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 Wang Hui Zhen
Ophthalmology
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What are the early symptoms of cataracts?

Cataracts are a vision-impairing disease caused by the clouding of the lens, a crucial optical component in the human eyeball, which is normally transparent. The clouding occurs due to the denaturation of lens proteins for various reasons, leading to various degrees of vision impairment in patients. Some patients with cataracts may not exhibit noticeable symptoms in the early stages, while others may experience mild blurriness in vision initially. As the cloudiness of the lens gradually worsens, the blurring of vision progressively intensifies. Some may even experience symptoms like nearsightedness, double vision, strabismus, or glare. If these symptoms occur, it is advised to seek prompt medical attention from an ophthalmologist, undergo relevant examinations, and based on the extent of lens cloudiness, decide whether cataract removal surgery is necessary.

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Written by Zhou Qing
Ophthalmology
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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.

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Written by Peng Xi Feng
Ophthalmology
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What department should I go to for cataracts?

The department for cataract consultations is ophthalmology. Various factors such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can cause metabolic disturbances in the lens, leading to the denaturation of lens proteins and resulting in opacity, known as cataracts. At this time, light is obstructed by the cloudy lens and cannot be projected onto the retina, causing blurred vision. This condition is commonly seen in individuals over forty years old, and the incidence increases with age. The disease can also be divided into congenital cataracts and acquired cataracts.

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Written by Li Min
Ophthalmology
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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.

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Written by Zheng Xin
Ophthalmology
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Difference between fundus diseases and cataracts

Diseases of the eye fundus mainly refer to diseases of the choroid and retina in the posterior segment of the eye, while cataracts are diseases of the lens in the middle segment of the eye, so there is a difference in their locations. Clinically, eye fundus diseases manifest as declining vision and obstructed vision, while cataracts manifest as blurred vision, foggy vision, or seeing halos around lights. Eye fundus diseases can be treated conservatively or surgically, whereas cataracts require surgical treatment.