Zaćma
Charakterystyka, pielęgnacja i opieka

Zaćma to zmętnienie soczewki oka prowadzące do postępującego pogorszenia widzenia, które może skutkować ślepotą, jeśli nie zostanie leczone. Epidemiologicznie dotyka ponad 24,4 mln Amerykanów powyżej 40. roku życia, z częstością sięgającą około 90% u osób w wieku 65 lat. Patofizjologia polega na agregacji nieprawidłowych białek w soczewce, co zmniejsza jej przezroczystość i elastyczność, skutkując zaburzeniami widzenia, zwłaszcza w warunkach słabego oświetlenia. Czynniki ryzyka obejmują zaawansowany wiek, cukrzycę, nadmierną ekspozycję na promieniowanie UV, palenie tytoniu, otyłość, stosowanie kortykosteroidów oraz wcześniejsze urazy oka. Diagnostyka opiera się na badaniu ostrości wzroku, ocenie soczewki i reakcji źrenic, a regularne badania okulistyczne są kluczowe dla wczesnego wykrycia choroby. Wczesne objawy to m.in. niewyraźne widzenie, zwiększona wrażliwość na światło i trudności z widzeniem nocnym.

Definicja i epidemiologia zaćmy u osób dorosłych

Zaćma (cataract) to zmętnienie soczewki oka, które powoduje zaburzenia widzenia i może prowadzić do ślepoty, jeśli nie zostanie leczona12. Zaćma rozwija się, gdy białka w soczewce zaczynają się rozpadać, co czyni ją mniej elastyczną i utrudnia skupianie wzroku na bliskich przedmiotach. Z czasem soczewka staje się mętna, a to, co widzi oko, może wydawać się niewyraźne we wszystkich odległościach3.

Zaćma jest główną przyczyną ślepoty na świecie12. Według danych epidemiologicznych, zaćma dotyka ponad 24,4 miliony Amerykanów powyżej 40 roku życia1. Wraz z wiekiem zwiększa się częstość występowania tej choroby – około 90% osób w wieku 65 lat ma pewien stopień zaćmy1. Do 75 roku życia co najmniej 50% populacji będzie miało zaćmę, a do 80 roku życia odsetek ten wzrasta do 70%2.

Zaćma jest postrzegana jako nieunikniona część procesu starzenia się, a zaćma związana z wiekiem jest najczęstszą formą tego schorzenia1. Większość okulistów zgadza się, że jeśli żyjesz wystarczająco długo, ostatecznie rozwiniesz zaćmę3.

Przyczyny i czynniki ryzyka rozwoju zaćmy

Zaćma rozwija się, gdy naturalne białka tworzą nieprawidłowe skupiska w soczewce. W miarę postępu zaćmy, coraz mniej światła jest w stanie przejść przez soczewkę, co skutkuje niewyraźnym i zamglonym widzeniem, szczególnie w nocy4.

Główne czynniki ryzyka rozwoju zaćmy obejmują:

  • Zaawansowany wiek – jest to największy czynnik powodujący zaćmę51
  • Cukrzyca21
  • Nadmierna ekspozycja na światło słoneczne3
  • Palenie tytoniu42
  • Otyłość53
  • Historia rodzinna zaćmy6
  • Wcześniejszy uraz lub zapalenie oka71
  • Długotrwałe stosowanie kortykosteroidów84
  • Nadciśnienie tętnicze15
  • Ciężkie zapalenie skóry2
  • Spożywanie nadmiernych ilości alkoholu9

Inne czynniki zwiększające ryzyko to płeć żeńska oraz regularna ekspozycja oczu na dużą ilość światła słonecznego bez ochrony, takiej jak okulary przeciwsłoneczne2.

Objawy i diagnoza zaćmy

Zaćma rozwija się powoli i bezboleśnie. Wzrok w dotkniętym chorobą oku stopniowo się pogarsza4. Początkowo objawy mogą być niezauważalne, ale z czasem stają się coraz bardziej wyraźne6.

Charakterystyczne objawy zaćmy

Do typowych objawów zaćmy należą:

  • Niewyraźne lub zamglone widzenie31
  • Trudności z widzeniem w nocy41
  • Zwiększona wrażliwość na światło i olśnienie52
  • Trudności z czytaniem i oglądaniem telewizji6
  • Dyskomfort oczu w świetle lub wrażliwość na olśnienie7
  • Widzenie jednego przedmiotu jako dwóch (podwójne widzenie)8
  • Widzenie świecących kręgów (halo) wokół świateł9
  • Wyblakłe kolory, zwłaszcza niebieskie10

Jednym z pierwszych objawów zaćmy jest wysoka wrażliwość na olśnienie lub jasne światła7. Osoby z zaćmą mogą również zauważyć, że potrzebują częściej zmieniać receptę na okulary niż zwykle11.

Proces diagnostyczny

Diagnoza zaćmy wymaga konsultacji z okulistą i obejmuje kilka etapów1:

  • Przegląd historii medycznej i objawów pacjenta
  • Kompleksowe badanie oka
  • Ocena ostrości wzroku
  • Badanie reakcji źrenic (należy pamiętać, że oko z zaćmą może nie reagować na światło z powodu zmętnienia soczewki)1

Ważne jest, aby zaplanować regularne badania oka, szczególnie po 40 roku życia, aby wykryć wczesne oznaki zaćmy i innych problemów z oczami1. Osoby powyżej 65 roku życia powinny przechodzić coroczne badanie wzroku w celu wykrycia zaćmy i innych powszechnych problemów, takich jak jaskra czy retinopatia cukrzycowa1.

Leczenie zaćmy u osób dorosłych

Obecnie nie ma leczenia farmakologicznego, które mogłoby wyleczyć istniejącą zaćmę lub zatrzymać jej progresję11. Jedynym skutecznym leczeniem zaćmy jest zabieg chirurgiczny21.

Leczenie zachowawcze

We wczesnych stadiach zaćmy można zastosować pewne środki niechirurgiczne, aby poprawić widzenie1:

  • Aktualizacja recepty na okulary lub soczewki kontaktowe11
  • Silniejsze okulary dwuogniskowe1
  • Stosowanie lup2
  • Poprawa oświetlenia3
  • Okulary przeciwsłoneczne z ochroną przed promieniowaniem UV w celu zmniejszenia olśnienia1
  • Rozszerzenie źrenicy (jeśli zaćma jest mała i znajduje się centralnie)2

We wczesnym stadium zaćmy, gdy widzenie nie jest znacząco upośledzone, pacjenci mogą dobrze funkcjonować przy użyciu okularów, soczewek kontaktowych i innych pomocy wzrokowych1.

Leczenie chirurgiczne

Zabieg chirurgiczny jest obecnie jedynym skutecznym sposobem leczenia zaćmy1. Operacja zaćmy polega na usunięciu zmętniałej soczewki i zastąpieniu jej przezroczystą sztuczną soczewką wewnątrzgałkową (IOL)21.

Najczęściej wykonywana technika operacyjna w Stanach Zjednoczonych to fakoemulsyfikacja, forma zewnątrztorebkowego usunięcia zaćmy, która wykorzystuje energię ultradźwiękową do rozbicia zaćmy na cząstki wystarczająco małe, aby można je było usunąć przez mniejsze nacięcie (2-4 mm)1. Technika zewnątrztorebkowego usunięcia zaćmy (ECCE) jest stosowana głównie w zaawansowanych zaćmach, gdy soczewka jest zbyt gęsta, aby rozpuścić się na fragmenty3.

Operacja zaćmy jest jednym z najczęściej wykonywanych zabiegów chirurgicznych na świecie i ma bardzo wysoki wskaźnik powodzenia1. Zabieg ten jest skuteczny w poprawie widzenia u około 97% osób2. Operacja jest zazwyczaj krótka i trwa od 10 do 15 minut1.

Wskazania do zabiegu chirurgicznego

Decyzja o przeprowadzeniu operacji zaćmy jest zazwyczaj podejmowana, gdy objawy zaczynają wpływać na codzienne życie pacjenta i jego jakość życia2. Może to obejmować trudności z:

  • Prowadzeniem samochodu, szczególnie w nocy1
  • Czytaniem2
  • Oglądaniem telewizji3
  • Spełnianiem potrzeb zawodowych lub rekreacyjnych4
  • Innymi codziennymi czynnościami5

Inne wskazania do operacji zaćmy obejmują2:

  • Klinicznie istotna anizometropia (różnica w refrakcji między oczami) w obecności zaćmy
  • Nieprzejrzystość soczewki utrudniająca optymalną diagnozę lub leczenie schorzeń tylnego odcinka oka
  • Soczewka powodująca stan zapalny lub wtórną jaskrę (fakolizyjną, cząsteczkową, fakoanfilaktyczną)
  • Soczewka indukuje lub stwarza ryzyko zamknięcia kąta przesączania

Warto podkreślić, że oczekiwanie na operację zaćmy zazwyczaj nie wpływa na to, jak dobrze wzrok się poprawi po zabiegu3. Jednak opóźnienie operacji zaćmy może prowadzić do większej utraty wzroku, obniżonej jakości życia i zwiększonego ryzyka upadków11.

Opieka pielęgniarska nad pacjentem z zaćmą

Opieka pielęgniarska nad pacjentem z zaćmą obejmuje szereg interwencji przed, w trakcie i po operacji zaćmy, a także edukację pacjenta i jego rodziny1.

Ocena pielęgniarska

Ocena pielęgniarska pacjenta z zaćmą powinna obejmować1:

  • Ocenę ostrości wzroku pacjenta, zarówno do dali, jak i do bliży
  • Ocenę wpływu zaburzeń widzenia na codzienne funkcjonowanie pacjenta
  • Ocenę psychospołecznego wpływu niepełnosprawności wzrokowej pacjenta
  • Ocenę poziomu wiedzy pacjenta na temat choroby i dostępnych opcji terapeutycznych

Po operacji należy ocenić poziom komfortu pacjenta i jego zdolność do przestrzegania pooperacyjnego schematu leczenia2.

