What Do You Know About Cataracts?
More than half of Americans 80 years and older have cataracts, the National Eye Institute (NEI) says.
1. Most cataracts related to aging are caused by proteins clumping in the lens of
the eye.
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The clumps of
protein cloud the eye's lens. The lens is a clear part of the eye that helps to focus
light on the retina, the light-sensitive tissue at the back of the eye. The lens must
be
clear for the retina to get a sharp image. Cataracts cut the amount of light that
can
reach the retina, the NEI says. This process is a gradual one. It happens so slowly
that
people don't notice much change in their vision. The cataract becomes a problem when
the
cloudy areas grow large enough to blur or dull vision. Cataracts can also develop
when
the lens slowly changes color, from clear to yellowish-brown. This type of cataract
puts
a brown tint on the world. That makes it more difficult to see blues and purples.
2. Although most cataracts are related to age, some can develop
after an eye injury.
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Sometimes the
cataract shows up years after the injury, the NEI says. Other causes of cataracts
include diabetes, steroid use, surgery for other eye problems, and radiation exposure.
Babies can be born with cataracts or develop them in childhood.
3. Smoking is a risk factor for cataracts.
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Advancing age is the
main risk factor for cataracts. Other risk factors besides smoking include heavy alcohol
use, diabetes, poor nutrition, medicines such as corticosteroids, trauma, and prolonged
exposure to sunlight.
4. A halo that appears around lights may be a symptom of cataracts.
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Lights also may seem
too bright. Other symptoms include cloudy or blurry vision, faded colors, difficulty
seeing at night, double vision, and a frequent need to change the prescription of
your
eyeglasses or contact lenses, the NEI says. If you have any of these symptoms, talk
with
your healthcare provider.
5. Cataracts eventually go away on their own.
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Cataracts don't go
away on their own. Cataracts don't cause vision problems at first, but over time they
grow large enough to affect your sight. This makes driving, reading, or watching TV
difficult, the NEI says. When this occurs, talk with your healthcare provider about
getting the cataracts removed. Surgery is the only way to treat cataracts. If you
have
cataracts in both eyes, surgery will be done on each eye separately. You will need
to
wait at least 4 weeks between procedures. According to the American Academy of
Ophthalmology, cataracts are the leading cause of blindness worldwide.
6. The most common type of cataract surgery uses ultrasound to break up the old eye
lens before a new lens is inserted.
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This procedure is
called phacoemulsification, or phaco for short. The surgeon makes a small cut on the
side of the cornea. The cornea is the clear, dome-shaped surface that covers the front
of the eye. They inserts a tiny device that sends out ultrasound waves, the NEI says.
The sound waves break up the old lens, and the lens is removed by suction. An artificial
lens called an intraocular lens (IOL) replaces the old lens. The IOL is made of clear
plastic. For people who cannot have an IOL, soft contact lenses or high-magnification
eyeglasses are an alternative.
7. Your vision may be blurry for several days after cataract surgery.
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This is because the
eye needs some time to heal after the surgery. The eye with the new lens also needs
time
to learn to focus with the other eye, the NEI says. Colors may also seem different
after
surgery. This is because the old lens may have dulled colors. You may need new
eyeglasses or contact lenses after your eye heals. Sometimes problems may develop
after
surgery. Possible problems include infection, bleeding, inflammation, and double vision.
These problems usually can be successfully treated.
8. A healthy diet may help reduce your risk for cataracts.
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Foods with
antioxidant properties are especially important, the NEI says. These foods include
leafy
green vegetables, and fruits. Another way to help prevent cataracts is to wear
sunglasses that protect against ultraviolet radiation and a hat with a brim when you
are
in sunlight. If you smoke, stop. You should also have a regular eye exam, particularly
if you are 60 or older. Your eye doctor will check for cataracts, as well as other
eye
conditions such as age-related macular degeneration and glaucoma.
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