Will the pupil turn white in the early stages of cataract?

Written by Tao Yuan
Ophthalmology
Updated on June 03, 2025
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Cataracts are a common eye disease in ophthalmology and are currently the leading cause of blindness in China, posing a serious threat to the eye health of the public. In the early stages of cataract formation, the lens inside the eyeball usually has only mild cloudiness. Visually, from the outside, the cloudiness in the pupil area cannot be seen with the naked eye. However, when a doctor uses a slit lamp microscope for enhanced observation, cloudy patches inside the lens can be detected. At this time, the patient's vision decline is not significant, and surgery might not be immediately necessary; it is feasible to continue monitoring the changes in vision. As the cataract progresses, the area of cloudiness in the lens gradually expands. When it develops to the middle or late stage, white patches can be seen in the pupil area with the naked eye, and surgical treatment becomes necessary.

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Written by Peng Xi Feng
Ophthalmology
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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 Peng Xi Feng
Ophthalmology
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The main symptoms of cataracts

The main symptoms of cataracts include: First, a decline in vision, which is the most obvious and significant symptom of cataracts. Second, a decrease in contrast sensitivity, particularly noticeable at high spatial frequencies in cataract patients. Third, changes in refractive power. Nuclear cataracts lead to increased lens power due to an increase in the lens and refractive index, causing nuclear myopia. Fourth, monocular diplopia or polyopia due to uneven refractive power across different parts of the lens, similar to the effect of a prism, resulting in monocular diplopia or polyopia. Fifth, glare. Sixth, changes in color perception. Seventh, varying degrees of visual field defects.

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Written by Li Zhen Dong
Ophthalmology
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Cataract ou, od, os means what?

OU, OD, and OS are common descriptions in ophthalmology. OU represents both eyes, OD represents the right eye, and OS represents the left eye. These are abbreviations. For example, visual acuity for both eyes is denoted as OU, visual acuity for the left eye as OS, and visual acuity for the right eye as OD. These terms are typically used in medical records, not only to describe conditions like cataracts. For instance, the condition of cataracts in both eyes would be described as OU: OD 0.1, OS 0.3.

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Written by Deng Jiang Tao
Ophthalmology
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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 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.