What causes cataracts?

Written by Hu Shu Fang
Ophthalmology
Updated on September 13, 2024
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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 Tao Yuan
Ophthalmology
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Can cataracts be treated with medication in the early stages?

Cataract is a common eye disease and is currently the leading cause of blindness. It often occurs in middle-aged and elderly people, patients with high myopia, and those with chronic inflammation in the eyes. Cataracts can cause a decline in vision, severely reducing the quality of life. In the early stages of cataract formation, it is possible to treat with medication, such as applying eye drops like benzylarginine and pinoxacin, which can delay and prevent the worsening of cataracts. However, it cannot reverse the vision decline caused by cataracts. If the vision decline caused by cataracts has severely affected normal life, work, and study, surgical treatment should be considered promptly. Only by removing the cloudy lens inside the eyeball and replacing it with a transparent artificial lens can vision be restored.

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Written by Wang Hui Zhen
Ophthalmology
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Advantages and disadvantages of cataract surgery for the elderly

Any surgery carries risks, and cataract surgery is no exception. However, many elderly people have mature cataracts that require prompt surgical treatment. If not addressed timely, it can lead to blindness or even cause secondary glaucoma, leading to symptoms such as eye pain, headaches, nausea, and vomiting. In some advanced cases, it can lead to neovascular glaucoma, making it difficult to control intraocular pressure. Cataracts are a vision-impairing disease caused by the clouding of the lens, which is an important optical component in the human eyeball. Normally, the lens is transparent. In elderly people, the lens proteins often degenerate and age, leading to cloudiness and various degrees of vision impairment. It is advisable for those with cataracts to seek prompt ophthalmologic care and, if necessary, undergo cataract removal surgery. Complications and sequelae from cataract surgery may include postoperative infection, shallow anterior chamber, corneal edema, explosive bleeding, macular edema, and more.

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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.

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Written by Hu Shu Fang
Ophthalmology
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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.

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Written by Tao Yuan
Ophthalmology
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Cataract Causes

Cataracts can be caused by many reasons, with the following common scenarios: First, due to aging factors, as age increases, the proteins in the lens of the eye gradually degenerate, leading to cloudiness and reduced transparency of the lens, ultimately resulting in cataracts. Second, cataracts can be caused by eye trauma, where a significant impact can damage the structure of the lens. Third, they can be caused by chronic inflammation within the eye, such as uveitis or iridocyclitis, where the inflammation leads to the degeneration of lens proteins. Fourth, long-term use of steroid medications can affect the metabolism of lens proteins, thereby leading to the development of cataracts.