  • Visual acuity test: This measures your ability to see at different distances, helping assess the level of vision impairment.
  • Slit-lamp examination: The doctor uses a bright light and magnifying lens to examine the structures of your eye in detail, including the lens.
  • Dilated eye exam: Drops are used to dilate your pupils, allowing the doctor to examine the back of your eye, including the retina, to ensure there are no other underlying issues affecting your vision.

Based on these tests, your ophthalmologist or optometrist can determine if you have cataracts and assess their severity. Your doctor will also discuss your treatment options and the timeline for any necessary procedures, such as cataract removal surgery.

Treatment for Cataracts

Cataracts cannot be reversed with medication or eye drops. The only effective treatment for cataracts is lens replacement surgery to remove the cloudy lens and replace it with a clear artificial lens, also known as an intraocular lens (IOL) or ocular implant.

Cataract removal surgery is a safe and effective outpatient procedure. It is one of the most commonly performed surgeries worldwide. During the surgery, the doctor makes a tiny incision in the eye and uses ultrasound waves and laser to break up the cloudy lens. The fragments are then removed, and a new IOL is implanted in the empty lens capsule.

There are different types of IOLs available, each with its own benefits and drawbacks. Your ophthalmologist will discuss the various options with you and recommend the most suitable IOL for your individual needs. This may include factors like your desired level of vision correction after surgery and whether you might like to reduce your dependence on glasses for distance and/or near vision.

Most cataract surgery is performed with minimal discomfort using topical anesthesia (numbing drops) and light sedation. Recovery from cataract surgery is usually quick, and most people experience a significant improvement in their vision within one to three days.

Patient Outlook

With modern surgical techniques and advanced technology, cataract surgery has a very high success rate. Most people who undergo cataract surgery experience a significant improvement in their vision and overall quality of life. Here’s what you can expect following surgery:

  • Improved vision: Within a few days after surgery, your vision should become noticeably clearer and sharper.
  • Reduced dependence on glasses: Depending on the type of IOL implanted, you may experience a significant reduction in your need for eyeglasses. Some advanced IOLs can even correct for conditions like astigmatism, potentially eliminating your need for glasses altogether.
  • Enhanced colors: Colors may appear brighter and more vibrant than before surgery, as the cataracts no longer block or distort light transmission.
  • Improved night vision: Difficulty seeing at night or in low light can be significantly improved after cataract surgery.

Following surgery, your ophthalmologist will provide you with specific instructions regarding post-operative care, including the following:

  • Wearing an eye shield: This will protect your eye during healing.
  • Using prescribed eye drops: These may help to reduce inflammation and prevent infection.
  • Avoiding strenuous activity: Normal activity can be resumed but no extreme sports and no swimming is crucial for optimal healing.
  • Following up with your doctor: Regular follow-up appointments are essential to monitor your progress and ensure your eyes are healing properly.
  • Summary

Cataracts are a common age-related condition that can significantly impact your vision. Early detection through regular eye exams allows for timely diagnosis and treatment with cataract surgery. This safe and effective procedure can restore your vision, improve your quality of life, and help you enjoy a wider range of daily activities.

If you are experiencing any vision problems or suspect you might have cataracts, schedule a comprehensive eye exam at Benaim Eye and Aesthetics. Our team of qualified experts can diagnose cataracts, discuss treatment options and guide you through the entire process to achieve optimal vision and eye health.

FAQs

What is the first sign of cataracts?
The first sign of cataracts is often blurry or cloudy vision, which can gradually worsen over time. Other early signs may include increased sensitivity to glare, difficulty seeing in dim light and seeing halos around lights, especially at night. If you experience any changes in your vision, it is essential to schedule an eye examination with the experts at Benaim Eye and Aesthetics for a comprehensive evaluation and diagnosis.

What are the 3 types of cataracts?
The three primary types of cataracts are nuclear cataracts, cortical cataracts and posterior subcapsular cataracts. Nuclear cataracts form in the center (nucleus) of the lens, cortical cataracts develop in the lens cortex and posterior subcapsular cataracts occur at the back of the lens capsule. Each type of cataract may present with different symptoms and require specific treatment approaches, which can be discussed with the experienced team at Benaim Eye and Aesthetics.

