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A cataract is <strong>the</strong> clouding, or opacification,<br />
of <strong>the</strong> native lens inside <strong>the</strong> eye.<br />
Normal Healthy Eye<br />
BROWN CATARACT<br />
-OR-<br />
NUCLEAR SCLEROTIC CATARACT<br />
WHITE CATARACT<br />
Do You Have<br />
Normal<br />
vision<br />
<strong>the</strong> same<br />
picture as<br />
viewed by<br />
a person<br />
with<br />
cataracts<br />
cataracts?<br />
by Christian D. Nilson, M.D.<br />
A cataract is <strong>the</strong> clouding, or opacification, of <strong>the</strong> native lens inside<br />
<strong>the</strong> eye. When we are younger, <strong>the</strong> lens is virtually clear and flexible.<br />
The clearness allows light to pass into <strong>the</strong> eye and be focused into a<br />
sharp image on <strong>the</strong> retina. The flexibility of <strong>the</strong> lens allows <strong>the</strong> eye<br />
to see at distance and up close. As we age, <strong>the</strong> lens gets less flexible<br />
and gradually more and more cloudy. The decrease in flexibility of<br />
<strong>the</strong> lens causes an inability to see up close and brings on <strong>the</strong> need for<br />
reading glasses or bifocals. The clouding of <strong>the</strong> lens causes scattering<br />
of light and <strong>the</strong> inability of <strong>the</strong> eye to focus light correctly on <strong>the</strong><br />
retina which leads to blurry vision.<br />
There are many symptoms of cataracts. The most common is a gradual,<br />
painless blurring of <strong>the</strong> vision. Many people notice increased<br />
glare and halos with night driving. One can also get more glare from<br />
<strong>the</strong> sun especially at dawn or dusk. O<strong>the</strong>rs notice an increased need<br />
for lighting, especially when reading. Many don’t notice it until after<br />
<strong>the</strong> cataract has been removed, but <strong>the</strong> clouding of <strong>the</strong> lens can also<br />
cause colors to dim or fade.<br />
The most common cause of a cataract is age. Diabetes and certain<br />
medications can hasten cataract development. O<strong>the</strong>r potential<br />
causes include eye injuries, eye surgery, and exposure to sunlight.<br />
Genetics can play a role as well.<br />
Unfortunately, <strong>the</strong>re are no proven medications, supplements,<br />
dietary changes, and/or exercises that can prevent or treat<br />
cataracts. Good ultraviolet light blocking sunglasses may slow<br />
<strong>the</strong> progression of <strong>the</strong> disease. However, <strong>the</strong> only way to effectively<br />
treat a cataract is to remove it surgically.<br />
Cataract surgery is one of <strong>the</strong> most common procedures performed<br />
in <strong>the</strong> United States. The technology keeps advancing, and<br />
modern cataract surgery is safer and more effective than it has ever<br />
been. In surgery, we remove <strong>the</strong> native lens that has turned cloudy<br />
and replace it with an artificial intraocular lens (IOL). There<br />
are many lens options available. There are lenses that can correct<br />
your distance vision only; with <strong>the</strong>se lenses, after surgery you will<br />
still need to wear glasses for reading. If you need correction for<br />
astigmatism, <strong>the</strong>re are lens implants called Toric lenses that correct<br />
astigmatism as well. Nowadays, <strong>the</strong>re are Multifocal lenses that<br />
can correct distance vision and up close reading vision without <strong>the</strong><br />
need for glasses. Your eye surgeon can evaluate you and help you<br />
decide which lens is right for you.<br />
Your ophthalmologist can help you understand your eye care<br />
needs. You can <strong>the</strong>n choose <strong>the</strong> best option to help you rediscover<br />
your world with clearer vision.<br />
Christian D. Nilson, M.D.<br />
Ophthalmologist<br />
Nor<strong>the</strong>rn Utah Eye Center<br />
435.752.2020<br />
www.Nor<strong>the</strong>rnUtahEyeCenter.com<br />
Symptoms of<br />
Cataract<br />
• Cloudy or blurry vision.<br />
• Colors seem faded.<br />
• Increased glare or halos from <strong>the</strong><br />
sun, lamps, or headlights.<br />
• Poor night vision.<br />
• Double vision or multiple images<br />
in one eye.<br />
• Frequent prescription changes in<br />
your eyeglasses or contact lenses.<br />
These symptoms can also be a sign<br />
of o<strong>the</strong>r eye problems. Call your eye<br />
physician for a complete eye exam.<br />
14 INTERMOUNTAIN MEDICAL GROUP <strong>Intermountain</strong>MedicalGroup.org <strong>Intermountain</strong>MedicalGroup.org 15