A cataract is a hazing or cloudiness of the lens which is normally
transparent that lays inside your eye. Typically cataracts are part of the aging
process. They gradually form and may not become a problem until you are in the
60’s or 70’s. Almost 100% of patients will develop cataracts if they
live long enough. It is now thought that prolonged exposure to ultra violet
light can accelerate the formation of cataracts. Cataracts, sometimes seen at
birth, may be related to medical diseases and certain medications such as
steroids.
The symptoms of a cataract are typically blurry vision or glare around
lights. This is gradual in nature in most cases. Early on the symptoms may be
most noticeable in dim light or when you face bright lights such as driving at
night.
Most patients who have early cataracts have only minimal symptoms and do not
require surgical treatment. For some patients a change in glasses will restore
vision to useful range. Sometimes a cataract can become quite dense in one eye
and you may not be aware of it until you cover the good eye. Although cataracts
are slow in progression no one can predict for sure how fast they will develop.
Some cataracts can progress very quickly in sometimes less than six months.
Currently the only effective treatment is surgical removal. In no stitch
cataract surgery using phacoemulcification the cataract is removed by making a
small incision into the front of the eye. The incision is tunnel like and self
seals when the surgery is completed reducing recovery time. A small probe using
ultrasound energy is inserted in through that opening and it breaks up the lens
in to tiny fragments that are then vacuumed out through a port at the tip of the
instrument.
After the cataract is removed a lens implant made out of a plastic material
is then inserted into the eye. This restores some of the function of the normal
lens in the eye. The incision is self sealing. The patients go home shortly
after the operation.
The success of cataract surgery in restoring sight is about 95% or more. It
is one of the most effective and safest operations performed today. The high
success rate is due to advances in microscope technique, high tech instruments
and the use of intraocular lenses.