Diagnozy pielęgniarskie

Na podstawie danych z oceny, diagnozy pielęgniarskie dla pacjenta z zaćmą mogą obejmować12:

  • Zaburzenia percepcji sensorycznej (wzrokowej) związane ze zmniejszoną ostrością wzroku
  • Ryzyko urazu związane z zaburzeniami widzenia
  • Deficyt samoopieki związany z upośledzeniem wzroku
  • Niepokój związany z zabiegiem chirurgicznym i możliwością trwałej utraty wzroku

Cele i oczekiwane wyniki opieki

Cele i oczekiwane wyniki opieki nad pacjentem z zaćmą mogą obejmować3:

  • Pacjent odzyska optymalny możliwy wzrok i dostosuje się do trwałych zmian wzrokowych
  • Pacjent będzie w stanie wyrazić zrozumienie utraty wzroku i chorób oczu
  • Pacjent będzie w stanie odzyskać wzrok do maksymalnego możliwego stopnia dzięki zabiegowi chirurgicznemu
  • Pacjent będzie w stanie radzić sobie z potencjalną trwałą utratą wzroku
  • Pacjent będzie utrzymywać bezpieczne środowisko, bez urazów
  • Pacjent będzie w stanie korzystać z urządzeń adaptacyjnych, aby kompensować utratę wzroku
  • Pacjent będzie przestrzegać udzielonych instrukcji i będzie w stanie powiadomić lekarza o objawach nagłych
  • Pacjent będzie wolny od urazów i będzie w stanie wykonywać czynności w ramach ograniczeń sensorycznych

Interwencje pielęgniarskie przedoperacyjne

Przygotowanie pacjenta do operacji zaćmy obejmuje1:

  • Wstrzymanie leków przeciwzakrzepowych, jeśli jest to medycznie wskazane (w niektórych przypadkach terapia przeciwzakrzepowa może być kontynuowana)
  • Podawanie kropli rozszerzających źrenicę co 10 minut przez cztery dawki, co najmniej 1 godzinę przed operacją
  • Profilaktyczne podawanie kropli antybiotykowych, kortykosteroidowych i przeciwzapalnych, aby zapobiec pooperacyjnym infekcjom i stanom zapalnym
  • Udzielenie pacjentowi ustnych i pisemnych instrukcji dotyczących ochrony oka, podawania leków, rozpoznawania objawów powikłań i uzyskiwania pomocy w nagłych wypadkach

Pacjent powinien otrzymać typową przedoperacyjną opiekę dla pacjentów ambulatoryjnych poddawanych operacji oka1.

Interwencje pielęgniarskie pooperacyjne

Po operacji zaćmy, interwencje pielęgniarskie obejmują12:

  • Poinformowanie pacjenta, że po operacji powinien odczuwać minimalny dyskomfort; instrukcja przyjmowania łagodnego środka przeciwbólowego, takiego jak paracetamol, w razie potrzeby
  • Podawanie pooperacyjnie przepisanych kropli lub maści antybiotykowych, przeciwzapalnych i kortykosteroidowych do oczu
  • Monitorowanie gojenia się oka i obserwacja pod kątem potencjalnych powikłań
  • Zapewnienie ochronnego opatrunku na oko przez 24 godziny po operacji, a następnie noszenie okularów w ciągu dnia1
  • Poinstruowanie pacjenta i rodziny w zakresie nakładania i pielęgnacji osłony oka1
  • Zalecenie noszenia okularów przeciwsłonecznych podczas przebywania na zewnątrz w ciągu dnia, ponieważ oko jest wrażliwe na światło1

Lekarz chirurg powinien poinformować pacjenta o tym, czego się spodziewać oraz co powinien robić. Sprawdzi oko i poinformuje, kiedy należy zdjąć opatrunek. Poinformuje również o środkach przeciwbólowych, które można przyjmować podczas rekonwalescencji2.

Edukacja pacjenta i rodziny

Edukacja pacjenta po operacji zaćmy powinna koncentrować się na następujących aspektach1:

  • Dostarczenie informacji o właściwym stosowaniu przepisanych kropli do oczu i leków, w tym właściwej dawce i częstotliwości
  • Podkreślenie potrzeby ochrony oczu przed nadmiernym światłem słonecznym lub jasnym światłem, przy użyciu okularów przeciwsłonecznych lub innych środków ochronnych
  • Dostarczenie edukacji na temat potencjalnych oznak powikłań lub infekcji, na które należy zwrócić uwagę
  • Podkreślenie znaczenia uczestnictwa w wizytach kontrolnych u okulisty w celu właściwego monitorowania i opieki

Pacjent powinien być poinformowany o ograniczeniach pooperacyjnych dotyczących pozycji głowy, zginania się, kaszlu i manewru Valsalvy, aby zoptymalizować wyniki wzrokowe i zapobiec zwiększonemu ciśnieniu wewnątrz gałki ocznej3.

Należy również poinstruować pacjenta, aby unikał mycia włosów przez kilka dni po operacji1 oraz aby unikał schylania się, podnoszenia ciężkich przedmiotów lub wykonywania jakichkolwiek czynności, które zwiększają ciśnienie wewnątrzgałkowe1.

Zapobieganie urazom

Pacjenci z zaćmą są narażeni na urazy z powodu upośledzenia wzroku, które może skutkować zmniejszoną ostrością wzroku, niewyraźnym widzeniem i zmniejszoną percepcją głębi2. Interwencje pielęgniarskie powinny koncentrować się na zapewnieniu bezpieczeństwa pacjenta2:

  • Jeśli opieka pielęgniarska jest zapewniana w domu pacjenta, należy zorganizować otoczenie z odpowiednim oświetleniem i zredukować zagrożenia upadkiem
  • Pomoc pacjentowi w czynnościach życia codziennego w razie potrzeby
  • Zachęcanie pacjenta do wyrażania swoich obaw dotyczących utraty wzroku lub zbliżającej się operacji

Po operacji zaćmy ważne jest, aby pacjent chronił operowane oko, szczególnie podczas snu2. Należy również unikać aktywności, które mogłyby zwiększyć ciśnienie wewnątrzgałkowe lub spowodować uraz oka3.

Rekonwalescencja i wyniki po operacji zaćmy

Rekonwalescencja po operacji zaćmy jest zazwyczaj szybka, a poważne powikłania są rzadkie1. Większość pacjentów szybko odzyskuje wzrok po operacji zaćmy3.

Okres rekonwalescencji

Po operacji zaćmy pacjenci otrzymują krople do oczu, które pomagają oku się goić i zapobiegają infekcji. Zazwyczaj należy stosować te krople do oczu przez około 4 tygodnie4.

Bezpośrednio po operacji mogą wystąpić pewne efekty uboczne2:

  • Niewyraźne widzenie przez kilka dni lub dłużej, które stopniowo ustępuje w miarę rekonwalescencji
  • Zaczerwienienie oczu
  • Łzawienie oczu
  • Uczucie „ziarnistości” oczu

Pacjenci mogą zauważyć poprawę widzenia w ciągu pierwszych kilku dni po operacji, ale pełna rekonwalescencja może trwać około sześciu tygodni2. W tym czasie pacjenci powinni1:

  • Unikać ciężkiego podnoszenia, zginania, wytężania się lub pocierania oczu przez co najmniej tydzień po operacji
  • Korzystać z pomocy członków rodziny przy pracach domowych i samoobsłudze

Na wizytach kontrolnych lekarz okulista udzieli spersonalizowanych zaleceń dotyczących tego, kiedy bezpiecznie można wrócić do takich czynności jak prowadzenie samochodu, w zależności od przebiegu gojenia3.

Powikłania pooperacyjne

Operacja zaćmy jest generalnie bezpieczna, jednak niesie ze sobą ryzyko infekcji i krwawienia. Operacja zaćmy zwiększa również ryzyko odwarstwienia siatkówki, czyli stan, w którym siatkówka zostaje oderwana od swojego miejsca1.

Możliwe powikłania obejmują5:

  • Problemy z widzeniem, takie jak mętność, niewyraźność, ciemne cienie lub obszary światła

Większość powikłań pojawia się bezpośrednio po operacji6. Należy natychmiast skontaktować się z lekarzem po operacji zaćmy, jeśli wystąpi stan zapalny (ból, zaczerwienienie, obrzęk), krwawienie, oznaki infekcji, utrata wzroku lub podwójne widzenie1.

Około 20% osób, które przeszły operację zaćmy, rozwija wtórną zaćmę w ciągu trzech lat od zabiegu1. W takim przypadku stosuje się zabieg YAG laserem, który trwa około pięciu minut, a wzrok powinien poprawić się w ciągu około 24 godzin2.

Długoterminowe wyniki i korzyści

Dla większości osób operacja zaćmy pomoże poprawić wzrok2. Ponad 95% osób, które przeszły ten zabieg, twierdzi, że widzą lepiej po operacji2.

Poprawa wzroku po operacji zaćmy często skutkuje nie tylko jaśniejszym widzeniem świata, ale także mierzalnymi poprawami jakości życia. Osoby starsze, które przeszły zabieg, często zgłaszają zwiększoną pewność siebie, większą mobilność i odnowione poczucie niezależności1.

Upośledzenie wzroku związane z zaćmą jest również związane z wyższym ryzykiem upadków, depresji i izolacji społecznej. Przywracając wyraźne widzenie, operacja pomaga zmniejszyć te ryzyka2.

Korzyści z operacji zaćmy wykraczają poza początkowe tygodnie poprawy widzenia. Wielu pacjentów zgłasza ciągłe zadowolenie miesiące, a nawet lata po zabiegu1.

Zapobieganie i profilaktyka zaćmy

Chociaż nie ma sposobu na całkowite zapobieżenie zaćmie, można podjąć kroki, aby zmniejszyć ryzyko lub opóźnić jej wystąpienie8.

