How is a cataract formed?

Written by Peng Xi Feng
Ophthalmology
Updated on September 30, 2024
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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 Wang Hui Zhen
Ophthalmology
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What are the early symptoms of cataract?

Early symptoms of cataracts are not obvious in some patients, while others may experience mild blurriness of vision. As the lens becomes cloudier, the blurriness will gradually worsen, and symptoms such as nearsightedness, glare, and double vision may also appear. In advanced stages, some may develop glaucoma, leading to symptoms like eye pain, headache, nausea, and vomiting, and in severe cases, it can cause blindness. Cataracts are a common and prevalent eye disease and are the leading cause of blindness worldwide. The lens, an important optical component of the human eye, is normally transparent. Cataracts can form due to various reasons leading to protein degeneration in the lens, causing it to become cloudy and result in various degrees of vision loss. It is recommended that patients with cataracts regularly visit ophthalmologists and consider cataract removal surgery if necessary.

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Written by Hu Shu Fang
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 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.

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Written by Zhou Qing
Ophthalmology
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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.

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Written by Peng Xi Feng
Ophthalmology
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What department should I go to for cataracts?

The department for cataract consultations is ophthalmology. Various factors such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can cause metabolic disturbances in the lens, leading to the denaturation of lens proteins and resulting in opacity, known as cataracts. At this time, light is obstructed by the cloudy lens and cannot be projected onto the retina, causing blurred vision. This condition is commonly seen in individuals over forty years old, and the incidence increases with age. The disease can also be divided into congenital cataracts and acquired cataracts.