Cataract

What is a cataract?

A cataract is a cloudy area in the lens of the eye. The lens is located inside the eye behind the iris (the colored part of the eye). The lens gets cloudier with age and can cause vision problems.

What is the cause?

Most cataracts happen naturally as people get older. What causes cataracts is not known, but many things may make cataracts more likely to form, such as:

• aging
• smoking
• eye injury or previous eye surgery
• diabetes or other diseases
• exposure to radiation, especially X-rays
• long-term use of steroid medicine
• exposure to medicines such as gout medicines, cholesterol lowering drugs, antibiotics, and diuretics
• inflammation in the front of the eye (iritis)
• prolonged exposure to sunlight

Cataracts don't spread from one eye to the other, but many people have cataracts in both eyes. The cataract can be worse in one eye compared to the other.

What are the symptoms?

The symptoms of a cataract include:

• blurred vision
• a need for frequent changes in your eyeglasses or contacts
• glare from lights, especially at night
• being sensitive to bright light
• change in color vision (yellow, orange, and red appear brighter and blue appears dull)

Cataracts do not usually cause complete blindness. However, it is possible to lose enough vision to make it hard to recognize objects.

How is it diagnosed?

Cataracts are often found during a routine eye exam. An eye care provider will evaluate your symptoms and talk with you about the best treatment.

How is it treated?

If a cataract is not interfering with your lifestyle or work, your provider may suggest changing your glasses or using brighter lights to help you read.

If the cataract cannot be helped with glasses or contact lenses, you may need surgery to remove the lens. The cloudy lens is replaced with a new plastic lens in the eye.

Lasers are not used to remove cataracts.

With glasses, contact lenses, or surgery, you can recover vision if the rest of your eye is normal. Surgery to remove cataracts is usually very successful in restoring vision. Although a cataract cannot grow back, you may develop a cloudy film over the covering of your lens months to years later. This membrane can be removed using a laser.

How can I take care of myself?

• Be sure to follow your provider's instructions.
• Call your eye care provider if your vision gets worse.
• Be careful when you drive at night. A cataract can make lights such as oncoming headlights seem very bright, causing a glare that makes it hard to see.

How can I help prevent cataracts?

You may reduce the risk of damaging your eyes and in turn reduce the risk of developing cataracts by wearing goggles or safety glasses at work or during activities where your eyes could be injured. Wearing glasses with a UV coating that protects your eyes from sunlight might prevent or delay some types of cataracts, but this is not proven.

If you have diabetes, good blood sugar control may slow the growth of cataracts.

If you smoke, try to quit or at least reduce the amount that you smoke.

Dietary supplements and vitamins have not been proven to prevent cataracts.

A baby can develop cataracts if a woman has German measles or other kinds of infections while pregnant. If you are a woman and plan to have a baby, make sure you have had a German measles (rubella) shot at least 1 month before you try to become pregnant. If you have German measles while you are pregnant, your baby's eyes will be checked by an eye care professional soon after birth.