Cataract is the clouding of clear lens of eye, leading to reduced vision. It is an age-related process.
What is a lens?
Lens is a clear crystalline structure in the eye. It helps in focusing images on retina. Any changes causing denaturation of lens proteins makes it opaque thus blocking visual pathway and leads to blurred vision.
What are the types of cataract?
Depending upon which layer of lens is involved, it is can be –
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Nuclear
when central nucleus is opacified
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Cortical
when peripheral cortex involved
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Subcapsular
when layer beneath capsule of lens is involved
What are the stages of cataract?
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Immature cataract
here the patient has blurred vision. It affects patients’ daily routine and is an indication for surgery.
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Mature cataract
here because of total cataract, the patient has no vision and needs urgent cataract surgery.
What are the causes of cataract?
Congenital (since birth)
- Genetic disorders like Down’s syndrome or galactosemia
- Infective causes like toxoplasma, cytomegalovirus, herpes
Acquired causes
- The most common cause is age. Other reasons can be diabetes, trauma, inflammatory prolonged sun exposure, UV rays and drugs like steroids.
Risk factors
There are many reasons why a cataract can happen. Ageing, radiation, congenital issues, and many other factors contribute to susceptibility towards cataracts.
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Age
This is one of the most common causes of cataracts. The eye lens suffers degeneration over a period. The lens deterioration can happen much before than usual because of lifestyle diseases like diabetes and hypertension. The body is unable to restore the loss of lens quality. Medication intervention is the only solution.
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Smoking
Smoking and drinking contribute majorly towards increasing the odds of having a cataract. Smoking causes oxidation in the eye lens leading to changing the physiology of the lens. It also leads to metals collecting in the lens adding to the degeneration of the lens.