Cataracts are a condition of the eye.

Written by Peng Xi Feng
Ophthalmology
Updated on September 05, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Hu Shu Fang
Ophthalmology
34sec home-news-image

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.

doctor image
home-news-image
Written by Peng Xi Feng
Ophthalmology
53sec home-news-image

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.

doctor image
home-news-image
Written by Zhou Qing
Ophthalmology
1min 24sec home-news-image

Early symptoms of cataracts

The early symptoms of cataracts can manifest as day blindness or night blindness. When the cloudiness of the lens originates from the middle of the eye, the strong daylight and illumination can cause the pupil to contract, which then blocks the light from entering the eye, resulting in day blindness. When the cloudiness of the lens is located around the periphery of the eye, the dim light at night cannot reach the peripheral retina, thus causing night blindness. Other early symptoms of cataracts include the following: when the cloudiness of the lens is located at the pupil, patients may see fixed dots or patches of shadow in front of their eyes. However, since cataracts share similar characteristics with floaters, they should be distinguished; the shadows in floaters can move, while the shadows in cataracts are fixed. Varying degrees of blurry vision are also early symptoms of cataracts. Patients may experience gradually increasing blurriness of vision, often perceiving halos around lights or seeing colors of objects as dull and unclear. The early development of cataracts is quite slow and can be determined by the deepest and most obvious part of the lens cloudiness and its development condition.

doctor image
home-news-image
Written by Peng Xi Feng
Ophthalmology
48sec home-news-image

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.

doctor image
home-news-image
Written by Li Min
Ophthalmology
42sec home-news-image

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.