Additional Vision Related Conditions

Cataract

A common eye condition that causes the natural lens of the eye to become cloudy, leading to blurred or reduced vision.

Understanding cataracts

A cataract is a common eye condition that causes the natural lens of the eye to become cloudy, leading to blurred or reduced vision. Cataracts usually develop gradually over time and are most often associated with ageing, although they can also occur as a result of injury, certain medical conditions, medications, or be present from birth.

Unlike retinal diseases, cataracts affect the lens at the front of the eye rather than the retina at the back of the eye. However, cataracts frequently occur alongside retinal conditions and may influence diagnosis, monitoring, and treatment outcomes.

For people living with retinal conditions, managing cataracts can play an important role in maintaining the best possible vision and quality of life.

What is a cataract?

The eye’s natural lens helps focus light onto the retina, allowing us to see clearly. A cataract develops when proteins within the lens begin to break down and clump together, causing the lens to become cloudy.

As the cataract progresses, less light reaches the retina, making vision increasingly blurred or dim.

Although cataracts are one of the leading causes of vision impairment worldwide, they are also one of the most treatable eye conditions through modern cataract surgery.

~65 million

people worldwide have significant vision impairment caused by cataracts

~50%

of people over 80 have a cataract or have had cataract surgery

>90%

experience improved vision after cataract surgery

Symptoms

How cataracts can affect vision

Cataracts usually develop slowly, and symptoms often become more noticeable over time.
Common symptoms include:
  • Blurred or cloudy vision
  • Difficulty seeing at night
  • Increased sensitivity to bright lights or glare
  • Halos around lights
  • Colours appearing faded or yellowed
  • Frequent changes in glasses prescription
  • Double vision in one eye
  • Difficulty reading or recognising faces
Diagnosis

Identifying Cataracts

Cataracts are diagnosed through a comprehensive eye examination performed by an optometrist or ophthalmologist.
Assessment may include:
  • Visual acuity testing
  • Dilated eye examination
  • Slit-lamp examination
  • Retinal examination
  • Imaging tests where appropriate
Treatment & Management

Supporting individuals living with cataracts

The only effective treatment for cataracts is surgery. Cataract surgery involves removing the cloudy natural lens and replacing it with a clear artificial intraocular lens (IOL). It is one of the most commonly performed and successful surgical procedures worldwide. For many people, surgery results in significant improvements in vision. However, for individuals with retinal conditions, the extent of visual improvement depends on the health of the retina. Cataract surgery can improve the clarity of vision but cannot reverse vision loss caused by retinal disease. Your ophthalmologist will discuss the potential benefits and expected outcomes based on your individual circumstances.
Living with Cataracts

Adapting to diagnosis

Many people continue to manage well during the early stages of cataract development by updating their glasses prescription, improving lighting, or using magnifying devices.

As cataracts progress, daily activities such as reading, driving, recognising faces, or navigating unfamiliar environments may become increasingly difficult.

For people living with retinal conditions, it can sometimes be challenging to distinguish whether changes in vision are caused by cataracts, the retinal condition itself, or both. Regular eye examinations are therefore essential.

Support from low vision services, rehabilitation specialists, and patient organisations can help people maintain independence and quality of life.

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