Cataracts, high myopia, and floaters?
Doctor, can cataracts cause a sensation of dimming vision? I had a dilated eye exam on June 12, and the doctor said that the distortion I experience when looking at floor tiles is due to cataracts.
The vision test results were still acceptable, so surgery is not yet necessary.
I hadn't noticed it before, but recently I've felt that my vision seems slightly dimmer.
Can cataracts cause this kind of situation? I don't notice it when using both eyes, but I can feel it when using one eye, and I have cataracts in both eyes!
Xiao Zhi, 30~39 year old female. Ask Date: 2023/07/01
Dr. Gao Pilin reply Ophthalmology
Hello: Cataracts typically occur with aging, causing the lens in the eye to become cloudy, which affects visual quality.
Cataracts can lead to issues such as blurred vision, astigmatism, changes in color perception, and reduced contrast sensitivity.
In the early stages of cataracts, there may only be a slight impact on vision, and visual acuity tests may still fall within the normal range.
However, as cataracts progress, vision may gradually decline, and there may be a sensation of dimming or shadows in the visual field.
Distorted images may also occur.
When viewing with both eyes, the brain may compensate, making vision appear normal at times.
However, when viewing with one eye, the effects become more noticeable.
Reply Date: 2023/07/01
More Info
Cataracts are a common eye condition that can significantly affect vision, particularly as they progress. They occur when the lens of the eye becomes cloudy, which can lead to various visual disturbances, including blurred vision, difficulty seeing at night, and changes in color perception. One of the symptoms that many people with cataracts report is a sensation of darkening vision or a general dimming of light.
When you mention that you have noticed a slight darkening in your vision, it is indeed possible that this is related to your cataracts. As cataracts develop, they can scatter light entering the eye, leading to a reduction in the amount of light that reaches the retina. This can create a feeling of dimness or darkness in your visual field, especially in low-light conditions. Additionally, cataracts can cause visual distortions, such as the warping of straight lines, which you mentioned when looking at tiled floors.
The fact that you notice this darkening more in one eye than the other is also not uncommon. Cataracts can progress at different rates in each eye, leading to asymmetrical symptoms. In some cases, one eye may be more affected than the other, resulting in a noticeable difference in visual clarity and brightness between the two eyes.
It's important to note that while cataracts can cause these symptoms, they are not the only potential cause of darkening vision. Other conditions, such as glaucoma, retinal diseases, or even systemic health issues like diabetes, can also lead to similar visual disturbances. Therefore, it’s crucial to have regular eye examinations, especially since you have a history of cataracts in both eyes.
Your recent dilated eye exam, where the doctor indicated that your cataracts were not yet severe enough to warrant surgery, is a good sign. However, if you continue to experience changes in your vision, such as increased darkness or difficulty seeing, it would be wise to follow up with your eye care professional. They can monitor the progression of your cataracts and determine if and when surgical intervention might be necessary.
In summary, yes, cataracts can cause a sensation of darkening vision, particularly as they progress. The symptoms you are experiencing could very well be related to your cataracts, especially given your description of visual distortions. Regular monitoring and communication with your eye doctor are essential to manage your condition effectively and to ensure that any necessary treatments are initiated in a timely manner.
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