Subscribe
Cataract
How is a cataract formed?
Inside the eyeball, there is a relatively important transparent tissue called the lens. Clinically, clouding of the lens is referred to as cataracts. Many factors, such as aging, genetics, metabolic abnormalities like diabetes, trauma, radiation, poisoning, and local nutritional disorders, can lead to damage to the capsule of the lens, increasing its permeability and losing its barrier function, or causing metabolic disturbances in the lens. This can cause the proteins in the lens to denature, leading to cloudiness of the lens, which is known as cataracts. Under a slit lamp microscope, varying degrees of cloudiness in the lens can be observed.
What are the treatment methods for cataracts?
For the treatment of cataracts, the curative method is surgery, as medications generally do not have a curative effect. For early-stage cataracts, medications can control the condition. However, for advanced cataracts, medications are essentially ineffective. Currently, there is no specific drug for treating cataracts, and surgery is the best option. The common surgical methods for cataract are: 1. Intracapsular cataract extraction; 2. Phacoemulsification; The modern technique of extracapsular cataract extraction combined with the implantation of an artificial lens has become the most widely used surgical method and is also a relatively mature technique.
Can cataracts be treated without surgery?
In the early stages of cataracts, if one's vision is still greater than 0.3 and they feel it does not affect daily life, it is possible to initially observe without immediate intervention. If the cataracts have significantly worsened vision and greatly impacted the quality of life, and the severity of the cataracts is considerable, then it is advisable to undergo cataract surgery at an appropriate time. Currently, cataract surgery is very advanced, and the only treatment option for cataracts is surgical intervention, as medication is not very effective.
Postoperative complications of cataract surgery
Complications after cataract surgery are relatively common and include the following types: First, incision leakage, leading to a shallow anterior chamber; Second, pupil block; Third, damage to the corneal endothelium, causing persistent corneal edema, and even bullous keratopathy; Fourth, anterior chamber hemorrhage; Fifth, epithelial implantation in the anterior chamber; Sixth, postoperative uveitis; Seventh, increased intraocular pressure; Eighth, abnormal positioning or dislocation of the intraocular lens; Ninth, macular edema, and retinal detachment can also occur.
Early symptoms of cataracts
The early symptoms of cataracts can manifest as day blindness or night blindness. When the cloudiness of the lens originates from the middle of the eye, the strong daylight and illumination can cause the pupil to contract, which then blocks the light from entering the eye, resulting in day blindness. When the cloudiness of the lens is located around the periphery of the eye, the dim light at night cannot reach the peripheral retina, thus causing night blindness. Other early symptoms of cataracts include the following: when the cloudiness of the lens is located at the pupil, patients may see fixed dots or patches of shadow in front of their eyes. However, since cataracts share similar characteristics with floaters, they should be distinguished; the shadows in floaters can move, while the shadows in cataracts are fixed. Varying degrees of blurry vision are also early symptoms of cataracts. Patients may experience gradually increasing blurriness of vision, often perceiving halos around lights or seeing colors of objects as dull and unclear. The early development of cataracts is quite slow and can be determined by the deepest and most obvious part of the lens cloudiness and its development condition.
Postoperative Care for Cataract Surgery
Post-cataract surgery, it is crucial to maintain eye hygiene. Patients must follow the doctor's orders, regularly use antibiotic eye drops to prevent eye infections, and avoid allowing bacteria to enter the eye and cause intraocular inflammation, a very frightening postoperative complication. If intraocular inflammation occurs, the eye will become red and painful, and vision will significantly decrease, necessitating emergency surgery. Therefore, patients should clean their hands, apply eye drops on time, avoid letting tap water enter the eye, and refrain from rubbing their eyes to prevent reopening the wound and bacterial invasion. After surgery, it is also important to keep bowel movements regular to avoid constipation, which can increase abdominal pressure and cause eye pain due to straining.
What is good to eat for cataracts?
Research shows that cataracts are related to the lack of certain trace elements, vitamin B, vitamin C, and amino acids. Therefore, we should eat more vegetables, fruits, fish, meat, and animal organs that contain the above substances in our diet. The diet should be light, avoiding greasy, heavily salted foods and strong spices. At the same time, smoking and alcohol should be avoided to cultivate good eating habits and maintain balanced nutrition. Additionally, it is important to rest and boost one's immunity, which are beneficial for preventing cataracts and inhibiting their progression.
Is vitreous opacity cataract?
Vitreous opacity and cataract are two different concepts; they are two different diseases. Vitreous opacity occurs when the collagen in the vitreous cavity slowly emulsifies into a turbidity. A cataract occurs when the lens inside the human eye becomes cloudy, forming a cataract. These are two completely different diseases, and their treatment methods are generally different as well. Cataract treatment primarily involves surgery, whereas vitreous opacity, including floaters, does not require surgical treatment.
Does cataract cause headache?
The main symptoms of cataracts include a decline in vision, with both near and far objects appearing unclear, and blurry vision. There is no significant eye pain or headaches, nor does it cause redness in the eyes. If headaches do occur, it is important to investigate the cause, such as checking if there is an increase in eye pressure or if the headache is caused by glaucoma, and to treat according to the specific cause. However, in the later stages or over-mature stage of cataracts, the lens may dissolve, which can potentially lead to phacolytic glaucoma, but this condition is very rare.
Does cataract spread by contagion?
Firstly, cataracts are the clouding of the lens inside our eyes, known as cataracts. Cataracts are not contagious. Based on the cause, cataracts can be classified into age-related cataracts (previously referred to as senile cataracts), metabolic cataracts, secondary cataracts, traumatic cataracts, and radiation cataracts. The most common type in clinical settings is age-related cataracts, which are commonly seen in middle-aged and elderly individuals over fifty years old. Its clinical presentation is a painless, gradual decline in vision. Currently, the only effective treatment is surgical intervention.