Modyfikowalne czynniki ryzyka

Zaleca się następujące działania w celu opóźnienia wystąpienia i progresji zaćmy1:

  • Zaprzestanie palenia23
  • Zmniejszona ekspozycja na promieniowanie UV-B (kapelusze, okulary przeciwsłoneczne z ochroną przed UV-B)32
  • Okulary ochronne podczas czynności wysokiego ryzyka w pracy lub rekreacji, aby uniknąć urazu oka4
  • Kontrola cukrzycy4
  • Alternatywne leki dla osób przyjmujących doustne lub wziewne kortykosteroidy5

Pacjenci, którzy są długotrwałymi użytkownikami kortykosteroidów (przez jakąkolwiek drogę), powinni być poinformowani o zwiększonym ryzyku tworzenia się zaćmy5.

Regularne badania oka

Jednym z najważniejszych kroków w zapobieganiu zaćmie lub zarządzaniu jej progresją są regularne badania oka1. Badania te pozwalają na wczesne wykrycie zaćmy i innych schorzeń oka, często zanim objawy staną się zauważalne2.

Dorośli powinni odwiedzać okulistę co najmniej co 2 lata do 50 roku życia i co rok po tym wieku3. Jeśli zauważysz jakiekolwiek zmiany w swoim wzroku, ważne jest, aby jak najszybciej umówić się na badanie oka1.

Zdrowy styl życia

Badania nie udowodniły, jak zapobiegać zaćmie lub spowolnić jej rozwój. Jednak pracownicy służby zdrowia uważają, że kilka strategii może być pomocnych10:

  • Zrównoważona dieta bogata w antyoksydanty (np. witamina C, beta-karoten, witamina E)4
  • Ochrona oczu przed szkodliwymi promieniami UV za pomocą dobrych okularów przeciwsłonecznych blokujących promieniowanie UV11
  • Unikanie urazów poprzez używanie ochronnych okularów12
  • Ścisła kontrola poziomu cukru we krwi, jeśli choruje się na cukrzycę13

Prowadzenie zdrowszego stylu życia może pomóc spowolnić progresję zaćmy1.

Podsumowanie opieki nad pacjentem z zaćmą

Zaćma jest powszechnym schorzeniem oka, które występuje przede wszystkim u osób starszych i jest główną przyczyną ślepoty na świecie3. Chociaż zaćma rozwija się powoli i bezboleśnie, ostatecznie wpłynie na wzrok1.

Diagnozy i leczenie zaćmy wymaga interdyscyplinarnego podejścia zespołowego, obejmującego podstawowych świadczeniodawców (lekarzy, asystentów lekarzy, pielęgniarki dyplomowane), specjalistów (okulistów, chirurgów okulistycznych) i wsparcia pielęgniarskiego1. To podejście pomaga zapewnić terminową i skuteczną opiekę nad pacjentem oraz optymalne wyniki.

Zarządzanie zaćmą różni się w zależności od nasilenia choroby, upośledzenia wzroku i wieku pacjenta2. Głównym sposobem leczenia jest zazwyczaj chirurgiczne usunięcie zaćmy3.

Rola pielęgniarki w opiece nad pacjentem z zaćmą obejmuje4:

  • Sprawdzanie ostrości wzroku
  • Nauczanie pacjenta o zaćmie i jej leczeniu
  • Nauczanie pacjenta o zdrowej diecie
  • Edukację na temat przestrzegania zaleceń dotyczących leków

Pielęgniarki we wszystkich placówkach mogą pomóc zidentyfikować pacjentów doświadczających utraty ostrości wzroku i skierować ich do lokalnych służb okulistycznych1. Może to zwiększyć liczbę zaćm zdiagnozowanych na wczesnym etapie, umożliwiając pacjentom dostęp do pomocy i rozwój umiejętności kompensujących ich zmniejszający się wzrok, aż do momentu, gdy operacja będzie odpowiednia2.

W większości przypadków operacja zaćmy poprawia wzrok, a rekonwalescencja jest szybka, a poważne powikłania są rzadkie3. Jednak ważne jest, aby pacjenci byli świadomi potencjalnych powikłań i wiedzieli, kiedy szukać pomocy medycznej.

