Advantages and disadvantages of cataract surgery for the elderly

Written by Wang Hui Zhen
Ophthalmology
Updated on April 02, 2025
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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 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.

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Written by Hu Shu Fang
Ophthalmology
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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
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What causes cataracts?

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 Peng Xi Feng
Ophthalmology
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Causes of cataracts

Various causes, such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can lead to metabolic disorders of the lens, causing the denaturation of lens proteins and resulting in cloudiness; this is called cataract. Cataracts can be divided into congenital and acquired. Congenital cataracts, also known as developmental cataracts, are divided into anterior polar cataracts, posterior polar cataracts, nuclear cataracts, and total cataracts. Acquired cataracts are divided into senile cataracts, complicated cataracts, traumatic cataracts, metabolic cataracts, radiation cataracts, and those related to medications and poisoning.

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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.