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 A cataract is a cloudy area in the normally clear lens in the front of the eye. Cataracts are caused by a chemical change of unknown origin in the eye, and cause blurred or distorted vision. They cannot be prevented from forming, but early detection through regular eye exams can help maintain the clearest vision possible.
People at risk for developing cataracts are over 55 years old, have had eye injuries or disease, have a family history of cataracts, smoke cigarettes or use certain medications. There is no pain associated with the condition, but there are several symptoms that indicate failing vision due to cataracts. These include:
- Blurred/hazy vision
- Spots in front of the eye(s)
- Sensitivity to glare
- A feeling of “film” over the eye(s)
- A temporary improvement in near vision
Vision loss from cataracts can often be corrected with prescription glasses and contact lenses. For people who are significantly affected by cataracts, replacement surgery may be the preferred method of treatment. During cataract replacement, the most common surgical procedure in the country, the lens is removed and replaced with an artificial one called an intraocular lens or IOL.
During cataract surgery, a small ultrasonic probe is inserted into the eye which breaks up, or emulsifies, the cloudy lens into tiny pieces and gently sucks, or aspirates, those pieces out of the eye. Phaco surgery requires a small incision of only 3.2 mm or less. To make your procedure as painless as possible, anesthesia is a combination of local and/or topical along with IV sedation.
With the recent advance of foldable IOLs, artificial lenses can be implanted through the same small incision that is created in the phaco procedure. These IOLs are made of a flexible material, allowing them to be folded for implantation. Once inside the eye, the lens unfolds and returns to its original shape.
  Glaucoma is the term for when the pressure inside the eye rises high enough to damage the optic nerve. The condition often develops over many years without causing pain – so you may not experience vision loss until the disease has progressed. Glaucoma cannot be prevented, and vision lost to it cannot be restored. Left untreated, glaucoma can cause blindness. For these reasons, regular eye exams and early detection are critical.
The high eye pressure associated with glaucoma is caused by blockages in the eye’s fluid drains. No one knows yet why the blockages form.
Symptoms are occasionally present and should be taken as warning signs that glaucoma may be developing; these include blurred vision, loss of peripheral vision, halo effects around lights and painful or reddened eyes. People at the greatest risk include those who are over the age of 40, diabetic, near-sighted, African-American, or who have a family history of glaucoma.
Once diagnosed, glaucoma can be controlled. Treatments to lower pressure in the eye include non-surgical methods such as prescription eye drops and medications, laser therapy, and surgery.
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