How do you stop cataracts from getting worse?
While there is no proven way to prevent cataracts from forming or progressing, certain lifestyle modifications may help reduce the risk or slow the progression of cataracts. These include wearing sunglasses with UV protection, eating a balanced diet rich in antioxidants and nutrients, quitting smoking, managing underlying health conditions such as diabetes, and attending regular eye examinations for early detection and treatment.

What is the main cause of cataracts?
The primary cause of cataracts is age-related changes in the eye’s natural lens, leading to the accumulation of protein clumps and cloudiness. Other factors such as prolonged exposure to UV radiation, smoking, diabetes, eye injuries and certain medications can also increase the risk of developing cataracts. Understanding and addressing these risk factors, along with regular eye examinations, can help reduce the risk of cataracts and preserve vision.

Is having cataracts serious?
Cataracts are a common eye condition that can significantly impact vision and quality of life if left untreated. While cataracts themselves are not usually considered serious or life-threatening, they can lead to significant vision impairment and interfere with daily activities such as reading, driving or recognizing faces. Early diagnosis and treatment are crucial for effectively managing cataracts and preserving vision.

What makes cataracts suddenly worse?
Cataracts can worsen suddenly as a result of various factors such as increased exposure to UV radiation, eye trauma or injury, certain medications and underlying health conditions such as diabetes or high blood pressure. Additionally, changes in lifestyle habits such as smoking or poor nutrition may also contribute to the progression of cataracts. It’s essential to attend regular eye examinations to monitor changes in vision and detect any worsening of cataracts.

Can you stop cataracts from progressing?
While there is no proven way to stop cataracts from progressing, certain lifestyle modifications and protective measures may help slow their progression. These include wearing sunglasses with UV protection, eating a balanced diet rich in antioxidants and nutrients, quitting smoking, managing underlying health conditions such as diabetes, and attending regular eye examinations for early detection and treatment.

What medications make cataracts worse?
Certain medications, such as corticosteroids, antipsychotics and medications used to treat high blood pressure or cholesterol, may increase the risk of developing or worsening cataracts. It’s essential to discuss any medications you are taking during your eye examination to evaluate their potential impact on your eye health and vision.

Is cataract surgery painful?
Cataract surgery is typically not painful, as it is performed under local anesthesia to numb the eye and surrounding tissues. Most patients report feeling little to no discomfort during the procedure, which is performed on an outpatient basis. After surgery, some mild discomfort or irritation may occur, but this can usually be managed with over-the-counter pain relievers and prescription eye drops. The experienced team at Benaim Eye and Aesthetics will ensure your comfort and safety throughout the surgical process.

At what stage should cataracts be removed?
The decision to remove cataracts depends on various factors, including the severity of symptoms, the impact on daily activities and the individual’s overall eye health. In general, cataract surgery may be recommended when cataracts significantly impair vision and interfere with daily tasks such as reading, driving or recognizing faces. The experienced team at Benaim Eye and Aesthetics will evaluate your condition and recommend the most appropriate treatment approach for your needs.

What are the negatives of cataract surgery?
While cataract surgery is generally safe and effective, like any surgical procedure, it carries certain risks and potential complications. These may include infection, inflammation, bleeding, swelling, retinal detachment and changes in vision. However, with advancements in surgical techniques and

technology, the risk of complications is minimal, and most patients experience significant improvements in vision and quality of life following cataract surgery.

What is the average age for cataract surgery?
Cataract surgery is typically performed when cataracts significantly impair vision and interfere with daily activities, regardless of age. While cataracts commonly affect older adults, surgery may be recommended at any age, depending on the severity of symptoms and the individual’s overall eye health.

What is the new treatment for cataracts?
While cataract surgery remains the gold standard treatment for advanced cataracts, researchers are continually exploring new treatment options to improve outcomes and patient satisfaction. One promising approach is the use of femtosecond laser technology to perform cataract surgery, which offers greater precision and customization compared to traditional surgical techniques. Additionally, advancements in intraocular lens technology, such as multifocal and extended depth of focus lenses, aim to provide improved vision outcomes and reduced dependency on glasses following cataract surgery.

