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Cataract - adult

Lens opacity; Age-related cataract; Vision loss - cataract

A cataract is a clouding of the lens of the eye.

Causes

The lens of the eye is normally clear. It acts like the lens on a camera, focusing light as it passes to the back of the eye.

Until a person is around age 45, the shape of the lens is able to change. This allows the lens to focus on an object, whether it is close or far away.

As a person ages, proteins in the lens begin to break down. This makes the lens less flexible so that it is harder to focus on near objects. Over time, the lens becomes cloudy. What the eye sees may appear blurry at all distances. This condition is known as a cataract.

Factors that may speed cataract formation are:

  • Diabetes
  • Eye inflammation
  • Eye injury
  • Family history of cataracts
  • Long-term use of corticosteroids (taken by mouth) or certain other medicines
  • Radiation exposure
  • Smoking
  • Surgery for another eye problem
  • Too much exposure to ultraviolet light (sunlight)

Symptoms

Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse.

  • Mild clouding of the lens often occurs after age 60. But it may not cause any vision problems.
  • By age 75, most people have cataracts that affect their vision.

Problems with seeing may include:

  • Being sensitive to glare
  • Cloudy, fuzzy, foggy, or filmy vision
  • Difficulty seeing at night or in dim light
  • Double vision
  • Loss of color intensity
  • Problems seeing shapes against a background or the difference between shades of colors
  • Seeing halos around lights
  • Frequent changes in eyeglass prescriptions

Cataracts lead to decreased vision, even in daylight. Most people with cataracts have similar changes in both eyes, though one eye may be worse than the other. Often there are only mild vision changes.

Exams and Tests

A standard eye exam and slit-lamp examination are used to diagnose cataracts. Other tests are rarely needed, except to check for other causes of poor vision.

Treatment

For an early cataract, the eye doctor (ophthalmologist) may recommend the following:

  • Change in eyeglass prescription
  • Better lighting
  • Magnifying lenses
  • Sunglasses

As vision gets worse, you may need to make changes around the home to avoid falls and injuries.

The only treatment for a cataract is surgery to remove it. If a cataract is not making it hard for you to see, surgery is usually not needed. Cataracts usually do not harm the eye, so you can have surgery when you and your eye doctor decide it is right for you. Surgery is usually recommended when you can't do normal activities such as driving, reading, or looking at computer or video screens, even with glasses.

Some research found that having cataract surgery is associated with a lower risk of dementia but more research is needed to determine if this association was cause and effect.

Some people may have other eye problems, such as diabetic retinopathy, that can't be treated without first having cataract surgery.

Outlook (Prognosis)

Vision may not improve to 20/20 after cataract surgery if other eye diseases, such as macular degeneration, are present. The eye doctor can often determine this in advance.

Possible Complications

Early diagnosis and properly timed treatment are key to preventing permanent vision problems.

Although rare, a cataract that goes on to an advanced stage (called a hypermature cataract) can begin to leak into other parts of the eye. This may cause a painful form of glaucoma and inflammation inside the eye.

When to Contact a Medical Professional

Contact your eye care professional for an appointment if you have:

  • Decreased night vision
  • Problems with glare
  • Vision loss

Prevention

The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help. For example, if you smoke, now is the time to quit. Also, when outdoors, wear sunglasses to protect your eyes from harmful UV rays.

Open References

References

American Academy of Ophthalmology Preferred Practice Pattern Cataract and Anterior Segment Committee. American Academy of Ophthalmology website. Cataract in the adult eye PPP - 2021. www.aao.org/preferred-practice-pattern/cataract-in-adult-eye-ppp-2021-in-press. Updated November 2021. Accessed August 8, 2023.

American Academy of Ophthalmology Preferred Practice Pattern Cataract and Anterior Segment Panel, Hoskins Center for Quality Eye Care. American Academy of Ophthalmology website. Cataract /Anterior Segment Summary Benchmark 2022. www.aao.org/summary-benchmark-detail/cataract-anterior-segment-summary-benchmark-2020. Updated December 2022. Accessed August 8, 2023.

