Practice Policy Update Regarding COVID-19

1. There’s more than one type of cataract formation.

Close-up photo of an elderly man's cataract

The most common type of cataract (found in people over age 40) forms mainly in the center of your eye’s lens. This called a nuclear cataract. Another type of cataract is called a cortical cataract. This wedge-shaped cataract develops at the edge of the lens instead of the center. A posterior capsular cataract generally forms at the back of the lens, blocking light rays from reaching the retina. Posterior capsular cataracts usually develop faster than nuclear and cortical cataracts.

2. Babies can be born with cataracts.

A smiling woman holds a baby

When a baby is born with a cataract or develops it during early childhood, it is called a congenital cataract. It can be due to genetics, certain health conditions or infection or trauma before birth. Because a baby’s eyes and brain are learning to see, ophthalmologists want to make sure a cataract is found and treated early. Otherwise, having a cataract can affect the normal development of the eye-brain connection, leading to vision loss. Doctors usually find congenital cataracts during routine infant exams.

3. Having diabetes increases your chances of developing cataracts faster and earlier in life.

Person pricked finger and has a drop of blood and a glucose monitor

The eye’s lens is nourished by the aqueous humor, clear fluid in the front of the eye between the lens and the cornea. Aqueous humor provides oxygen and glucose (sugar) for cells. When someone with diabetes has uncontrolled blood glucose levels, cells in the lens can become cloudy and less transparent. Eventually a cataract forms, making things appear blurry, faded or tinged yellow.

4.  Cataracts do not come back after they are surgically removed.

Close-up photo of an elderly woman's eye through a target of light

With cataract surgery, your ophthalmologist replaces the cloudy natural lens of your eye with a clear artificial lens. The new lens does not become cloudy again. However, some people do develop a what is called a “secondary” cataract later after surgery. This is when the thin membrane that holds the lens becomes cloudy. With a quick procedure called posterior capsulotomy, your ophthalmologist can use a laser to make an opening in the cloudy capsule, allowing light to pass through again for clear vision.

5.  If you have a high degree of myopia (nearsightedness), you have a higher risk of having retinal detachment after cataract surgery.

Patient has their nearsightedness checked

Studies have shown that people who are very nearsighted may have a greater chance of having a retinal detachment after cataract surgery. If you are very nearsighted and are considering cataract surgery, you and your ophthalmologist can discuss this risk and the benefits of surgery.

6. Cataracts affected the work of the famous artist Claude Monet.

Monet's Waterlily Pond (1899)

Waterlily pond, Claude Monet (1899; oil on canvas)

Claude Monet (1840-1926) was a famous French painter. His style of painting is known as Impressionism, which portrays the shifting effects of color and light over time. Monet was diagnosed with cataracts that grew progressively worse between 1912 to 1922. Having age-related cataracts meant that Monet could no longer see colors with the same intensity. The whites, greens and blues of his earlier paintings (image above) were gradually replaced with larger brush strokes of more yellow, brown and purple colors (image below).

Monet's The Japanese Bridge 8 (1924)The Japanese Footbridge 8, Claude Monet (c. 1920-1922; oil on canvas)

7. The color of your eyes affects your risk of developing cataracts.

Close-up photo of brown eye

Studies show that people with dark brown eyes have a higher risk of developing cataracts than people with lighter eyes.

UV light is a known contributor to cataract development no matter what color your eyes are. Everyone should protect their eyes from the sun with 100% UV-blocking sunglasses and a wide-brim hat.

8.  In certain cases, ophthalmologists may recommend cataract surgery for both eyes even if vision is still good one eye.

Ophthalmologist performs surgery with an operating microscope

After having a cataract removed from one eye, most people probably will not have surgery on the other eye until that cataract begins to interfere with daily activities. However, there are certain circumstances when an ophthalmologist may recommend doing cataract surgery in the other eye even if there are no vision problems. Replacing the lens in both eyes helps to balance vision, a key way to reduce the risk of falling for some people (which can cause hip fractures). And for some, replacing the lens in the second eye can decrease their risk of developing a serious form of glaucoma called angle-closure glaucoma.

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