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Doctor insights on: Cortical Spoking Cataract

Yes but: Cataract cause: Cataract occur from change in lens proteins which cause whitening/clouding of clear lens composition: can be due to an infection or inflammation from birth (ie, rubella), old age/genetics, steroid use, trauma, poor diet; smoking & Diabetes increases risk. Cortical spoking is a lens change that technically is a cataract but not usually significant; More info: eyedoc2020@blogspot. Com

Sparing the nucleus: Cortical cataracts are in a layer of the lens outside of the nucleus which is the center of the lens. They are sometimes congenital. Depending upon the density they may disturb the vision but sometimes are thin enough not to be a problem. All cataracts can be removed with highly successful surgery if the vision is disrupted.

Cataract types: A cataract is a clouding of the natural lens of the eye. Most people will develop a diffuse clouding of the lens with age. This is referred to as a "nuclear sclerotic" cataract, or a senile cataract. It develops slowly after age 50-60, and may never have to be removed. A cortical cataract is a clouding usually on the front of the lens and may cause signficant glare. It may develop more quickly.

Cataract: when: Not all cataracts require surgery. If best vision is worse than 20/40 or glare is significantly affecting VA, most surgeons prefer to do surgery sooner but depends on pt's sx, pt's risk factors, pt's preferences; also, though no guarantees with any surgery, many patients are less dependent on glasses & even glasses free after surgery which helps many in decision process: eyedoc2020.blogspot. Com

Not true: There are no known 'home remedies', natural supplements, or medication with any proven efficacy in treating cataracts. Currently the treatment is observation, refractive correction (glasses etc) until surgery is indicated. I'm hopeful that, in the future, non surgical treatments will become available to this common condition.

Bifocals: Progressive lenses provide distance, intermediate and near vision without lines but are expensive. Bifocals provide distance and near vision with a line for about half the price of a progressive. Trifocals add intermediate vision with an additional line and the cost can approximate progressives. Some people can't adapt to progressive lenses but can tolerate bifocals and trifocals and vice vers.

Vision improves fast: Cataract surgery is a quick and easy procedure from which you can recover. Most people begin to see better within a day of the procedure, but this depends on the degree of cataract as well as the type of cataract surgery you have. Depending on your work, you may be able to resume normal activities almost immediately. Speak with your eye surgeon about your particular situation.

Damaged lens: When the natural lens of your eye opacify through time and aging and damage from uv, we then call it a cataract.

Cataracts will…: Develop and everyone because this is part of the natural aging process. However there are some people whose cataracts develop earlier than others and this can be asymmetric, meaning one is much much worse than the other.

Many: Can have many symptoms. Most common are decreased in vision with activities of daily living. Reading small print, street signs, glare from lights, halos or star-bursting at night, reading the sports score on tv, etc.

Aging and...: The biggest factor is aging, but ultraviolet light (sunlight, tanning boothes) and smoking are big factors as well. Some medical diseases such as diabetes, and some medications, such as steroids can also lead to increasing cataracts. More info: cataract surgery michigan.

No: Only if they cause visual disability and only if you want to have better vision. In rare circumstances they have to be removed for medical reasons

Cataract tests: If best vision is worse than 20/40 or glare (BAT: brightness acuity test) is significantly affecting VA, most surgeons prefer to do surgery soon but depends on pt's sx, pt's risk factors, pt's preferences; Other tests help determine significance of cataract if need: PAM Potential Acuity meter; OCT, ECC, Pentacam, Tear OSM; More info: eyedoc2020.blogspot. Com

Cataract Symptoms: First symptom is usually increased glare when driving, haloes, blurry vision, fluctuation and dimming of vision. Cataract is the leading cause of blindness still in the world. Femtosecond cataract surgery will likely prove to be the best treatment.

Multifocal vision: The new iol (intraocular lenses) are of 2 kinds, one allow you to see far and near (like a bifocal contact lens) and the other corrects for astigmatism. There is I believe one on the way that might do both but not yet on the market. Since cataract patients are senior the multifocal lens is a great advantage (but somewhat costly).

Yes: Cataracts cause halos/glare especially when driving at night, blurry vision, loss of contrast sensitivity (decreased contrast between objects & background) & decreased vision: even on; these symptoms worse with time. Cataract is leading cause of preventable blindness in world. More info: eyedoc2020@blogspot. Com

Readiness: The terms mature and non mature cataract relate to the cataracts readiness to be electively removed. Mature cataract has significant visual symptoms of blurry vision, glare from light sources, and general overall interference with normal activities of daily living. A non-mature cataract has far fewer symptoms.

Signs of cataract: Cataracts cause halos/glare especially when driving at night, blurry vision, loss of contrast sensitivity (decreased contrast between objects & background) & decreased vision: even on; these symptoms worse with time. Cataract is leading cause of preventable blindness in world. More info: eyedoc2020@blogspot. Com

Surgery when poor VA: Not all cataracts require surgery. If best vision is worse than 20/40 or glare is significantly affecting VA, most surgeons prefer to do surgery sooner but depends on pt's sx, pt's risk factors, pt's preferences; also, though no guarantees with any surgery, many patients are less dependent on glasses & even glasses free after surgery which helps many in decision process: eyedoc2020.blogspot. Com

Age: Age, as you get older cataracts develop. Other causes can be trauma, steroid usage, prior eye surgery, genetics. Risk factors are UV sun exposure, steroids, smoking.