What is the cataract OCT examination?

Written by Li Zhen Dong
Ophthalmology
Updated on June 02, 2025
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OCT is used for examining the macula and optic nerve head of the retina. It is a non-destructive, non-contact method that performs cross-sectional scanning of the ultrastructure on the retina. It primarily replaces ultrasound by using light waves to drive sound waves, conducting tomographic scans on biological tissues with low coherence, and displaying the results in forms of graphics and numbers. In this context, it is mainly used for diagnosing macular lesions and optic nerve head lesions. For cataract examinations, this method is generally not used; instead, ocular B-ultrasound and slit lamp microscopy are sufficient for detection.

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Written by Hu Shu Fang
Ophthalmology
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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 Deng Jiang Tao
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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.

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Written by Peng Xi Feng
Ophthalmology
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What are the treatment methods for cataracts?

For the treatment of cataracts, the curative method is surgery, as medications generally do not have a curative effect. For early-stage cataracts, medications can control the condition. However, for advanced cataracts, medications are essentially ineffective. Currently, there is no specific drug for treating cataracts, and surgery is the best option. The common surgical methods for cataract are: 1. Intracapsular cataract extraction; 2. Phacoemulsification; The modern technique of extracapsular cataract extraction combined with the implantation of an artificial lens has become the most widely used surgical method and is also a relatively mature technique.

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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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Cataracts are a condition of the eye.

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.