Cataract is what?

Written by Peng Xi Feng
Ophthalmology
Updated on September 03, 2024
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All sorts of reasons, such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can cause metabolic disorders in the lens, leading to the denaturation of the lens proteins and resulting in opacity known as cataract. At this point, the light is obstructed by the opaque lens and cannot be projected onto the retina, causing blurred vision. It is commonly seen in people over the age of forty, and the incidence increases with age. This disease can be divided into congenital cataracts and acquired cataracts. Congenital cataracts are also known as developmental cataracts, and there are six types of acquired cataracts.

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Written by Hu Shu Fang
Ophthalmology
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What causes cataracts?

There are many factors that cause cataracts, the most common being age-related cataracts. As we age, we are exposed to ultraviolet rays which can cause degeneration of the lens. The older a person is, the more ultraviolet rays they absorb. Some cataracts are also caused by medications, such as long-term use of steroids. Additionally, some cataracts are caused by trauma; if the lens is accidentally punctured during an injury, it can rapidly deteriorate. There are also congenital cataracts caused by intrauterine infections. The causes are various, and in diabetic patients, their cataracts can progress more quickly because high blood sugar can lead to changes in the osmotic pressure of the lens.

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Written by Hu Shu Fang
Ophthalmology
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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.

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Written by Li Min
Ophthalmology
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Symptoms of cataracts

The symptoms of cataracts are diverse. Firstly, the most primary manifestation is a decline in vision, which is a painless and gradual decrease. Unlike glaucoma, where the decrease in vision is accompanied by swelling pain in the eyes and even headaches, the vision decrease in cataracts occurs gradually and not suddenly. If the onset is sudden, then it is generally not considered to be caused by cataracts. Besides the painless, gradual decline in vision, some patients may experience a decrease in contrast sensitivity, and changes in refraction. For example, patients who have presbyopia might find that their presbyopia diminishes and their nearsightedness worsens if they develop cataracts, particularly nuclear cataracts. Some people may experience monocular diplopia or polyopia, as well as varying degrees of visual field defects.

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Written by Peng Xi Feng
Ophthalmology
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Causes of cataracts

Various causes, such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can lead to metabolic disorders of the lens, causing the denaturation of lens proteins and resulting in cloudiness; this is called cataract. Cataracts can be divided into congenital and acquired. Congenital cataracts, also known as developmental cataracts, are divided into anterior polar cataracts, posterior polar cataracts, nuclear cataracts, and total cataracts. Acquired cataracts are divided into senile cataracts, complicated cataracts, traumatic cataracts, metabolic cataracts, radiation cataracts, and those related to medications and poisoning.

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Written by Li Zhen Dong
Ophthalmology
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Cataract ou, od, os means what?

OU, OD, and OS are common descriptions in ophthalmology. OU represents both eyes, OD represents the right eye, and OS represents the left eye. These are abbreviations. For example, visual acuity for both eyes is denoted as OU, visual acuity for the left eye as OS, and visual acuity for the right eye as OD. These terms are typically used in medical records, not only to describe conditions like cataracts. For instance, the condition of cataracts in both eyes would be described as OU: OD 0.1, OS 0.3.