Chociaż zaćma jest nieuniknioną częścią starzenia się dla większości osób, wczesna diagnoza, właściwe leczenie i odpowiednia opieka pielęgniarska mogą znacznie poprawić jakość życia pacjentów z tym schorzeniem.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. […] Intervention is indicated when visual acuity has been reduced to a level that the client finds to be unacceptable or adversely affects lifestyle. […] Complications may include retinal disorders, pupillary block, adhesions, acute glaucoma, macular edema, and retinal detachment. Following extracapsular cataract extraction, the posterior capsule may become opacified. […] Sensory and perceptual alterations (visual) related to decreased visual acuity. […] There is no medical treatment for cataracts, although use of vitamin C and E and beta-carotene is being investigated. […] Surgical removal of the opacified lens is the only cure for cataracts. […] If nursing care is provided in the patients home, structure the environment with conducive lighting and reduce fall hazards.
  • #1 Cataract – EyeWiki
    https://eyewiki.org/Cataract
    A cataract is a clouding of the natural intraocular crystalline lens that focuses the light entering the eye onto the retina. This cloudiness can cause a decrease in vision and may eventually lead to blindness if left untreated. […] Modern cataract surgery, which is the removal of the cloudy lens and implantation of a clear intraocular lens (IOL), is the only definitive treatment. Approximately 3 million Americans choose to have cataract surgery each year, and it has an overall success rate of 97% or higher when performed in appropriate settings. […] No medical treatment has been shown to be effective in the treatment or prevention of cataracts, although this is an active area of research. To slow the development of cataracts, it is generally recommended that patients eat a balanced diet, prevent excessive exposure to UV radiation by using good-quality UV-blocking sunglasses, avoid injuries by using protective eyewear, and if diabetic, closely control blood sugar levels.
  • #1 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Its estimated that more than 24.4 million Americans over the age of 40 have cataracts. […] By age 75, at least 50 percent will have cataracts, and by age 80, it rises to 70 percent. […] Most optometrists tend to agree and say that If you live long enough, you will eventually develop cataracts, as they are considered an age-related condition. […] Cataracts are a common eye condition that usually affects older adults. […] Cataracts occur when the lens of your eyes becomes clouded and unable to focus images. […] This eye condition develops when natural proteins form abnormal clumps in the lens. […] As cataracts progress, less and less light is able to pass through the lens resulting in blurry and cloudy vision, especially at night. […] Aging is the biggest culprit of cataracts. […] Injury to the eye is also another common cause of cataracts.
  • #1 What Are Some Causes of Cataracts? | Sharp HealthCare
    https://www.sharp.com/health-news/are-cataracts-an-inevitable-part-of-aging
    According to the American Academy of Ophthalmology, adults will likely begin to see changes in their vision around age 40. Problems seeing clearly at close distances, the appearance of tiny spots or specks across the field of vision, and reduced tear production are common age-related eye changes. So too is the development of cataracts, a clouding of the natural lens of the eye. […] By age 65, 90% of individuals have some level of cataracts, says Dr. Gayle Howard, a Sharp Community Medical Group ophthalmologist. […] Therefore, according to Dr. Howard, making healthier lifestyle choices may help slow the progression of cataracts. […] The most common symptom of cataracts is vision blurriness. This usually occurs at a distance and is most noticeable during activities such as driving, watching TV and attempting to recognize people from afar.
  • #1 Cataracts: Signs, Symptoms & Treatment Options
    https://my.clevelandclinic.org/health/diseases/8589-cataracts-age-related
    Cataract surgery removes your clouded lens and replaces it with a clear artificial lens called an IOL. Providers recommend surgery when cataract symptoms interfere with your daily life. […] Healthcare providers consider cataracts an inevitable part of aging, and age-related cataracts is the most common form of the condition. […] But you dont have to live with fading vision. Ophthalmologists can do surgery to remove the cataracts and restore your vision. […] Cataract surgery is the only way to remove cataracts and restore your clear vision. During cataract surgery, an ophthalmologist removes your clouded natural lens and replaces it with an intraocular lens (IOL). […] Cataract surgery is one of the safest and most commonly performed surgeries in the U.S. Most people have no serious complications. […] If your symptoms start to interfere with your daily life, your provider may recommend surgery to help you safely go about your usual tasks. […] Cataracts can make everything look blurry and dull. Cleveland Clinic ophthalmologists are experts at cataract surgery. We can help you see clearly again.
  • #1 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #1 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #1 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #1 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Some long-term health conditions can also increase your risk of getting cataracts, such as type 2 diabetes, severe dermatitis and high blood pressure. […] Over time cataracts will get worse and you’ll need cataract surgery if you want to improve your sight. […] If you decide to have surgery, there may be a wait for treatment. […] Cataract surgery is done under a local anaesthetic. This means you’ll be awake but you will not feel any pain. […] The cloudy lens is replaced with an artificial one. You should be able to go home on the same day. […] Cataracts affect your sight and without treatment will eventually cause sight loss. […] For most people, cataract surgery will help to improve their vision. Recovery from surgery is quick and serious complications are rare.
  • #1 Cataracts – Eye Specialists of Ohio
    https://eyeohio.com/conditions/cataracts/
    Cataracts are one of the leading causes of vision impairment and blindness worldwide. According to the World Health Organization (WHO), cataracts are responsible for approximately 51% of world blindness, which translates to about 65 million people. […] The risk of developing cataracts increases with age, and they are particularly common among older adults. In fact, age-related cataracts are the most prevalent type. […] Cataracts can be caused by various factors, including aging: Age-related cataracts are the most common type, often occurring after the age of 60. […] Certain medical conditions, such as diabetes, hypertension, and prolonged use of corticosteroids, can increase the risk of cataracts. […] The symptoms of cataracts can vary from person to person, but common signs include blurry or cloudy vision, sensitivity to bright lights and glare, and difficulty seeing at night.
  • #1 FloridaHealthFinder | Cataract – adult | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/001001
    Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse. […] The only treatment for a cataract is surgery to remove it. If a cataract is not making it hard for you to see, surgery is usually not needed. Cataracts usually do not harm the eye, so you can have surgery when you and your eye doctor decide it is right for you. Surgery is usually recommended when you can’t do normal activities such as driving, reading, or looking at computer or video screens, even with glasses. […] Early diagnosis and properly timed treatment are key to preventing permanent vision problems. […] Contact your eye care professional for an appointment if you have: Decreased night vision, Problems with glare, Vision loss. […] The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help. For example, if you smoke, now is the time to quit. Also, when outdoors, wear sunglasses to protect your eyes from harmful UV rays.
  • #1 Cataracts – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/diagnosis-treatment/drc-20353795
    To determine whether you have a cataract, your eye doctor will review your medical history and symptoms. They also will perform an eye exam. Your doctor may do several tests, including: […] When your prescription glasses can’t clear your vision, the only effective treatment for cataracts is surgery. […] Talk with your eye doctor about whether surgery is right for you. Most eye doctors suggest considering cataract surgery when your cataracts begin to affect your quality of life. This may include your ability to perform daily activities, such as reading or driving at night. […] Waiting to do cataract surgery typically won’t affect how well your vision recovers. Take time to consider the benefits and risks of cataract surgery with your doctor. […] Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens. The artificial lens, called an intraocular lens, is put in the same place as your natural lens. It remains a permanent part of your eye.
  • #1 Cataracts and PERRLA – General Student Support
    https://allnurses.com/cataracts-perrla-t450865/
    Noted cataracts and pupils are equal and round but not reactive to light and do not accommodate…. has anyone else experienced this?!?!?! Could I have done something wrong or is this something seen with cataracts!!??!?! […] The eye with the cataract (or both eyes with cataracts) would not react to light because of the clouding. The lens has hardened proteins in it, so it can’t react and accommodate.
  • #1 Cataracts – Causes, Symptoms, Risk Factors, Diagnosis, Treatment, and Prevention
    https://www.webmd.com/eye-health/cataracts/what-are-cataracts
    If youre over 60 and your vision has gotten blurry or cloudy, you may have cataracts. Its a common condition in older adults, and it can be treated by your eye doctor. […] Surgery is the only way to treat cataracts, but you may not need it right away. If you catch the problem at an early stage, you might be able to get by with a new prescription for your glasses. A stronger lens can make your vision better for a while. […] Keep close tabs on how your cataracts affect the way you see. When your vision troubles start to get in the way of your daily routine — especially if they make driving dangerous — it’s time to talk to your doctor about surgery. […] More than 95% of people who have this done say they can see better afterward. […] Adults should see an eye doctor at least every 2 years until age 50 and every year after that.
  • #1 Cataracts: What seniors need to know – Sanford Health News
    https://news.sanfordhealth.org/eye-care/cataracts-what-seniors-need-to-know/
    Cataracts are most common in older adults. Fortunately, cataract surgery is quick and effective. Your eye doctor may prescribe eye drops to prepare you for surgery. […] If you are over the age of 65, I recommend an annual eye exam to look for cataracts and other common problems like glaucoma or diabetic eye disease. Of course, if you are noticing specific issues, it’s always a good idea to get checked out. […] The only treatment for a cataract is surgery. After the cataract is removed, I place an artificial lens into the eye to improve vision. […] A good candidate would be someone who is not noticing any improvement with their glasses and feels their vision is bad enough to limit their daily activities. Cataract surgery is typically a short procedure. […] Most of my patients can see well enough to drive themselves to their clinic appointment the day after surgery.
  • #1 Management of cataracts – Primary Care Notebook
    https://primarycarenotebook.com/pages/ophthalmology/traumatic-cataract/management-of-cataracts
    At present there is no pharmacological treatment to cure existing cataracts or to halt its progression. Non surgical management that can be considered includes: counselling the patient about cataract symptoms and how it may affect daily activities […] advising the patients about minimizing their exposure to risk factors e.g. – cessation of smoking, control of diabetes, alternate medications for people on oral or inhaled corticosteroids. […] prescribing spectacles or contact lenses to improve vision […] using brimmed hats or sunglasses to minimize glare […] dilating the pupil (if there is a small centrally located cataract). Surgery remains the only effective treatment method in cataract patients to restore or maintain vision. In UK over 90% of cataract surgeries are done in people who are 60 years or older. In one systematic review of systematic reviews, cataract surgery was consistently associated with improved vision-related quality of life, particularly if carried out immediately after diagnosis. Ophthalmological referral for surgery should be based on factors such as: the level of visual impairment and how it affects the patients quality of life
  • #1 What Are Cataracts? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/cataracts/guide/
    There are currently no medications that directly slow or reverse the development of cataracts. […] Protecting your eyes from the suns harmful ultraviolet (UV) rays may slow the progression of cataracts. You can do this by wearing sunglasses or clear glasses that block UV light. (1) […] Cataracts are the leading cause of blindness, and an estimated 20.5 million Americans over age 40 have the condition. (5) […] The risk of cataracts starts out close to even for all racial and ethnic groups, rising from below 5 percent in the 40- to 49-year-old age group to about 10 percent in the 55 to 59 age group and just over 20 percent in the 65 to 69 age group. […] The risk of cataracts is lower in Hispanic Americans than white Americans, with 61 percent developing them by age 80, compared with 70 percent of the white population.
