Cataract
What is Cataract?
Three types of cataracts classified according to their location in the eye.
- A nuclear cataract is when the cloudiness is present in the center of the lens.
- With the Cortical cataract, the cloudiness is seen in the outer peripheral region or cortical region of the lens.
- A subcapsular cataract occurs at the back of the lens capsule or subcapsular region. This type develops quicker and can appear more suddenly than nuclear and cortical cataract.
Cataracts are also classified according to the cause, either as age-related cataract, congenital cataract, secondary cataract or traumatic cataract.
Causes of Cataracts
- Age: As people age, changes can occur in the structure of the lens protein leading to cataract.
- Congenital: Cataract can occur in newborns as inherited disorder or can develop in infants because of infections in mother during pregnancy such as rubella, herpes simplex, and syphilis.
- Secondary causes: Cataract can form as a complication of other diseases such as glaucoma and diabetes. Prolonged use of corticosteroid inhalers and eye drops increases the risk of cataract.
- Trauma: Certain injuries may result in the formation of a cataract. A cataract may also develop years after the injury.
- Excessive exposure of the eyes to UV rays
- X-rays
- Other radiation during radiotherapy.
Cataracts usually develop very slowly and are not associated with any pain or redness of the eye. Your vision gradually becomes blurred as if you are looking through the dirty lens of a camera. Some patients may see a halo around bright lights. Others find the glare from the sun and headlights of approaching cars at night annoying. Some patients present with double vision in one of the eyes and the colors appear dull or muted. In others, frequent prescription changes for glasses or contact lens may become necessary.
Diagnosis for Cataracts
To assess the impact of cataract on your vision your doctor will perform a Visual Acuity Test where the patient reads an eye chart from a particular distance with one eye at a time. The doctor then examines the cornea, iris, and lens individually using an intense ray of light from a slit lamp to detect any abnormalities. For the retinal exam, eye drops are added to dilate the eye and the retina is examined for any abnormalities using an ophthalmoscope.



