Is This a Sign of Cataracts? Eye Symptoms - Ophthalmology

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Is this cataracts?


Hello Doctor: I noticed a slight grayish area at the junction of my iris and sclera (it looks like a mix of the white of the eye and the iris) in both eyes, with the upper junction being more pronounced (though it's still just a little).
Last week, I had a follow-up examination for floaters at a large hospital (with dilation), but I only noticed this phenomenon yesterday while washing my face.
Is this normal? If it were cataracts, the doctor should have detected it during the dilation exam last week, right?

Ni, 20~29 year old female. Ask Date: 2018/05/12

Dr. Cai Wenyuan reply Ophthalmology


Hello, it is not cataracts, so please do not worry.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/12

More Info


The symptoms you are describing, specifically the grayish discoloration at the junction of the iris and the sclera (the white part of the eye), can be concerning, especially when combined with your history of floaters and other visual disturbances. However, it is essential to understand the context of these symptoms to determine whether they are indicative of cataracts or another eye condition.

Cataracts typically present as a gradual clouding of the lens of the eye, leading to blurred vision, difficulty seeing at night, sensitivity to light, and seeing halos around lights. They usually develop slowly and may not be noticeable in the early stages. The examination you underwent last week, which included dilation of your pupils, would have allowed the ophthalmologist to assess the lens of your eyes for any signs of cataracts. If cataracts were present, they would likely have been noted during that examination.

The grayish area you observed could be due to several factors. One possibility is a condition known as "arcus senilis," which is characterized by a gray or white arc around the cornea, often seen in older adults and typically not associated with any significant vision problems. It is caused by lipid deposits and is generally considered a normal finding in aging eyes.

Another possibility is a condition called "pterygium," which is a growth of tissue on the conjunctiva that can extend onto the cornea. This can appear as a grayish or yellowish area and may be associated with prolonged sun exposure or irritation from dust and wind. Pterygium can cause discomfort and visual disturbances if it grows large enough.

Given your history of floaters and other visual symptoms, it is crucial to monitor any changes in your vision closely. If the grayish area changes in appearance, if you experience new symptoms such as increased floaters, flashes of light, or significant changes in vision, it would be wise to return to your ophthalmologist for further evaluation.

In summary, while the grayish discoloration you observed may not be a direct sign of cataracts, it is essential to keep an eye on any changes and maintain regular check-ups with your eye care provider. They can provide a comprehensive assessment and determine if any treatment or further investigation is necessary. If you have concerns about your vision or if the symptoms persist, do not hesitate to seek medical advice. Regular eye exams are crucial for maintaining eye health, especially as we age or if we have pre-existing conditions.

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