  • #1 Cataract – adult Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/cataract-adult
    A cataract is a clouding of the lens of the eye. […] Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse. […] The only treatment for a cataract is surgery to remove it. […] Early diagnosis and properly timed treatment are key to preventing permanent vision problems. […] Contact your eye care professional for an appointment if you have: Decreased night vision, Problems with glare, Vision loss. […] The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help.
  • #1 Understanding the Different Types of Cataracts | Clarkson Eyecare
    https://www.clarksoneyecare.com/eye-care-resources/types-of-cataracts
    In the early stages of cataract development, non-surgical methods may be sufficient to manage symptoms and maintain a high quality of life. […] When cataracts progress to the point where they significantly impair your vision and affect your daily life, surgery is usually the recommended treatment. Cataract surgery is one of the most common and successful procedures performed worldwide. […] While cataract development is often related to aging and can be inevitable, there are measures you can take to potentially delay their onset or manage their progression. Clarkson Eyecare emphasizes a proactive approach to eye health, incorporating both preventive strategies and effective management techniques for those with existing cataracts. […] One of the most important steps in preventing cataracts or managing their progression is to have regular eye examinations. These exams allow for the early detection of cataracts and other eye conditions, often before symptoms are noticeable.
  • #1 Does Everyone Get Cataracts? | Eye Care Plus | Amarillo
    https://eyecareplus.com/does-everyone-get-cataracts/
    Everyone eventually reaches the age where cataracts become the topic of choice for vision concerns. Cataracts are a common eye condition among older adults and a leading cause of blindness. […] Everyone gets some level of cataracts, though you can take steps to reduce their severity. […] If you experience any of these symptoms, its essential to see your optometrist for an eye exam to determine whether or not you have a cataract. […] Regular eye exams are one of the best ways, especially once you pass 40. […] An eye doctor can detect cataracts during a routine eye exam and recommend treatment options to slow their progression. […] Your optometrist may recommend eyeglasses and contact lenses to address mild vision changes caused by cataracts. […] However, if your cataracts are severe and significantly impair your vision, your doctor can suggest cataract surgery. […] Almost everyone gets cataracts; its simply the severity that determines if it affects your life.
  • #1 Cataracts FAQs | Optometrist in Allentown, PA | Lehigh Valley Eye Care Associates
    https://www.lehighvalleyeyecareassociates.com/eyecare-services/eye-diseases/cataracts/cataracts-faqs.html
    Commonly, an optometrist will prescribe glasses or contacts to treat the vision trouble the patient experiences as a result of the cataract. If the cataract becomes severe enough to interfere with quality of life or lifestyle, surgery is required to cure the problem. […] If you believe that you might have cataracts in Allentown PA, the best way to get treatment for your cataracts is to visit your optometrist at Lehigh Valley Eye Care Associates. We can help you get the treatment you need for your cataracts.
  • #1
    https://www.focalpointeeyecare.com/eyecare/eye-diseases/cataracts
    Cataracts are the leading cause of vision loss among Americans over age 40, and are also the primary cause of blindness worldwide. […] Early stage cataracts are usually treated by prescribing stronger glasses or bi-focals, the use of magnifiers or improved lighting. […] As cataracts progress, surgery becomes a more viable option, especially in cases where vision loss is impacting daily activities. […] If you are experiencing any symptoms of cataracts or are at risk due to age, medical conditions, lifestyle or a combination of these factors, call us today to schedule an appointment.
  • #1 Home Care Tips For Seniors With Cataracts – La Jolla Nurses HomecareAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://www.lajollanurseshomecare.com/home-care-tips-for-seniors-with-cataracts/
    Glare from sunlight or bright lights can be especially bothersome to people with cataracts. To reduce glare, window coverings such as blinds, curtains, and sunglasses may help decrease it; similarly, you can minimize electronic device glare by adjusting brightness settings or installing anti-glare screen protectors. […] Elderly adults with cataracts may have difficulty reading medication labels, leading to errors. To avoid this again, label medications with large and clear text or use an organized container with labeled compartments for each prescription to ensure it’s taken at the appropriate time. This will ensure the right drug enters their bodies at the right time. […] People with advanced cataracts may benefit from using assistive devices to complete daily tasks more easily, such as magnifying glasses with high magnification or magnifying glasses with light to read – and large print books and magazines may be useful too.
  • #1
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw36825
    Cataracts are common in older adults. […] Surgery is the only way to remove a cataract. The surgery works well and helps people see better. […] Many people with cataracts get along very well with the help of eyeglasses, contact lenses, and other vision aids. […] Surgery is almost always by your choice (elective). It can be scheduled when it’s convenient. […] For most adults, surgery is only needed when vision loss caused by a cataract affects their quality of life. […] Most adults who have surgery for cataracts do it to improve their vision. […] If you have cataracts, you can manage your vision problems at home and avoid or delay surgery. […] Speak with an ophthalmologist about surgery to remove cataracts.
  • #1 Cataract Surgery: Recovery and How It Works
    https://my.clevelandclinic.org/health/treatments/21472-cataract-surgery
    Cataract surgery is a type of eye surgery to remove a cataract (cloudy lens) and improve your vision. […] Cataract surgery removes the cloudy lens and replaces it with a clear, artificial lens. […] Cataract surgery is currently the only proven way to treat cataracts in adults. […] You may need surgery if cataracts in one or both eyes are causing vision problems that interfere with your usual activities. […] Its important to know that cataract surgery wont treat vision loss from these other conditions. It only improves vision loss due to cataracts. […] Cataract surgery is successful in improving vision in about 97% of people who have it. […] Cataract surgery is a safe, routine procedure. […] In most cases, full recovery from cataract surgery takes four weeks. […] Call your ophthalmologist right away if you experience: Eye pain or redness, Crusting or mucous discharge around your eye, Worsening vision or vision loss, Eye floaters or flashes. […] Cleveland Clinic ophthalmologists are experts at cataract surgery. We can help you see clearly again.
  • #1
    https://www.aao.org/eye-health/diseases/what-are-cataracts
    Cataracts can be removed only with surgery. […] If your cataract symptoms are not bothering you very much, you dont have to remove a cataract. You might just need a new eyeglass prescription to help you see better. You should consider surgery when cataracts keep you from doing things you want or need to do. […] During cataract surgery, your eye surgeon will remove your eyes cloudy natural lens. Then he or she will replace it with an artificial lens. This new lens is called an intraocular lens (or IOL). […] Cataracts are a very common reason people lose vision, but they can be treated. You and your ophthalmologist should discuss your cataract symptoms. Together you can decide whether you are ready for cataract surgery.
  • #1 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    The most commonly performed type of ECCE surgery in the United States is phacoemulsification. Phacoemulsification, a form of extracapsular cataract extraction also called small incision surgery, softens and breaks apart the lens using ultrasound energy which is then aspirated from the eye through a smaller incision (2-4 mm). […] A retrospective study by Greenberg and colleagues (2011) reported on the prevalence and predictors of ocular complications associated with cataract removal in 45,082 participants undergoing care in the Veterans Health Administration (VHA) system. […] The authors concluded, Further large studies are warranted on the prevalence and predictors of ocular complications associated with cataract surgery for United States patient populations outside the VHA, including the role of factors such as resident training and surgeon volume.
  • #1 Cataract – EyeWiki
    https://eyewiki.org/Cataract
    Cataract surgery is one of the most common surgical procedures performed around the world and has a very high success rate. The most common type of cataract surgery in the United States utilizes ultrasound energy to break the cataract into particles small enough to aspirate through a handpiece. This technique is referred to as phacoemulsification. […] The goal in modern cataract surgery is not only the removal of the cataract but also its replacement with an intraocular lens. The IOL is typically placed during the cataract surgery, and it may be placed in the capsular bag as a posterior chamber lens (PCIOL), in the ciliary sulcus as a sulcus lens, or in the anterior chamber anterior to the iris as an anterior chamber lens (ACIOL).
  • #1 Cataracts NCLEX Nursing Review (Eye Disorders)
    https://www.registerednursern.com/cataracts-nclex-nursing-review-eye-disorders/
    Cataracts are a common eye disorder, especially in older adults. In fact, according to the National Eye Institute: more than half of all Americans age 80 or older either have cataracts or have had surgery to get rid of cataract. […] Nursing Interventions for Cataracts: Educate about Prevention. Identify patients who are at risk and remember many patients develop cataracts when older so the goal is to start early with preventive measures. […] Schedule regular eye exams to monitor the health of the eyes. […] Surgery: remove the cloudy lens and replace it with an intraocular lens (IOL). […] Before: Outpatient procedure and the procedure itself is quick (less than 15-20 minutes) and then patient is monitored in recovery and then goes home. […] After Surgery: Position on non-surgical side. Eye shield worn after surgery (per surgeon recommendations and when removed wear glasses throughout the day). […] Keep appointments, will check eye healing (may need new glass prescription once healing process is over).
  • #1 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    This document addresses cataract extraction in adults as a treatment for visually-significant cataracts, when lens removal is needed to allow better visualization of the retina or as a component of another surgical procedure. This document does not address congenital cataracts. […] Cataract removal surgery in adults is considered medically necessary for any of the following: The lens displays signs of cataract formation and the following criteria are met: The cataract is causing symptomatic impairment of visual function not correctable with a tolerable change in glasses or contact lenses; and Vision loss interferes with one or more of the following: Reading; or Viewing television; or Driving, or Meeting vocational or recreational needs; or Other daily activities; and Other eye disease(s) have been ruled out as the primary cause of decreased visual function including, but not limited to: Macular degeneration; or Diabetic retinopathy; and Surgery is reasonably expected to result in improved visual function.
  • #1 Cataracts: Essential Information for Aging Adults and Caregivers on Symptoms and Treatment – JEVS Human ServicesAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://www.jevshumanservices.org/cataracts-essential-information-for-aging-adults-and-caregivers-on-symptoms-and-treatment/
    Currently, surgery is the only effective way to treat cataracts. According to The National Eye Institute, cataract surgery is very safe and it improves the vision of 9 out of 10 people. During the surgery, “the doctor removes the clouded lens and replaces it with a new, artificial lens (also called an intraocular lens, or IOL).” The surgery is done as an outpatient procedure. It can take as little as 10 or 15 minutes. After surgery there can be minor side effects. According to The Cleveland Clinic, it’s normal to experience blurry vision for several days or longer, but this will gradually go away as you recover. Redness, watery eyes, and eyes that feel “gritty” are other common, temporary side effects. […] Remember: be good to your eyes and get in the habit of protecting them from possible harm. And if you or someone you care for are having any problems with your vision, see an ophthalmologist right away!
  • #1 Cataracts causes, symptoms & treatment | Assil Gaur Eye
    https://assileye.com/eye-care/cataract-surgery
    Cataract surgery is not urgent for the vast majority and can be safely delayed until the person wishes to pursue it. However, there are some drawbacks to postponing cataract surgery. Patients who wait for surgery may experience more vision loss, reduced quality of life, and an increased risk of falls. […] No. Your procedure is performed at our outpatient surgery center, and you will go home the same day.
