Cataract Ophthalmology & Visual Sciences What is it? Cataract refers to cloudiness or opacity in the lens of the eye. They are readily detected during a routine eye examination.
What are the causes? Cataracts may be caused by many factors. Ageing is the most common cause of cataract in people over the age of 50. Diabetes, trauma to the lens, co-existing eye conditions and medications like steroids can also cause cataracts. Congenital cataract, occurring at birth or within the first year of life, may arise from hereditary conditions or an infection experienced while in the womb.
What are the symptoms? Blurred vision, seeing glares and/ or halos and multiple images are common symptoms of cataract. Another indication of cataract may be frequent change of spectacles. What are the treatments for cataract? Cataract surgery is the only effective way to treat the condition. Surgery may be necessary when your vision is affected significantly to impact your lifestyle or daily activities. • Phacoemulsification is a procedure using ultrasound energy to break up and remove the cataract. A new artificial lens, called the intraocular lens (IOL) is then implanted. The intraocular implants come in various powers suited for your eye.
Occasionally, thickening of the lens capsule may cause the vision to worsen many months to years after surgery. This may be easily treated with an outpatient procedure called laser capsulotomy performed with Nd:YAG laser. • Extra Capsular Cataract Extraction (ECCE) is performed when phacoemulsification is not suitable as in hard/advanced cataracts. The surgery involves lens removal via a large wound and then closing it with stitches, hence it has a longer recovery period. After surgery, eye drops should be regularly applied as prescribed by your specialist. A pair of spectacles may still be necessary after surgery for correction of astigmatism and near work such as reading.
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
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