Cataract is what?

Written by Peng Xi Feng
Ophthalmology
Updated on September 03, 2024
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All sorts of reasons, such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can cause metabolic disorders in the lens, leading to the denaturation of the lens proteins and resulting in opacity known as cataract. At this point, the light is obstructed by the opaque lens and cannot be projected onto the retina, causing blurred vision. It is commonly seen in people over the age of forty, and the incidence increases with age. This disease can be divided into congenital cataracts and acquired cataracts. Congenital cataracts are also known as developmental cataracts, and there are six types of acquired cataracts.

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Ophthalmology
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Postoperative Care for Cataract Surgery

Post-cataract surgery, it is crucial to maintain eye hygiene. Patients must follow the doctor's orders, regularly use antibiotic eye drops to prevent eye infections, and avoid allowing bacteria to enter the eye and cause intraocular inflammation, a very frightening postoperative complication. If intraocular inflammation occurs, the eye will become red and painful, and vision will significantly decrease, necessitating emergency surgery. Therefore, patients should clean their hands, apply eye drops on time, avoid letting tap water enter the eye, and refrain from rubbing their eyes to prevent reopening the wound and bacterial invasion. After surgery, it is also important to keep bowel movements regular to avoid constipation, which can increase abdominal pressure and cause eye pain due to straining.

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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 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 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 Peng Xi Feng
Ophthalmology
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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.