Ma LZ, Zhang YR, Li YZ, et al. Cataract, cataract surgery, and risk of incident dementia: a prospective cohort study of 300,823 participants. Biol Psychiatry. 2023;93(9):810-819. PMID: 35940935 pubmed.ncbi.nlm.nih.gov/35940935/.

Wevill M. Epidemiology, pathophysiology, causes, morphology, and visual effects of cataract. In: Yanoff M, Duker JS, eds. Ophthalmology. 6th ed. Philadelphia, PA: Elsevier; 2023:chap 5.5.

  • Cataract

    Animation

    •  

    Cataract - Animation

    Most cataracts are age related. They show up as a cloudy area in the lens.

  • Cataracts

    Animation

    •  

    Cataracts - Animation

    Many of us take for granted that, when we open our eyes each morning, we'll have a pretty clear view of the world. But as we get older, we often have trouble seeing as well as we used to. By the time you're 75, there's a pretty good chance you'll develop cataracts. Having cataracts is kind of like seeing through a blurry, hazy cloud. Let's talk today about cataracts. Normally the lens of your eye is clear. It works much like the lens on a camera. When light hits the lens, it focuses an image on the back of your eye. Until a person is around age 45, the shape of the lens is able to change. This allows the lens to focus on an object, whether it is close or far away. As we age, proteins in the lens begin to break down and the lens then becomes cloudy. A cataract is like having a cloud pass over your lens. Only, that cloud never moves on. Cataracts are common after the age of 60. But some people are more likely than others to get them than others; including those with diabetes, and people who smoke or who had surgery for another eye problem. You're also more likely to get cataracts if you don't wear sunglasses outside and your eyes are exposed to a lot of damaging ultraviolet light from the sun. People with a family history of cataracts are also at greater risk. And, sometimes, doctors can't even find any cause for them. When you have a cataract, the world looks blurry or fuzzy. You have trouble making out shapes, and colors aren't as rich as usual. You may not notice much of a change in your vision at first. For minor vision loss, you can compensate by changing your eyeglass prescription and using brighter lights to read or work. But eventually, the cataract will block more and more of your sight. And then you'll need surgery to have it removed and replaced your lens with a nice new artificial one. Often cataract surgery can restore 20/20 vision, especially in people who don't have other eye diseases. You may be able to live with your cataracts; at least, for a while. Even if your vision isn't bothering you however, keep in touch with your eye doctor. Letting a cataract go for too long can lead to other problems, including a certain type of glaucoma. If you can't see as well as you used to, get an eye exam. To protect your eyes, treat diseases like diabetes, which can cause cataracts. And always wear a good pair of sunglasses outside to shield your eyes from the ultraviolet damage from the sun.

  • Eye

    Eye - illustration

    The eye is the organ of sight, a nearly spherical hollow globe filled with fluids (humors). The outer layer (sclera, or white of the eye, and cornea) is fibrous and protective. The middle layer (choroid, ciliary body and the iris) is vascular. The innermost layer (retina) is sensory nerve tissue that is light sensitive. The fluids in the eye are divided by the lens into the vitreous humor (behind the lens) and the aqueous humor (in front of the lens). The lens itself is flexible and suspended by ligaments which allow it to change shape to focus light on the retina, which is composed of sensory neurons.

    Eye

    illustration

  • Slit-lamp exam

    Slit-lamp exam - illustration

    A slit-lamp, which is a specialized magnifying microscope, is used to examine the structures of the eye (including the cornea, iris, vitreous, and retina). The slit-lamp is used to examine, treat (with a laser), and photograph (with a camera) the eye.

    Slit-lamp exam

    illustration

  • Cataract - close-up of the eye

    Cataract - close-up of the eye - illustration

    This photograph shows a cloudy white lens (cataract) as seen through the pupil. Cataracts are a leading cause of decreased vision in older adults, but children may have congenital cataracts. With surgery, the cataract can be removed, a new lens implanted, and the person can usually return home the same day.

