University of Iowa Health Science Relations and
Hansjoerg Kolder MD, PhD
Professor Emeritus of Ophthalmology & Visual Science
First Published: 2000
Last Revised: February 2004
Peer Review Status: Internally Peer Reviewed
Does your vision make you feel like you're looking through a
frosted window? Are you frequently changing eyeglass prescriptions?
Does the pupil of your eye appear yellowish or white? If you answered
yes to any of these questions, you might have a cataract.
A cataract clouds the eye's lens and prevents light rays from
reaching the retina to produce a clear image, says Dr. Hansjoerg
Kolder, professor emeritus of ophthalmology at the University of Iowa
College of Medicine and a staff physician at UI Hospitals and
Clinics. "The eye lens itself has no blood supply, so it depends upon
surrounding tissues for nutrients. If the tissues around it have poor
circulation, the lens suffers and a cataract forms," Kolder says.
There are four types of cataracts: age-related, congenital,
traumatic, and secondary.
Age-related cataracts, caused by the normal aging process, are the
most common. Cataracts can also develop in children, however. These
congenital cataracts may be hereditary or due to fetal or maternal
diseases.
Traumatic cataracts result from eye injuries, such as a puncture,
cut, severe blow, or exposure to toxic agents or intense heat.
Secondary cataracts are caused by diseases or infections of the
eye, but also following cataract surgery.
Eye drops, ointments, and other medications have not proved
successful in treating cataracts, Kolder says. The only effective way
to remove a cataract is with surgery, which is usually recommended if
the condition interferes with the patient's occupation and lifestyle.
During cataract surgery, the hard part of the lens, which is
called the nucleus, is removed and replaced with an artificial,
plastic lens. The new lens has the same optical power as the original
and is about 1/4 of an inch in diameter, Kolder says. Surgery usually
takes less than 30 minutes and is done on an outpatient basis, unless
there are complications, such as if the patient has diabetes.
"Cataract surgery is very successful. More than one million
operations are done each year," Kolder adds.
After surgery, most patients return to their normal activities
within a few days. Patients have to usually have return visits one
day post operatively and one month later.
If you are having trouble with your vision, consult your physician
or ophthalmologist.
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