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Cataract Treatment 

What is a Cataract?

A cataract is a dense, cloudy area that forms in the lens of the eye. A cataract begins when proteins in the eye form clumps that prevent the lens from sending clear images to the retina. The retina works by converting the light that comes through the lens into signals. It sends the signals to the optic nerve, which carries them to the brain.

It develops slowly and eventually interferes with your vision. You might end up with cataracts in both eyes, but they usually don’t form at the same time. Cataracts are common in older people. It is the most common cause of vision loss in people over age 40 and is also the principal cause of blindness in the world. Types of cataracts include:

subcapsular cataract occurs at the back of the lens. People with diabetes or those taking high doses of steroid medications have a greater risk of developing a subcapsular cataract.

nuclear cataract forms deep in the central zone (nucleus) of the lens. Nuclear cataracts usually are associated with ageing.

cortical cataract is characterized by white, wedge-like opacities that start in the periphery of the lens and work their way to the centre in a spoke-like fashion. This type of cataract occurs in the lens cortex, which is the part of the lens that surrounds the central nucleus

What are the symptoms of Cataract?

At first, a cataract has little effect on your vision. You may notice that your vision is blurred a little, like looking through a cloudy piece of glass or viewing an impressionist painting.

A cataract may make light from the sun or a lamp seem too bright or glaring. Or you may notice when you drive at night that the oncoming headlights cause more glare than before. Colours may not appear as bright as they once did.

The type of cataract you have will affect exactly which symptoms you experience and how soon they will occur. When a nuclear cataract first develops, it can bring about a temporary improvement in your near vision, called "second sight."

If you think you have a cataract, see an eye doctor for an exam to find out for sure.

Common symptoms of cataracts include:

blurry vision

trouble seeing at night

seeing colours as faded

increased sensitivity to glare

halos surrounding lights

double vision in the affected eye

a need for frequent changes in prescription glasses

What Causes a Cataract?

The lens inside the eye works much like a camera lens, focusing light onto the retina for clear vision. It also adjusts the eye's focus, letting us see things clearly both up close and far away.

The lens is mostly made of water and protein. The protein is arranged in a precise way that keeps the lens clear and lets light pass through it.

But as we age, some of the protein may clump together and start to cloud a small area of the lens. This is a cataract, and over time, it may grow larger and cloud more of the lens, making it harder to see.

No one knows for sure why the eye's lens changes as we age, forming cataracts. But researchers worldwide have identified factors that may cause cataracts or are associated with cataract development.

Besides advancing age, cataract risk factors include several underlying causes of cataracts. These include:

overproduction of oxidants, which are oxygen molecules that have been chemically altered due to normal daily life

smoking

ultraviolet radiation

the long-term use of steroids and other medications

certain diseases, such as diabetes

trauma

radiation therapy

What are the types of Cataract?

There are different types of cataracts. They’re classified based on where and how they develop in your eye.

Nuclear cataracts form in the middle of the lens and cause the nucleus, or the center, to become yellow or brown.

Cortical cataracts are wedge-shaped and form around the edges of the nucleus.

Posterior capsular cataracts form faster than the other two types and affect the back of the lens.

Congenital cataracts, which are present at birth or form during a baby’s first year, are less common than age-related cataracts.

Secondary cataracts are caused by disease or medications. Diseases that are linked with the development of cataracts include glaucoma and diabetes. The use of the steroid prednisone and other medications can sometimes lead to cataracts.

Traumatic cataracts develop after an injury to the eye, but it can take several years for this to happen.

Radiation cataracts can form after a person undergoes radiation treatment for cancer.

What are the Risk Factors of Cataract?

Risk factors associated with cataracts include:

older age

heavy alcohol use

smoking

obesity

high blood pressure

previous eye injuries

a family history of cataracts

too much sun exposure

diabetes

exposure to radiation from X-rays and cancer treatments

How the Diagnosing of Cataracts happens?

Your doctor will perform a comprehensive eye exam to check for cataracts and to assess your vision. This will include an eye chart test to check your vision at different distances and tonometry to measure your eye pressure.

The most common tonometry test uses a painless puff of air to flatten your cornea and test your eye pressure. Your doctor will also put drops in your eyes to make your pupils bigger. This makes it easier to check the optic nerve and retina at the back of your eye for damage.

Other tests your doctor might perform include checking your sensitivity to glare and your perception of colours.

What is the treatment for cataract?

If you’re unable or uninterested in surgery, your doctor may be able to help you manage your symptoms. They may suggest stronger eyeglasses, magnifying lenses, or sunglasses with an anti-glare coating.

Surgery

Surgery is recommended when cataracts prevent you from going about your daily activities, such as reading or driving. It’s also performed when cataracts interfere with the treatment of other eye problems.

One surgical method, known as phacoemulsification, involves the use of ultrasound waves to break the lens apart and remove the pieces.

Extracapsular surgery involves removing the cloudy part of the lens through a long incision in the cornea. After surgery, an artificial intraocular lens is placed where the natural lens was.

Surgery to remove a cataract is generally very safe and has a high success rate. Most people can go home the same day as their surgery.

