Patient education

Cataract

A cataract is clouding of the eye's natural lens that causes gradually worsening vision.

Eye clinician examining an older adult beside a comparison of a clear lens and a cloudy cataract lens
A cataract clouds the eye's natural lens and gradually reduces clear vision.
Overview

About cataract

A cataract is clouding of the eye's natural lens that causes gradually worsening vision.

Causes

What can cause it?

A cataract forms when proteins in the eye's lens change and make it cloudy.

Aging is most common; diabetes, smoking, steroid exposure, eye injury, and ultraviolet light can contribute.

Symptoms

What a patient may notice

Symptoms vary from person to person. Possible signs may include:

  • Blurred, cloudy, or dim vision
  • Glare or halos around lights
  • Faded colors or frequent prescription changes
Exams and Tests

How clinicians find the cause

An eye professional checks visual acuity, glare, lens clarity, eye pressure, and the retina after dilation. The examination also looks for other causes of vision loss.

Treatment

Treatment and next steps

  1. 1

    Updated glasses, brighter lighting, and glare reduction may help early symptoms.

  2. 2

    Cataract surgery replaces the cloudy lens when vision interferes with daily life.

  3. 3

    The timing is based on function, not cataract appearance alone.

Supporting recovery

  • Use adequate lighting and reduce nighttime driving if glare limits vision.
  • Manage diabetes and keep regular eye appointments.
Outlook (Prognosis)

What to expect

Cataracts usually progress slowly. Updated glasses and lighting may help for a time, but surgery is the only way to remove the cloudy lens. Cataract surgery improves useful vision for most people, although the final result also depends on the health of the retina, optic nerve, and other parts of the eye.

Possible complications

  • Progressive vision loss that increases the risk of falls, driving difficulty, and loss of independence
  • Severe visual impairment when an advanced cataract is not treated
  • Uncommon surgical complications such as infection, inflammation, retinal detachment, pressure problems, or clouding behind the replacement lens
Follow-up: Sudden vision loss, severe pain, flashes with many floaters, or eye injury is not typical cataract and needs urgent eye evaluation.
Medical guidance

When to Contact a Medical Professional

A healthcare professional can confirm the cause, discuss appropriate testing, and create a treatment or prevention plan for you.

Sudden vision loss, severe eye pain, flashes with many new floaters, or an eye injury needs emergency eye evaluation.
Call 911 now

Get emergency help for severe trouble breathing, new chest pressure, fainting, seizure, sudden weakness on one side, uncontrolled bleeding, blue or gray lips, or a person who is difficult to wake.

Prevention

Ways to lower risk

  • Wear UV-blocking sunglasses, avoid smoking, and protect eyes from injury.
  • Control diabetes and use steroid medicine only as directed.
References

Trusted health information

This CHS patient-education page uses original wording and links to MedlinePlus for additional information.

MedlinePlus: Cataract ↗