How is a cataract formed?

Written by Peng Xi Feng
Ophthalmology
Updated on September 30, 2024
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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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Written by Hu Shu Fang
Ophthalmology
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What are the symptoms of cataracts?

Cataracts are caused by the clouding of the lens, leading to a decline in vision. Early symptoms include blurred vision, sometimes seeing black spots, and some patients report a significant decrease in vision in dim light, with both near and distant vision being unclear. As cataracts progress, the decline in vision becomes more pronounced, severely affecting the quality of life. Some patients with cataracts may also experience double vision, changes in color perception, and a significant decrease in vision, requiring surgical treatment.

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Written by Deng Jiang Tao
Ophthalmology
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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.

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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 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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Written by Li Min
Ophthalmology
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Is cataract easy to treat?

If you are diagnosed with cataracts, we generally use surgical methods nowadays. Our surgical approach typically involves cataract phacoemulsification combined with the implantation of an artificial lens. If you have a simple case of cataracts without any other eye diseases—such as glaucoma, diabetic retinopathy, hypertensive retinopathy, or central retinal vein occlusion—the outcome after surgery is generally good. As for the eye drops for treating cataracts advertised on TV, like Sharp Eye Love, their effectiveness is not very certain in our medical practice. Currently, the main method of treating cataracts is still through surgery.