What do stage 1 cataracts look like?
In the early stages, cataracts may not cause significant symptoms or visual disturbances, making them difficult to detect without a comprehensive eye examination. However, some early signs of cataracts may include mild blurriness or cloudiness in vision, increased sensitivity to glare and difficulty seeing in dim light. If you experience any changes in your vision, it is essential to schedule an eye examination with the experts at Benaim Eye and Aesthetics for a comprehensive evaluation and diagnosis.

How to clear cataracts without surgery?
While there is no proven way to clear cataracts without surgery, certain lifestyle modifications and protective measures may help slow their progression and alleviate symptoms. These include wearing sunglasses with UV protection, eating a balanced diet rich in antioxidants and nutrients, quitting smoking, managing underlying health conditions such as diabetes, and attending regular eye examinations for early detection and treatment.

What causes blindness after cataract surgery?
Blindness after cataract surgery is rare but can occur as a result of complications such as infection, inflammation, retinal detachment or damage to the optic nerve. It’s essential to follow all post-operative instructions provided by your surgeon and attend all scheduled follow-up appointments to monitor your healing and address any concerns promptly.

How much will cataract surgery improve my vision?
The degree of vision improvement following cataract surgery depends on various factors, including the severity of cataracts, the individual’s overall eye health and the type of intraocular lens (IOL) implanted during the procedure. While most patients experience significant improvements in vision and quality of life following cataract surgery, some may still require glasses or contact lenses for certain activities such as reading or driving. The experienced team at Benaim Eye and Aesthetics will evaluate your condition and discuss the expected outcomes and treatment options tailored to your needs.

Can cataracts regrow after removal?
Once cataracts are surgically removed, they cannot regrow. However, some patients may develop a condition known as posterior capsular opacification (PCO), where the thin membrane behind the implanted intraocular lens (IOL) becomes cloudy over time, leading to visual disturbances similar to cataracts. PCO can be easily treated with a quick and painless laser procedure called YAG laser capsulotomy, which creates a small opening in the cloudy membrane to restore clear vision. Some ophthalmologists have a YAG laser in their office, making it unnecessary to return to a surgery center for this procedure.

What does vision look like with cataracts?
With cataracts, vision may appear blurry, cloudy or distorted, similar to looking through a foggy or frosted window. Patients may also experience increased sensitivity to glare, halos around lights, and difficulty seeing in dim light or at night. As cataracts progress, vision may continue to deteriorate, making it challenging to perform daily activities such as reading, driving or recognizing faces. If you experience any changes in your vision, it is essential to schedule an eye examination for a comprehensive evaluation and diagnosis.

How to tell when cataracts are getting worse?
Cataracts may worsen gradually over time, leading to progressive blurriness, cloudiness or distortion of vision. Other signs that cataracts are getting worse may include glare, difficulty seeing in dim light or at night and seeing halos around lights. If you notice any changes in your vision, it is crucial to schedule an eye examination for a comprehensive evaluation and diagnosis to determine the severity of your condition and discuss treatment options tailored to your needs with the experts at Benaim Eye and Aesthetics.

Can blood pressure medications cause cataracts?
Some studies suggest that certain medications used to treat high blood pressure, such as thiazide diuretics and beta-blockers, may increase the risk of developing cataracts. However, the link between blood pressure medications and cataracts is not entirely clear, and further research is needed to understand the relationship fully. It’s essential to discuss any medications you are taking, including blood pressure medications, with the experts at Benaim Eye and Aesthetics, during your eye examination to evaluate their potential impact on your eye health and vision.

Can high blood pressure cause cataracts?
High blood pressure, also known as hypertension, is a risk factor for various eye conditions, including cataracts. Chronic hypertension can affect blood flow to the eyes, leading to damage to the tiny blood vessels in the retina and increasing the risk of developing cataracts. Additionally, certain medications used to treat high blood pressure may also increase the risk of cataracts. It’s essential to manage blood pressure effectively through lifestyle modifications and medication under the guidance of a healthcare professional in order to reduce the risk of cataracts and other eye-related complications.

Is it safe to use eye drops with cataracts?
Using eye drops may help alleviate symptoms such as dryness, irritation or discomfort associated with cataracts, but they will not treat or cure the underlying condition. It’s essential to use eye drops as directed by your ophthalmologist at Benaim Eye and Aesthetics to avoid any drops that may contain ingredients that could exacerbate cataract symptoms or interfere with other treatments.