A cataract is the clouding of the eye's
natural, clear lens that typically
occurs with aging. In the United
States, about 50% of those between
the ages 65 and 74, and 70% of those
over age 75, have a cataract. Women
are usually affected more frequently
than men.
There are three types of cataracts: nuclear, cortical or subcapsular.
Nuclear cataracts develop in the nucleus and are the type most commonly
found in older patients. They can take years to develop and often give the
nucleus a yellow tint.


Cortical cataracts form in the lens cortex (peripheral area). They
eventually extend like spokes on a wheel into the nucleus of the lens.

Subcapsular cataracts develop in the envelope of the lens, and often in the
center. The onset of this type is rapid and symptoms can develop over
months, rather than years.

Symptoms

Cataracts are painless and often progress slowly, so many years may pass
before a patient experiences symptoms. If only one eye develops a
cataract, the patient may never experience symptoms, as long as sight in
the other eye remains stable.

Common symptoms of cataracts include blurry vision, poor night vision,
halos around lights and sensitivity to bright sunlight or glare at night.

Treatments
Cataract surgery is one of the most commonly
performed and effective surgical procedures in the
United States. Approximately 90% of patients who
undergo cataract removal experience improved
vision afterward. Two procedures can be used to
remove a cataract: phacoemulsification and
extracapsular surgery.
Phacoemulsification is the most commonly used procedure. A small
incision is made on the side of the cornea and a tiny probe is inserted into
the eye. This probe emits an ultrasound wave that softens and breaks up
the cataract. The debris is then removed by suction.

Extracapsular surgery requires a longer incision in the cornea. The hard
center of the lens is removed in one piece and the rest of the lens is
suctioned out. The natural lens is then replaced with an intraocular lens
(IOL), a clear, artificial lens that becomes a permanent part of the eye.
The IOL is made of silicone, a plastic called PMMA, or acrylic. Light is
then able to pass to the retina, improving vision. The artificial lens does
not require additional care and the eye looks and feels normal.

Cataracts cannot be prevented mostly because they are age related.
However, there are some things you can do to prevent them or slow down
its progression including avoiding prolonged exposure to sunlight, avoid
smoking and heavy alcoholic consumption, increase your diet of fruits
and vegetables and take vitamin supplements.

Cataracts