What are Cataracts? 

A cataract is a cloudy area in the normally clear lens of the eye.  

There is a lens inside each of your eyes which bends or refracts light coming into the eyes to help you see. These lenses are typically clear, but if or when you develop a cataract, that means the lens in either one or both eyes has become cloudy, making vision like looking through a dirty or foggy window. If you have cataracts, it makes things look blurry, hazy, and less colorful.  

Risk Factors for Cataracts 

The most common cause for cataracts is the normal age-related changes which cause the clear lens of the eye to become cloudy when the proteins inside the eyes begin to break down. People over the age of 60 can start to develop clouding in their lenses, but typically changes in vision are gradual over several years.  

Other risk factors to develop cataracts include:  

• A family history of cataracts. If parents, siblings, or other family members have or had cataracts, this could mean you are at higher risk.  
• Diabetes. While cataracts are very common as you get older, people who have diabetes may develop them at a much earlier age.  
• Smoking.  
• Certain medications can be associated with the development of cataracts, including corticosteroids, chlorpromazine, and other phenothiazine related medications. 
• Poor diet with nutritional deficiencies including a lack of antioxidants.  
• Exposure to UV radiation. Studies show an increased chance of cataract formation with unprotected exposure to ultraviolet (UV) radiation. 

Symptoms of Cataracts 

Cataracts usually form very slowly over a period of years. Signs and symptoms of cataracts include blurry or hazy vision, increased sensitivity to light, especially when driving at night, reduced intensity of colors, and changes in the prescription for eyeglasses.  

Diagnosing Cataracts 

Cataracts can be diagnosed through a comprehensive eye exam at Decatur Family Eye Care by conducting some or all of the following tests.  

• Refraction: During the comprehensive eye exam at Decatur Family Eye Care, we will conduct a refraction to see if there are changes in your vision which require an updated prescription for eyeglasses or contact lenses.   
• Slit-lamp exam: The doctor at Decatur Family Eye Care will examine your cornea, iris, lens, and other areas in the front of the eye using a special slit-lamp microscope which allows the doctor to see anything abnormal.  
• Optical Coherence Tomography (OCT): Your doctor may utilize optical coherence tomography (OCT) to look closely at the retina. This machine scans the retina and provides the doctor with detailed images of the macular and the retina. The doctor may use special drops to dilate your eyes before this test is conducted, because it makes it easier to examine the retina. You will be asked to sit in front of the OCT machine so that that the scan of your eyes can be completed. Nothing touches your eye, and the test is painless. The test takes about 5 – 10 minutes to complete.   

Your doctor may also measure the pressure within each eye and do some other testing for color vision and sensitivity to glare from light. 

Treatment for Cataracts 

If there is a diagnosis of cataract, treatment for cataract will be determined based on the level of impairment to the vision. If the cataract isn’t affecting your vision very much or at all, then your doctor may recommend being aware of it so that any changes to vision can be monitored and will recommend a schedule for regular comprehensive eye exams to monitor the situation.  

 If cataracts have progressed to the point that they impact vision where you can’t do normal daily activities, surgery may be recommended. The doctors at Decatur Family Eye Care will refer you to a qualified Ophthalmologist in the area and will see you for follow-up care after surgery. Cataract surgery is common and very effective; in fact, it’s one of the most common and effective surgeries in the United States.

Cataract Prevention 

While most of the time cataracts develop due to the normal process of aging, it can help to wear quality sunglasses which block UV rays from the sun, stop smoking, and eat an eye-healthy diet which includes antioxidants to help prevent the development of cataracts.  

If you are concerned about cataracts, please contact us today to schedule your comprehensive eye exam.