Cataracts and Retinal Detachment: Symptoms and Concerns - Ophthalmology

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Cataract eye disease inquiry?


Hello, doctor.
I would like to ask you about the signs and symptoms of certain eye diseases.

1.
In cataracts, can the black part of the eye appear white as seen in image searches? Does cataracts cause eye pain or any other noticeable symptoms? Is it true that cataracts cannot be prevented and that everyone will eventually develop them?
2.
Can retinal tears (or detachment) be seen with the naked eye? After a tear or detachment occurs, will there be a dark spot in the field of vision?
Thank you!

Niming, 10~19 year old female. Ask Date: 2021/05/25

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Cataracts refer to the clouding of the lens, not the whitening of the eyeball.
The lens, located behind the pupil, becomes opaque due to over-ripening.
Cataracts themselves are not painful and cause blurred vision.
Currently, there is no preventive measure available.
2.
Retinal detachment cannot be visually detected; it may lead to visual field loss, but it does not necessarily present as a distinct dark area.
Information found online should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/05/25

More Info


Cataracts and retinal detachment are two significant eye conditions that can lead to serious vision problems if not addressed promptly. Understanding their symptoms and implications is crucial for maintaining eye health.


Cataracts
1. Appearance of the Eye: Cataracts do not typically cause the visible change of the eye turning white, as seen in some images. Instead, cataracts usually manifest as a clouding of the lens inside the eye, which can lead to blurred vision, difficulty seeing at night, and sensitivity to light. In advanced cases, the lens may appear milky or cloudy, but this is not the same as the entire eye turning white.

2. Symptoms: Common symptoms of cataracts include:
- Blurred or cloudy vision
- Difficulty with night vision
- Sensitivity to light and glare
- Double vision in one eye
- Frequent changes in prescription glasses or contact lenses
- Fading or yellowing of colors
Cataracts generally do not cause pain or discomfort in the eye. However, as they progress, they can significantly impair vision, leading to difficulties in daily activities.

3. Prevention: While cataracts are often associated with aging and are common in older adults, there are some lifestyle choices that may help delay their onset. These include:
- Wearing sunglasses to protect against UV light
- Maintaining a healthy diet rich in antioxidants (like vitamins C and E)
- Avoiding smoking and excessive alcohol consumption
- Managing health conditions such as diabetes
However, it is important to note that cataracts cannot be completely prevented, and many people will develop them as they age.


Retinal Detachment
1. Detection: Retinal detachment itself cannot be seen with the naked eye, but certain symptoms can indicate its presence. These include:
- Sudden appearance of floaters or flashes of light
- A shadow or curtain effect over a portion of the visual field
- Sudden vision loss in one eye
If you experience any of these symptoms, it is crucial to seek immediate medical attention, as retinal detachment can lead to permanent vision loss if not treated promptly.

2. Visual Changes: When a retinal tear or detachment occurs, it can lead to a dark area in the visual field. This is often described as a "black spot" or "shadow" that can expand over time. The vision may become distorted, and straight lines may appear wavy.


Conclusion
Both cataracts and retinal detachment are serious conditions that require attention. If you or someone you know is experiencing symptoms associated with either condition, it is essential to consult with an eye care professional for a comprehensive examination. Early detection and treatment can significantly improve outcomes and preserve vision. Regular eye exams are vital, especially for individuals over the age of 50 or those with risk factors for eye diseases.

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