Can cataracts be treated without surgery?

Written by Hu Shu Fang

Ophthalmology

Updated on September 28, 2024

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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

43sec

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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.

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Written by Peng Xi Feng

Ophthalmology

48sec

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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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Written by Hu Shu Fang

Ophthalmology

34sec

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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 Hu Shu Fang

Ophthalmology

36sec

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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 Peng Xi Feng

Ophthalmology

27sec

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Postoperative complications of cataract surgery

Complications after cataract surgery are relatively common and include the following types: First, incision leakage, leading to a shallow anterior chamber; Second, pupil block; Third, damage to the corneal endothelium, causing persistent corneal edema, and even bullous keratopathy; Fourth, anterior chamber hemorrhage; Fifth, epithelial implantation in the anterior chamber; Sixth, postoperative uveitis; Seventh, increased intraocular pressure; Eighth, abnormal positioning or dislocation of the intraocular lens; Ninth, macular edema, and retinal detachment can also occur.