Managing Mild Cataracts: Tips for Eye Care and Treatment Options - Ophthalmology

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Mild cataract


Hello, Dr.
Gao.
A few days ago, I visited an ophthalmologist and was diagnosed with mild cataracts, which are caused by degenerative changes due to high myopia.
During the vision test, my left eye was 0.7 and my right eye was 0.9.
The doctor only prescribed me eye drops for eye fatigue.

1.
Regarding the mild cataracts causing blurred vision and discomfort in my eyes, will this discomfort accelerate the progression of the cataracts?
2.
What steps should I take to care for my eyes to prevent further deterioration of the cataracts?
3.
Is it true that once cataracts develop, surgery is ultimately necessary to resolve the issue? Thank you for your answers, Dr.
Gao.

Axiang, 30~39 year old female. Ask Date: 2022/09/26

Dr. Gao Pilin reply Ophthalmology


Hello, Ah Xiang: 1.
It won't happen.
2.
Currently, there are no active measures.
3.
If it affects vision and causes inconvenience in daily life, then surgical treatment is necessary.

Reply Date: 2022/09/26

More Info


Hello! It's great that you're taking an active interest in your eye health, especially after being diagnosed with mild cataracts. Let's address your questions one by one, and I'll provide some additional insights on managing cataracts and maintaining overall eye health.

1. Does mild cataracts cause discomfort and accelerate deterioration?
Mild cataracts can indeed lead to symptoms such as blurred vision, glare, and discomfort, particularly in bright light. However, experiencing discomfort does not necessarily accelerate the progression of cataracts. Cataracts typically develop gradually, and while factors like age, genetics, and environmental influences (like UV exposure) can contribute to their progression, discomfort itself is not a direct cause of worsening cataracts. That said, if you're experiencing significant discomfort, it may be worthwhile to discuss this with your eye care professional, as they may recommend additional treatments to alleviate your symptoms.

2. How to care for your eyes to prevent cataracts from worsening?
There are several strategies you can adopt to maintain your eye health and potentially slow the progression of cataracts:
- Regular Eye Exams: Continue to have regular check-ups with your eye doctor to monitor the cataracts and overall eye health.

- Protect Your Eyes from UV Light: Wear sunglasses that block 100% of UVA and UVB rays when outdoors. This can help reduce the risk of cataracts worsening due to sun exposure.

- Healthy Diet: Incorporate foods rich in antioxidants, such as leafy greens, carrots, and fruits like oranges and berries. Nutrients like vitamins C and E, lutein, and zeaxanthin are particularly beneficial for eye health.

- Stay Hydrated: Drink plenty of water to keep your body and eyes hydrated.

- Limit Screen Time: If you spend long hours in front of screens, take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Avoid Smoking and Limit Alcohol: Both smoking and excessive alcohol consumption have been linked to an increased risk of cataracts.

3. Is surgery inevitable once diagnosed with cataracts?
Not necessarily. Many people live with cataracts for years without needing surgery, especially if their vision remains adequate for daily activities. Surgery is typically recommended when cataracts significantly impair vision and affect quality of life. The decision to proceed with surgery should be based on your symptoms, lifestyle, and the impact of cataracts on your daily activities. If your vision continues to decline or if you find that your symptoms interfere with your ability to perform tasks, it may be time to consider surgical options.

In summary, while mild cataracts can cause discomfort, they do not inherently accelerate their progression. By adopting a proactive approach to eye care, including regular check-ups, protective measures, and a healthy lifestyle, you can help maintain your vision and overall eye health. If you have ongoing concerns or if your symptoms worsen, do not hesitate to reach out to your eye care professional for further evaluation and personalized recommendations.

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