Cataracts are a condition of the eye.

Written by Peng Xi Feng
Ophthalmology
Updated on September 05, 2024
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Cataracts are degenerative changes causing a decline in optical quality, which are due to the decreased transparency or color change of a structure in the eye called the lens. The pathogenesis of cataracts is quite complex, resulting from the long-term combined effects of various internal and external factors on the lens. The lens is situated in the fluid environment of the eye, and any factor impacting this environment, such as aging, genetics, metabolic abnormalities, trauma, radiation, poisoning, localized nutritional disorders, as well as certain systemic metabolic or immune diseases, can directly or indirectly damage the tissue structure of the lens, interfere with its normal metabolism, and cause the lens to become opaque.

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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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Ophthalmology
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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.

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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 Peng Xi Feng
Ophthalmology
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Cataract is what?

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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Consequences of not undergoing cataract surgery

First, it is important to understand what cataracts are. Cataracts are the clouding of the lens cortex, which commonly refers to the gradual whitening of the central pupil area, the black part of the eye. Cataracts, based on their stage of development, are divided into early, middle, and late stages. In the early stage of cataract, the vision is slightly impaired. In the middle stage, the cortex becomes moderately clouded, and vision might still be around 0.4 or 0.5. In the late stage, the cataract is severely matured, generally with vision lower than 0.3. Cataract in its early and middle stages might not necessarily require immediate surgery. However, in late stages, when vision drops below 0.3, surgery should be considered. If not treated surgically, the mature cataract can completely block light, progressively decreasing vision and eventually leading to blindness. Therefore, it is advisable to consider surgical treatment for cataracts in the late stage.