  • #1 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Treatment of cataracts consists of surgical extraction of the cataractous lens opacity and intraoperative correction of visual deficits. Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #1 Cataract and its management | PPT
    https://www.slideshare.net/slideshow/cataract-and-its-management/235055000
    Cataract and its management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes at any age. Visual impairment normally progresses at the same rate in both eyes over many years or in a matter of months. If cataracts are present in both eyes, one may affect the patients vision more than the other. The World Health Organization (WHO) estimates that nearly 18 million people are bilaterally blind from cataract in the world, representing almost half of all global cases of blindness. By age 65, over 90 percent of people have a cataract and half of the people between the ages of 75 and 85 have lost some vision due to a cataract. In India cataract is the principal cause of blindness accounting for 62.6% cases of blindness. Risk Factors for Cataract Formation Aging Loss of lens transparency Clumping or aggregation of lens protein (which leads to light scattering) Accumulation of a yellow-brown pigment due to the breakdown of lens protein Decreased oxygen uptake Decrease in levels of vitamin C, protein, and glutathione (an antioxidant) Associated Ocular Conditions Retinitis pigmentosa Myopia Retinal detachment and retinal surgery Infection (e.g., herpes zoster, uveitis) Toxic Factors Corticosteroids, especially at high doses and in long- term use Alkaline chemical eye burns, poisoning Cigarette smoking Calcium, copper, iron, gold, silver, and mercury, which tend to deposit in the pupillary area of the lens Nutritional Factors Reduced levels of antioxidants Poor nutrition Obesity Physical Factors Dehydration associated with chronic diarrhea, use of purgatives in anorexia nervosa, and use of hyperbaric oxygenation Blunt trauma, perforation of the lens with a sharp object or foreign body, electric shock Ultraviolet radiation in sunlight and x-ray Systemic Diseases and Syndromes Diabetes mellitus Down syndrome Disorders related to lipid metabolism Renal disorders Musculoskeletal disorders A nuclear cataract is associated with myopia, which worsens when the cataract progresses. If dense, the cataract severely blurs vision. Periodic changes in prescription eyeglasses help manage this problem. A cortical cataract involves the anterior, posterior, or equatorial cortex of the lens. A cataract in the equator or periphery of the cortex does not interfere with the passage of light through the centre of the lens and has little effect on vision. Cortical cataracts progress at a highly variable rate. Vision is worse in very bright light. People with the highest levels of sunlight exposure have twice the risk of developing cortical cataracts than those with low-level sunlight exposure. Posterior subcapsular cataracts occur in front of the posterior capsule. This type typically develops in younger people and, in some cases, is associated with prolonged corticosteroid use, inflammation, or trauma. Near vision is diminished, and the eye is increasingly sensitive to glare from bright light. CLINICAL MANIFESTATIONS Painless, blurry vision Light scattering Sensitivity to glare Reduced visual acuity Astigmatism Monocular diplopia Brunescens (i.e., colour values shift to yellow-brown) Reduced light transmission Medical Management No nonsurgical treatment cures cataracts. Ongoing studies are investigating ways to slow cataract progression, such as intake of antioxidants (e.g., vitamin C, beta-carotene, vitamin E) In the early stages of cataract development, glasses, contact lenses, strong bifocals, or magnifying lenses may improve vision. Reducing glare with appropriate lighting can facilitate reading. Mydriatics can be used as short-term treatment to dilate the pupil and allow more light to reach the retina, although this increases glare. Surgical management Fewer than 15% of people with cataracts suffer vision problems severe enough to require surgery. Surgery is performed on an outpatient basis and usually takes less than 1 hour, with the patient being discharged in 30 minutes or less afterward. When both eyes have cataracts, one eye is treated first, with at least several weeks, preferably months, separating the two operations. Extracapsular cataract extraction (ECCE) Smaller incisional wounds (less trauma to the eye) and maintenance of the posterior capsule of the lens, reducing postoperative complications, particularly aphakic retinal detachment and cystoid macular edema. An intact zonular-capsular diaphragm provides the needed safe anchor for the posterior chamber intraocular lens (IOL). After the pupil has been dilated and the surgeon has made a small incision on the upper edge of the cornea, a viscoelastic substance (clear gel) is injected into the space between the cornea and the lens. This prevents the space from collapsing and facilitates insertion of the IOL. POSTOPERATIVE CARE -After recovery from anesthesia, the patient receives verbal and written instruction regarding how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. -The nurse also explains that there is minimal discomfort after surgery and instructs the patient to take a mild analgesic agent, such as acetaminophen, as needed. -Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively. NURSING ASSESSMENT Assess the patient’s distant and near visual acuity. If the patient is going to have surgery, especially note the visual acuity in the patient’s unoperated eye. Use this information to determine how visually compromised the patient may be while the operative eye is healing. Assess the psychosocial impact of the patient’s visual disability and the level of knowledge regarding the disease process and therapeutic options. Postoperatively, assess the patient’s level of comfort and ability to follow the postoperative regimen. NURSING DIAGNOSIS Pre-operative 1. Disturbed Sensory Perception: Visual related to cataract as evidenced by diminished visual acuity. 2. Anxiety related to surgery that will be undertaken and the possibility of failure to obtain a sight again. 3. Risk for injury related to decreased vision. Post-operative 1. Deficient knowledge related to the post- operative care as evidenced by frequent questioning by patient and family members. 2.Risk for infection related to trauma to the incision. 3.Risk for injury related to blurring of vision after surgery. Promoting home and community-based care -To prevent accidental rubbing or poking of the eye, the patient wears a protective eye patch for 24 hours after surgery, followed by eyeglasses worn during the day. -The nurse instructs the patient and family in applying and caring for the eye shield. -Sunglasses should be worn while outdoors during the day because the eye is sensitive to light. – Importance of complying with postoperative restrictions on head positioning, bending, coughing, and Valsalva maneuver to optimize visual outcomes and prevent increased intraocular pressure. – How to instill eye medications using aseptic techniques and adherence with prescribed eye medication routine to prevent infection. -Slight morning discharge, some redness, and a scratchy feeling may be expected for a few days. A clean, damp washcloth may be used to remove slight morning eye discharge. -Because cataract surgery increases the risk for retinal detachment, the patient must know to notify the surgeon if new floaters (i.e., dots) in vision, flashing lights, decrease in vision, pain, or increase in redness occurs. Continuing Care -The eye patch is removed after the first follow-up appointment. -Patients may experience blurring of vision for several days to weeks. Sutures left in the eye alter the curvature of the cornea, resulting in temporary blurring and some astigmatism. -Vision gradually improves as the eye heals. -How to monitor pain, take pain medication, and report pain not relieved by medication. -Importance of continued follow-up as recommended to maximize potential visual outcomes. As discussed throughout the presentation, learning about cataract and its management will help nurses to care for a cataract patient. Nurses can do assessment of a cataract patient, observe the sign and symptoms, provide the necessary nursing care and support the patient psychologically. Nurses can also counsel the patients and their family for various options available in treatment for cataract.
  • #1
    https://care24.co.in/nursing/cataract/
    Our nurses have experience in providing a wide range of Cataract nursing care services, which includes: […] nursing care for cataract surgery […] cataract nursing care supplying security and revolves around instruction that is individual prior to and after. […] Here are the medical care programs and nursing identification for individuals with cataracts: Disturbed Sensory Perception: Visible, Risk for Injury. […] If nursing care after cataract surgery is given in the patients house, structure the surroundings with conducive illumination and reduce fall dangers. […] Help the individual with the activities of daily living as required to cure any self-care deficit. […] As the patient recovery is ensured by a postoperative nursing care plan for cataract patient, postoperative cataract surgery nursing care is a vital element of the curing process.
  • #1 Cataract – Easy PPT for Nursing Students | PPT
    https://www.slideshare.net/slideshow/cataract-easy-ppt-for-nursing-students/218230093
    Cataract – Easy PPT for Nursing Students Definition picture Risk factors Types Clinical manifestations Diagnostic studies Medical management Surgical Management NUrsing Management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes and at any age. […] Withhold any anticoagulants the patient is receiving, if medically appropriate. In some cases, anticoagulant therapy may continue. Administer dilating drops every 10 minutes for four doses at least 1 hour before surgery. Antibiotic, corticosteroid, and anti-inflammatory drops may be administered prophylactically to prevent postoperative infection and inflammation. Provide patient verbal and written instructions about how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. Explains that there should be minimal discomfort after surgery, and instruct the patient to take a mild analgesic agent, such as acetaminophen, as needed. Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively.
  • #1 Cataract Nursing Care Management: Study Guide for Nurses
    https://nurseslabs.com/cataract/
    Mrs. Lao, 78 years old, is lately experiencing blurring of her vision. […] The patient with cataract should receive the usual preoperative care for ambulatory surgical patients undergoing eye surgery. […] The nurse should assess: […] Based on assessment data, the nursing diagnoses for the patient include: […] The major goals for the patient include: […] Care for a patient with cataract includes: […] Evaluation of the patient may include: […] The nurse teaches the patient self-care before discharge: […] The focus of documentation in a patient include:
  • #1 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #1 After Cataract Surgery: What Aging Adults Need to Do
    https://assistinghands.com/76/kentucky/northernkentucky/blog/what-seniors-should-do-following-cataract-surgery/
    Cataracts are among the most common causes of vision loss in seniors. Fortunately, the eye disease can be treated with a fairly straightforward surgery. After cataract surgery, its important for seniors to take the following steps to ensure a speedy recovery. […] Seniors might be uncomfortable with the appearance of their eyes after cataract surgery. Its quite common for the white of the eye to look red and bloodshot, and there may be some bruising around the eye. […] After a surgical procedure, seniors may face difficulty performing daily activities. […] Cataract surgery is a fairly simple surgical procedure, but it involves certain side effects. Seniors might feel soreness or pain right after the surgery, and some dryness and itchiness should also be expected. […] In the days after the surgery, you might need to spend a little extra time to keep your loved ones eyes safe. Most seniors need eye drops that prevent the eyes from getting infected.
  • #1 Cataract Surgery St. Paul | Advanced Technology Lenses Stillwater
    https://www.associatedeyecare.com/cataract-care-st-paul/
    At your follow-up appointments, your eye doctor will provide you with personalized recommendations on when it’s safe to return to things like driving based on how you are healing. They will also ensure you are using your protective eye shield and prescription eye drops as directed to protect your eye during recovery. […] If both eyes require surgery, the eyes will be treated one at a time. Surgery can be performed in the second eye once the first eye has had time to improve. Most patients notice visual improvements within the first few days of healing, but it can take around six weeks to recover from the procedure fully.
  • #1 What Your Loved One Might See When They Have Cataracts – CareHop
    https://carehop.ca/blog/what-your-loved-one-might-see-when-they-have-cataracts/