    Cataract - close-up of the eye

    illustration

  • Cataract surgery - series - Normal anatomy

    Cataract surgery - series - Normal anatomy

    Presentation

    •  

  • Cataract

    Animation

    •  

    Cataract - Animation

    Most cataracts are age related. They show up as a cloudy area in the lens.

  • Cataracts

    Animation

    •  

    Cataracts - Animation

    Many of us take for granted that, when we open our eyes each morning, we'll have a pretty clear view of the world. But as we get older, we often have trouble seeing as well as we used to. By the time you're 75, there's a pretty good chance you'll develop cataracts. Having cataracts is kind of like seeing through a blurry, hazy cloud. Let's talk today about cataracts. Normally the lens of your eye is clear. It works much like the lens on a camera. When light hits the lens, it focuses an image on the back of your eye. Until a person is around age 45, the shape of the lens is able to change. This allows the lens to focus on an object, whether it is close or far away. As we age, proteins in the lens begin to break down and the lens then becomes cloudy. A cataract is like having a cloud pass over your lens. Only, that cloud never moves on. Cataracts are common after the age of 60. But some people are more likely than others to get them than others; including those with diabetes, and people who smoke or who had surgery for another eye problem. You're also more likely to get cataracts if you don't wear sunglasses outside and your eyes are exposed to a lot of damaging ultraviolet light from the sun. People with a family history of cataracts are also at greater risk. And, sometimes, doctors can't even find any cause for them. When you have a cataract, the world looks blurry or fuzzy. You have trouble making out shapes, and colors aren't as rich as usual. You may not notice much of a change in your vision at first. For minor vision loss, you can compensate by changing your eyeglass prescription and using brighter lights to read or work. But eventually, the cataract will block more and more of your sight. And then you'll need surgery to have it removed and replaced your lens with a nice new artificial one. Often cataract surgery can restore 20/20 vision, especially in people who don't have other eye diseases. You may be able to live with your cataracts; at least, for a while. Even if your vision isn't bothering you however, keep in touch with your eye doctor. Letting a cataract go for too long can lead to other problems, including a certain type of glaucoma. If you can't see as well as you used to, get an eye exam. To protect your eyes, treat diseases like diabetes, which can cause cataracts. And always wear a good pair of sunglasses outside to shield your eyes from the ultraviolet damage from the sun.

  • Eye

    Eye - illustration

    The eye is the organ of sight, a nearly spherical hollow globe filled with fluids (humors). The outer layer (sclera, or white of the eye, and cornea) is fibrous and protective. The middle layer (choroid, ciliary body and the iris) is vascular. The innermost layer (retina) is sensory nerve tissue that is light sensitive. The fluids in the eye are divided by the lens into the vitreous humor (behind the lens) and the aqueous humor (in front of the lens). The lens itself is flexible and suspended by ligaments which allow it to change shape to focus light on the retina, which is composed of sensory neurons.

    Eye

    illustration

  • Slit-lamp exam

    Slit-lamp exam - illustration

    A slit-lamp, which is a specialized magnifying microscope, is used to examine the structures of the eye (including the cornea, iris, vitreous, and retina). The slit-lamp is used to examine, treat (with a laser), and photograph (with a camera) the eye.

    Slit-lamp exam

    illustration

  • Cataract - close-up of the eye

    Cataract - close-up of the eye - illustration

    This photograph shows a cloudy white lens (cataract) as seen through the pupil. Cataracts are a leading cause of decreased vision in older adults, but children may have congenital cataracts. With surgery, the cataract can be removed, a new lens implanted, and the person can usually return home the same day.

    Cataract - close-up of the eye

    illustration

  •   Cataract surgery - series - Normal anatomy

    Cataract surgery - series - Normal anatomy

    Presentation

    •  
 

Review Date: 8/4/2023

Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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