CATARACTS are
changes in clarity of the natural lens inside the eye that gradually degrade
visual quality. The natural lens sits behind the colored part of the eye (iris)
in the area of the pupil, and cannot be directly seen with the naked eye unless
it becomes extremely cloudy.
Experts have estimated
that visual disability associated with cataracts accounts for over 8 million
physician office visits a year in the United States. This number will likely
continue to increase as the proportion of people over the age of 60 rises.
When people develop
cataracts, they begin to have difficulty doing activities they need to do for
daily living or for enjoyment. Some of the most common complaints include
difficulty driving at night, reading, participating in sports such as golfing,
or traveling to unfamiliar areas.
Types
of cataracts include:
1.
A
subcapsular cataract occurs at the back of the lens. People
with diabetes or those taking high doses of steroid medications have a greater
risk of developing a subcapsular cataract.
2.
A
nuclear cataract forms deep in the central zone
(nucleus) of the lens. Nuclear cataracts usually are associated with aging.
3.
A
cortical cataract is characterized by white, wedge-like
opacities that start in the periphery of the lens and work their way to the
center in a spoke-like fashion. This type of cataract occurs in the lens
cortex, which is the part of the lens that surrounds the central nucleus.
Symptoms
Signs and symptoms of
cataracts include:
• Clouded, blurred or dim vision
• Increasing difficulty with vision at
night
• Sensitivity to light and glare
• Need for brighter light for reading and
other activities
• Seeing "halos" around lights
• Frequent changes in eyeglass or contact
lens prescription
• Fading or yellowing of colors
• Double vision in a single eye
Cataract
Risk Factors
Besides advancing age,
cataract risk factors include:
• Ultraviolet radiation from sunlight and
other sources
• Diabetes
• Hypertension
• Obesity
• Smoking
• Prolonged use of corticosteroid
medications
• Statin medicines used to reduce
cholesterol
• Previous eye injury or inflammation
• Previous eye surgery
• Hormone replacement therapy
• Significant alcohol consumption
• High myopia
• Family history
One theory of cataract
formation that's gaining favor is that many cataracts are caused by oxidative
changes in the human lens. This is supported by nutrition studies that show
fruits and vegetables high in antioxidants may help prevent certain types of cataracts.
How
to Prevent Cataracts
Take
a good multivitamin. Those taking multivitamins, especially
those with high concentrations of antioxidants, had a 27 percent decreased risk
of developing cataracts.
Supplement
with vitamins A and C: Vitamins A and C are antioxidants that
are highly concentrated in the eyes and help protect against the onslaught of
free radicals, which is important if you want to prevent cataracts and promote
healthy vision. The recommended daily dosages are: 5,000 IU of vitamin A (as
beta-carotene) and 2,500 mg of vitamin C.
Make
sure you’re getting enough lutein and zeaxanthin:
A 2008 study found that older women who had the highest levels of lutein and
zeaxanthin were about a third less likely to have cataracts. I recommend taking
15–30 mg of lutein and 2 mg of zeaxanthin daily.
Take
bilberry: Bilberry acts as a vasodilator, increasing blood
flow to the vasculature of the eyes, and increases tissue and capillary wall
strength. In one study of 50 patients with cataracts, it stopped the
progression of the cataracts in 97 percent of the cases. The recommended daily
dose is a minimum of 30 mg of a bilberry extract standardized to contain 25
percent anthocyanidins.
Take
off your sunglasses: There’s no doubt that excessive exposure
to ultraviolet light (UV) can damage your eyes. Specficially, it can cause the
conjunctiva, which covers the whites of your eyes, to thicken, thereby
contributing to the development of cataracts and retinal damage. But wearing
sunglasses all the time blocks wavelengths of light that not only nourish the
eyes but are essential for overall good health. So let a little sun in your
eyes, and make sure you’re getting your antioxidants.
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