Cataracts

When we look at an object, light passes through the cornea, the lens and the vitreous into the eye before reaching the retina. The lens bundles the incoming rays of light to produce a focussed image on the retina. A cataract is a gradual clouding over of the lens over the course of a person's life.

Symptoms

A slight cloudiness at the start usually goes unnoticed except for perhaps an increased sensitivity to light. It is only as the lens becomes cloudier that vision is impaired:
• The sensitivity to bright light increases substantially.
• Contours become increasingly less focussed and blurred.
• Colours become paler – often without the person noticing.
• Double vision can occur.
• As the cataract progresses, everything appears "grey in grey" and "in a blur".


The term "cataract" comes from Greek and means "waterfall". The Greeks believed that the cloudiness of the eye flowed down from the brain.

Causes

In some rare cases cataracts may be congenital. Injuries, such as trauma to the eyeball or infections in the eye can cause the lens to become clouded. Some rare metabolic disorders and skin diseases as well as the prolonged intake of cortisone can also cause cloudiness of the lens. Cataracts are usually, however, associated with the natural aging process which is why we sometimes refer to "senile cataract". More than 90 per cent of people who suffer from cataracts are over sixty.

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