    Here are 6 ways you can support someone who has cataracts or is recovering from cataract surgery: Offer help with driving and errands: People with cataracts are often not comfortable driving, especially after dark when approaching headlights and streetlights can create a glare. […] Assist with household duties: If the cataracts are severe, simple tasks like cooking, washing dishes, doing laundry, and using the vacuum can become difficult. […] Ensure they arrange eye exams: Encourage the person to make an appointment with their eye specialist every year. This will help ensure that their prescription is adjusted enough to manage vision loss and monitor the cataracts progression. […] Remind them to wear sunglasses: Exposure to UV rays has been linked to cataracts and other degenerative eye diseases.
  • #1 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Therapeutic interventions and nursing actions for patients with cataracts may include: Monitoring Visual Acuity and Provide Support for Visual Function Optimization, Preventing Injuries, Initiating Patient Education and Health Teachings. […] Patients with cataracts are prone to injury due to their impaired vision, which can result in reduced visual acuity, blurry vision, and decreased depth perception. […] Post cataract surgery, patient education focuses on the following aspects: providing information about the importance of properly using prescribed eye drops and medications, including the correct dosage and frequency, emphasizing the need to protect the eyes from excessive sunlight or bright light, using sunglasses or other protective measures, providing education about potential signs of complications or infection to watch out for, and the importance of attending follow-up appointments with the ophthalmologist for proper monitoring and care.
  • #1 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    Encourage the patient to verbalize or keep a log on his or her fears and anxiety about visual loss or impending surgery. […] Be sure the patient understands all medications, including dosage, route, action, adverse effects, and need for postoperative evaluation, usually the next day, by the eye surgeon. […] Advise the patient not to shampoo for several days after surgery. […] Educating patients about the importance of regular eye examinations to detect changes in the lens and other eye structures. […] Educate patients on the natural aging process of the eye and the development of presbyopia. […] Educating patients about cataracts involves highlighting the following points: Emphasizing the gradual and painless nature of vision changes associated with cataracts. […] The primary problem associated with cataracts is the blurring of vision.
  • #1 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    After cataract surgery, it is crucial for the patient to protect the operated eye, especially while sleeping. […] Following cataract surgery, patients are instructed to avoid bending over, lifting heavy objects, or performing any actions that increase intraocular pressure. […] An iridectomy is performed after a cataract extraction primarily to prevent the development of secondary glaucoma. […] Advising the client to restrict fluid intake is not an appropriate nursing intervention after cataract extraction. […] Following cataract surgery, it is important to avoid activities that could increase intraocular pressure or cause trauma to the eye.
  • #1 Cataracts: What seniors need to know – Sanford Health News
    https://news.sanfordhealth.org/eye-care/cataracts-what-seniors-need-to-know/
    Thankfully, the recovery period is fairly quick and painless for most patients. I tell my patients to take it easy for the week after surgery by avoiding heavy lifting, bending, straining or eye rubbing. It’s helpful if family members can be available to assist their loved one with household chores and self-care. […] Cataract surgery is the most common surgery in the U.S., and it has excellent success rates. There are always risks involved with any surgery, but cataract surgery is a fairly straightforward procedure with fast recovery for most patients.
  • #1 Cataracts – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/diagnosis-treatment/drc-20353795
    Cataract surgery is generally safe. However, it carries a risk of infection and bleeding. Cataract surgery also increases the risk of the retina being pulled out of place. This is called retinal detachment. […] Self-care measures may help for a while, but your vision may get worse as the cataract grows. When vision loss starts to affect your everyday activities, consider cataract surgery. […] Make an appointment with your usual eye care professional if you notice changes in your vision. If they determine that you have cataracts, then you may be referred to an eye specialist who can perform cataract surgery.
  • #1 Care and Treatment Options for Cataracts | American Geriatrics Society | HealthInAging.org
    https://www.healthinaging.org/a-z-topic/cataracts/care-treatment
    You can lower the risk of cataracts, or slow them down by: […] Most eye doctors recommend cataract surgery if the ability to perform normal daily activities decreases too much. […] Cataracts can only be removed by surgery. This is a common operation with 90 percent of people having improved vision. Cataract surgery also can improve mental outlook, ability to carry out daily activities, and quality of life. […] Cataract surgery is usually very safe, but it can increase the risk of a detached retina, which must be treated immediately to avoid serious vision loss. […] Contact your healthcare provider immediately after your cataract surgery if you have any inflammation (pain, redness, swelling), bleeding, signs of infection, loss of vision, or double vision.
  • #1 Cataracts: Long-term Costs, Care, and Challenges | Ability Central
    https://abilitycentral.org/article/cataracts-long-term-costs-care-and-challenges
    Some types of cataracts, like those that do not interfere with vision or cause other symptoms, are considered elective procedures. […] If you do not have private insurance or your insurance doesn’t cover the cost of cataract surgery in full, there are other funding options for cataract surgery. […] Up to 20% of people who have cataract surgery develop a secondary cataract within three years of the procedure. […] YAG laser eye surgery takes about five minutes, and your sight should improve in about 24 hours. […] Many insurances, including Medicare Part B, cover YAG laser capsulotomy if your doctor deems it medically necessary. […] If you do not have private medical insurance or don’t qualify for government-sponsored care programs, you still have options. […] Many nonprofits help people who cannot afford vision treatments like cataract surgery.
  • #1 Cataract Surgery Benefits for Aging Adults
    https://coloradoeyeclinic.net/how-cataract-surgery-can-improve-quality-of-life-in-aging-adults/
    Improved vision from cataract surgery often results in more than just a clearer view of the world—it can lead to measurable improvements in quality of life. Aging adults who undergo the procedure often report increased confidence, greater mobility, and a renewed sense of independence. […] Cataract-related vision impairment is also associated with a higher risk of falls, depression, and social isolation. By restoring clear vision, surgery helps reduce these risks. […] Many people wonder when cataract surgery is necessary. In general, if cataracts begin to interfere with daily tasks—such as driving, reading, or recognizing faces—it’s time to consult an ophthalmologist. […] Preparation is key to ensuring a successful cataract surgery. Before the procedure, patients undergo a detailed eye evaluation to determine the most appropriate lens type and surgical approach.
  • #1 Cataract Surgery Benefits for Aging Adults
    https://coloradoeyeclinic.net/how-cataract-surgery-can-improve-quality-of-life-in-aging-adults/
    Recovery typically involves a few days of rest and the use of prescribed eye drops to prevent infection and promote healing. […] The benefits of cataract surgery go far beyond the initial weeks of improved vision. Many patients report continued satisfaction months and even years after the procedure. […] By removing the cataract, patients also reduce their risk of secondary complications, such as lens-induced glaucoma or inflammation. In this way, cataract surgery is both a restorative and preventative measure. […] Cataract surgery offers a proven, effective way to restore clarity and improve daily life.
  • #1 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    This guideline provides recommendations to primary care practitioners for the prevention, diagnosis, management and postoperative care of cataracts in adults (age 19 and older). […] The following are recommended to delay the onset and progression of cataracts: Smoking cessation, Reduced ultraviolet (UV) -B exposure (hats, sunglasses with UV-B protection), Safety eyeglasses during high-risk activities at work or recreation to avoid eye trauma. […] Patients who are long-term users of corticosteroids (by any route) should be informed of the increased risk of cataract formation. […] Indications for cataract surgery are not limited to Snellen visual acuity alone and referral for cataract surgery consultation is indicated in the setting of glare, monocular diplopia or other non-visual functional impairment.
  • #1 Understanding the Different Types of Cataracts | Clarkson Eyecare
    https://www.clarksoneyecare.com/eye-care-resources/types-of-cataracts
    At Clarkson Eyecare, we provide personalized, comprehensive eye care, ensuring that each patient receives the support and guidance they need. […] Clarkson Eyecare’s approach to cataract care emphasizes not only the importance of cutting-edge treatment but also the value of patient education and support.
  • #1 Recognizing the Symptoms of Cataracts – Cumberland Eye Care
    https://www.cumberlandeye.com/recognizing-the-symptoms-of-cataracts/
    Did you know cataracts are the primary cause of vision impairment, especially in older adults? […] If you are experiencing any of the following symptoms, its time to schedule an appointment with us soon. […] Are you experiencing changes in your vision? Schedule a cataract evaluation today to discuss any symptoms you may be having. […] If you have noticed any changes in your vision, its essential to get your eyes checked with an eye exam.
  • #1 What Are Some Causes of Cataracts? | Sharp HealthCare
    https://www.sharp.com/health-news/are-cataracts-an-inevitable-part-of-aging
    The time to fix a cataract is when a person is having difficulties with their normal daily activities and wants better vision. […] Cataracts are corrected by surgical removal. More than 2 million cataract surgeries are performed in the U.S. every year. […] According to Dr. Howard, cataract surgery is often the best time to try to improve someone’s vision as well as decrease their dependence on glasses. […] Helping people with their cataracts is one of the most fulfilling parts of our profession, Dr. Howard says.
  • #1 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    A cataract occurs when the lens of your eye becomes cloudy. Eventually, a cataract can become like the one shown in this person’s right eye. […] A cataract is a clouding of the lens of the eye, which is typically clear. For people who have cataracts, seeing through cloudy lenses is like looking through a frosty or fogged-up window. Clouded vision caused by cataracts can make it more difficult to read, drive a car at night or see the expression on a friend’s face. […] Most cataracts develop slowly and don’t disturb eyesight early on. But with time, cataracts will eventually affect vision. […] At first, stronger lighting and eyeglasses can help deal with cataracts. But if impaired vision affects usual activities, cataract surgery might be needed. Fortunately, cataract surgery is generally a safe, effective procedure.
  • #1 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Cataracts are a significant cause of blindness worldwide. Treatment options include correction with refractive glasses only at earlier stages, and if cataract mature enough to interfere with routine activities, surgery may be advised, which is very fruitful. […] The treatment choice depends upon the degree of opacity sufficient enough to cause difficulty in performing essential daily activities. Following treatment modalities are available: Medical: If visual acuity is 6/24 or better, pupillary dilatation with 2.5% phenylephrine or refractive glasses is enough to carry on routine activities, and surgery is not required. […] Nursing Management: Check visual acuity, Teach patient about cataracts and their treatment, Teach patient about healthy diet, Educate about medication compliance. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #1 Nurses’ role in early detection of cataracts | Nursing Times
    https://www.nursingtimes.net/assessment-skills/nurses-role-in-early-detection-of-cataracts-20-04-2015/
    By looking for early signs of cataracts when conducting holistic patient assessments, nurses can help affected patients manage any loss of vision until surgery is appropriate […] Nurses in all settings can help identify patients experiencing loss of visual acuity and refer them to local ophthalmic services. This could increase the number of cataracts diagnosed at an early stage, allowing patients to be helped to access and develop skills to compensate for their reducing vision until surgery is appropriate.
  • #2 Cataract – adult: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001001.htm
    A cataract is a clouding of the lens of the eye. […] As a person ages, proteins in the lens begin to break down. This makes the lens less flexible so that it is harder to focus on near objects. Over time, the lens becomes cloudy. What the eye sees may appear blurry at all distances. This condition is known as a cataract. […] Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse. […] The only treatment for a cataract is surgery to remove it. If a cataract is not making it hard for you to see, surgery is usually not needed. […] Early diagnosis and properly timed treatment are key to preventing permanent vision problems. […] Contact your eye care professional for an appointment if you have: Decreased night vision, Problems with glare, Vision loss. […] The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help.