What is the Outlook of a Cataract?

Cataracts can interfere with daily activities and lead to blindness when left untreated. Although some stop growing, they don’t get smaller on their own. The surgical removal of cataracts is a very common procedure and is highly effective.

Prevention of Cataracts:

To reduce your risk of developing cataracts:

protect your eyes from UVB rays by wearing sunglasses outside

have regular eye exams

stop smoking

maintain a healthy weight

keep diabetes and other medical conditions in check

NEXT STEP

Before you agree to the test or the procedure make sure you know:

The name of the test or procedure

The reason you are having the test or procedure

What results to expect and what they mean

The risks and benefits of the test or procedure

What the possible side effects or complications are

When and where you are to have the test or procedure

Who will do the test or procedure and what that person’s qualifications are

What would happen if you did not have the test or procedure

Any alternative tests or procedures to think about

When and how will you get the results

Who to call after the test or procedure if you have questions or problems

How much will you have to pay for the test or procedure

   Types Of Cataract

Types of cataract surgery

There are majorly five types of cataract surgery, such as are Phacoemulsification (Phaco Surgery), Extracapsular Cataract Extraction (ECCE), Intracapsular Cataract Extraction (ICCE), Laser-Assisted Cataract Surgery (LACS), and Refractive Lens Exchange with Intraocular Lens (IOL) implants.Dec 1, 2023

a.Foldable and non foldable

b.Foldable IOls

c.Monofocal

b.Multifocal

c.EDOF( extended depth of focus lenses)

Types of intraocular lenses

Toric

a. monofocal

b. multifocal

What causes a cataract in the eyes?

The most common cause of cataracts is age-related changes in the lens of the eye, leading to opacity. Besides advancing age, cataract risk factors include:

  • Ultraviolet radiation

  • Diabetes

  • Hypertension

  • Smoking

  • Prolonged use of corticosteroid medications

  • Statin medicines used to reduce cholesterol

  • Previous eye injury or inflammation

  • Hormone replacement therapy

  • Significant alcohol consumption

  • High myopia

  • Family history

What is the course of Cataract Treatment?

The Saai Eye Hospital in Bangalore provides care to a large number of individuals exhibiting different cataract symptoms. Blurred vision, glare, light sensitivity, poor night vision, and fading colors are some of these symptoms. Expert physicians perform a thorough examination and use a variety of tests on people with cataracts in the eyes.

At Bangalore's Saai Eye Hospital, we're committed to giving our patients the best possible eye care. Using state-of-the-art technology, we provide complete cataract procedures that are precise and efficient. Our knowledgeable staff of experts responds to the particular requirements of every patient, guaranteeing a customized, patient-focused approach. With the use of cutting-edge diagnostic tools and tried-and-true surgical methods, we work to enhance and restore your vision so you can once again live clearly.

Bangalore's Top Cataract Surgeon

When it comes to the condition of your eyes, only the best care should be taken into consideration. Our staff at Saai Eye Hospital is lead by one of Bangalore's best cataract doctors. Our surgeons have a wealth of knowledge and a stellar reputation for providing each patient with unmatched care and attention. They make use of the most recent developments in ophthalmic technology to guarantee a speedy, safe, and efficient recovery, enabling you to regain your freedom and vision.

Comprehensive Ocular Examination: Determining the Actual Cause of Your Cataract

Refraction and retinoscopy are examinations performed to measure the eye's refractive error prior to cataract surgery. The measurement of intraocular pressure, or eye pressure, is done via tonometry. To assess the curvature of the eyeballs, use keratometry.

Comprehensive Ocular Examination: Determining the Actual Cause of Your Cataract

The only effective treatment option for cataracts is typically surgery. The surgery used to remove cataracts has undergone a significant revolution. Previously, an artificial lens was implanted and cataracts were removed with the use of a major incision in the eye. There were numerous difficulties with these operations, though. Consequently, smaller, self-sealing micro incisions are produced to insert a hard intraocular lens (IOL) following the development of minimal incision cataract surgery. Local anesthesia or topical anesthesia drops are used during cataract surgery. Using the most recent technology, like as phacoemulsification, self-healing incisions are used throughout the procedure to remove cataractous lenses. Receiving a cataract diagnosis can be frightening, but you're in good hands at Saai Eye Hospital. Our all-encompassing cataract care in Bangalore. blends cutting-edge technology with the knowledge

Surgery with Phacoemulsification for Cataracts

Phacoemulsification is a relatively new treatment in cataract surgery. It permits the insertion of flexible intraocular lenses and fewer incisions. As a result, it is often referred to as "phaco" or small incision cataract surgery. A little probe is put into the eye during the procedure. The hazy center of the lens is softened and broken by the probe using safe ultrasonic vibrations. It is thereafter removed by a suction. To restore eyesight, an artificial lens known as an Intraocular Lens of the highest caliber is implanted in place of this one. The rear portion of the lens capsule holds the intraocular lens in place (IOL). Furthermore, there is no need for sutures because contemporary foldable lens implants may fit through smaller incisions.

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