  • #2 Cataract in adults – UpToDate
    https://www.uptodate.com/contents/cataract-in-adults
    Cataract is a significant cause of blindness worldwide. […] Cataracts occur frequently with increasing age and may be a normal part of aging. […] Modern microsurgical technique combined with intraocular lens implantation can restore normal vision in the vast majority of patients. […] The major advances in the surgical treatment of cataract have not been matched by advances in the understanding of cataract formation, approaches to prevention, or in nonsurgical therapy. […] Cataracts continue to be an important cause of blindness. […] Cataract surgery has increased in most areas of the world, and the proportion of cases of blindness due to cataract has been decreasing.
  • #2 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Its estimated that more than 24.4 million Americans over the age of 40 have cataracts. […] By age 75, at least 50 percent will have cataracts, and by age 80, it rises to 70 percent. […] Most optometrists tend to agree and say that If you live long enough, you will eventually develop cataracts, as they are considered an age-related condition. […] Cataracts are a common eye condition that usually affects older adults. […] Cataracts occur when the lens of your eyes becomes clouded and unable to focus images. […] This eye condition develops when natural proteins form abnormal clumps in the lens. […] As cataracts progress, less and less light is able to pass through the lens resulting in blurry and cloudy vision, especially at night. […] Aging is the biggest culprit of cataracts. […] Injury to the eye is also another common cause of cataracts.
  • #2 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #2 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #2 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Some long-term health conditions can also increase your risk of getting cataracts, such as type 2 diabetes, severe dermatitis and high blood pressure. […] Over time cataracts will get worse and you’ll need cataract surgery if you want to improve your sight. […] If you decide to have surgery, there may be a wait for treatment. […] Cataract surgery is done under a local anaesthetic. This means you’ll be awake but you will not feel any pain. […] The cloudy lens is replaced with an artificial one. You should be able to go home on the same day. […] Cataracts affect your sight and without treatment will eventually cause sight loss. […] For most people, cataract surgery will help to improve their vision. Recovery from surgery is quick and serious complications are rare.
  • #2 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #2 Cataracts – Eye Specialists of Ohio
    https://eyeohio.com/conditions/cataracts/
    Cataracts are one of the leading causes of vision impairment and blindness worldwide. According to the World Health Organization (WHO), cataracts are responsible for approximately 51% of world blindness, which translates to about 65 million people. […] The risk of developing cataracts increases with age, and they are particularly common among older adults. In fact, age-related cataracts are the most prevalent type. […] Cataracts can be caused by various factors, including aging: Age-related cataracts are the most common type, often occurring after the age of 60. […] Certain medical conditions, such as diabetes, hypertension, and prolonged use of corticosteroids, can increase the risk of cataracts. […] The symptoms of cataracts can vary from person to person, but common signs include blurry or cloudy vision, sensitivity to bright lights and glare, and difficulty seeing at night.
  • #2 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. […] Intervention is indicated when visual acuity has been reduced to a level that the client finds to be unacceptable or adversely affects lifestyle. […] Complications may include retinal disorders, pupillary block, adhesions, acute glaucoma, macular edema, and retinal detachment. Following extracapsular cataract extraction, the posterior capsule may become opacified. […] Sensory and perceptual alterations (visual) related to decreased visual acuity. […] There is no medical treatment for cataracts, although use of vitamin C and E and beta-carotene is being investigated. […] Surgical removal of the opacified lens is the only cure for cataracts. […] If nursing care is provided in the patients home, structure the environment with conducive lighting and reduce fall hazards.
  • #2
    https://www.focalpointeeyecare.com/eyecare/eye-diseases/cataracts
    Cataracts are the leading cause of vision loss among Americans over age 40, and are also the primary cause of blindness worldwide. […] Early stage cataracts are usually treated by prescribing stronger glasses or bi-focals, the use of magnifiers or improved lighting. […] As cataracts progress, surgery becomes a more viable option, especially in cases where vision loss is impacting daily activities. […] If you are experiencing any symptoms of cataracts or are at risk due to age, medical conditions, lifestyle or a combination of these factors, call us today to schedule an appointment.
  • #2 Management of cataracts – Primary Care Notebook
    https://primarycarenotebook.com/pages/ophthalmology/traumatic-cataract/management-of-cataracts
    At present there is no pharmacological treatment to cure existing cataracts or to halt its progression. Non surgical management that can be considered includes: counselling the patient about cataract symptoms and how it may affect daily activities […] advising the patients about minimizing their exposure to risk factors e.g. – cessation of smoking, control of diabetes, alternate medications for people on oral or inhaled corticosteroids. […] prescribing spectacles or contact lenses to improve vision […] using brimmed hats or sunglasses to minimize glare […] dilating the pupil (if there is a small centrally located cataract). Surgery remains the only effective treatment method in cataract patients to restore or maintain vision. In UK over 90% of cataract surgeries are done in people who are 60 years or older. In one systematic review of systematic reviews, cataract surgery was consistently associated with improved vision-related quality of life, particularly if carried out immediately after diagnosis. Ophthalmological referral for surgery should be based on factors such as: the level of visual impairment and how it affects the patients quality of life
  • #2 Cataracts: Signs, Symptoms & Treatment Options
    https://my.clevelandclinic.org/health/diseases/8589-cataracts-age-related
    Cataract surgery removes your clouded lens and replaces it with a clear artificial lens called an IOL. Providers recommend surgery when cataract symptoms interfere with your daily life. […] Healthcare providers consider cataracts an inevitable part of aging, and age-related cataracts is the most common form of the condition. […] But you dont have to live with fading vision. Ophthalmologists can do surgery to remove the cataracts and restore your vision. […] Cataract surgery is the only way to remove cataracts and restore your clear vision. During cataract surgery, an ophthalmologist removes your clouded natural lens and replaces it with an intraocular lens (IOL). […] Cataract surgery is one of the safest and most commonly performed surgeries in the U.S. Most people have no serious complications. […] If your symptoms start to interfere with your daily life, your provider may recommend surgery to help you safely go about your usual tasks. […] Cataracts can make everything look blurry and dull. Cleveland Clinic ophthalmologists are experts at cataract surgery. We can help you see clearly again.
  • #2 Cataract Surgery: Recovery and How It Works
    https://my.clevelandclinic.org/health/treatments/21472-cataract-surgery
    Cataract surgery is a type of eye surgery to remove a cataract (cloudy lens) and improve your vision. […] Cataract surgery removes the cloudy lens and replaces it with a clear, artificial lens. […] Cataract surgery is currently the only proven way to treat cataracts in adults. […] You may need surgery if cataracts in one or both eyes are causing vision problems that interfere with your usual activities. […] Its important to know that cataract surgery wont treat vision loss from these other conditions. It only improves vision loss due to cataracts. […] Cataract surgery is successful in improving vision in about 97% of people who have it. […] Cataract surgery is a safe, routine procedure. […] In most cases, full recovery from cataract surgery takes four weeks. […] Call your ophthalmologist right away if you experience: Eye pain or redness, Crusting or mucous discharge around your eye, Worsening vision or vision loss, Eye floaters or flashes. […] Cleveland Clinic ophthalmologists are experts at cataract surgery. We can help you see clearly again.
  • #2 Cataracts – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/diagnosis-treatment/drc-20353795
    To determine whether you have a cataract, your eye doctor will review your medical history and symptoms. They also will perform an eye exam. Your doctor may do several tests, including: […] When your prescription glasses can’t clear your vision, the only effective treatment for cataracts is surgery. […] Talk with your eye doctor about whether surgery is right for you. Most eye doctors suggest considering cataract surgery when your cataracts begin to affect your quality of life. This may include your ability to perform daily activities, such as reading or driving at night. […] Waiting to do cataract surgery typically won’t affect how well your vision recovers. Take time to consider the benefits and risks of cataract surgery with your doctor. […] Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens. The artificial lens, called an intraocular lens, is put in the same place as your natural lens. It remains a permanent part of your eye.
  • #2 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    This document addresses cataract extraction in adults as a treatment for visually-significant cataracts, when lens removal is needed to allow better visualization of the retina or as a component of another surgical procedure. This document does not address congenital cataracts. […] Cataract removal surgery in adults is considered medically necessary for any of the following: The lens displays signs of cataract formation and the following criteria are met: The cataract is causing symptomatic impairment of visual function not correctable with a tolerable change in glasses or contact lenses; and Vision loss interferes with one or more of the following: Reading; or Viewing television; or Driving, or Meeting vocational or recreational needs; or Other daily activities; and Other eye disease(s) have been ruled out as the primary cause of decreased visual function including, but not limited to: Macular degeneration; or Diabetic retinopathy; and Surgery is reasonably expected to result in improved visual function.
  • #2 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    Cataract surgery should be recommended when indicated because of proven effectiveness in enhancing quality of life. […] The primary indication for surgery is visual function that no longer meets the patients needs and for which cataract surgery provides a reasonable likelihood of improved vision. Other indications for a cataract removal include the following: There is clinically significant anisometropia in the presence of a cataract; The lens opacity interferes with optimal diagnosis of management of posterior segment conditions; The lens causes inflammation or secondary glaucoma (phacolytic, lens particle, phacoanaphylactic); The lens induces or risks angle closure. […] The extracapsular cataract extraction (ECCE) surgical procedure is used primarily for advanced cataracts where the lens is too dense to dissolve into fragments. This procedure involves the removal of the lens nucleus in one piece with an incision of approximately 10-14 mm, leaving the capsule in place.
  • #2 Cataract and its management | PPT
    https://www.slideshare.net/slideshow/cataract-and-its-management/235055000
    Cataract and its management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes at any age. Visual impairment normally progresses at the same rate in both eyes over many years or in a matter of months. If cataracts are present in both eyes, one may affect the patients vision more than the other. The World Health Organization (WHO) estimates that nearly 18 million people are bilaterally blind from cataract in the world, representing almost half of all global cases of blindness. By age 65, over 90 percent of people have a cataract and half of the people between the ages of 75 and 85 have lost some vision due to a cataract. In India cataract is the principal cause of blindness accounting for 62.6% cases of blindness. Risk Factors for Cataract Formation Aging Loss of lens transparency Clumping or aggregation of lens protein (which leads to light scattering) Accumulation of a yellow-brown pigment due to the breakdown of lens protein Decreased oxygen uptake Decrease in levels of vitamin C, protein, and glutathione (an antioxidant) Associated Ocular Conditions Retinitis pigmentosa Myopia Retinal detachment and retinal surgery Infection (e.g., herpes zoster, uveitis) Toxic Factors Corticosteroids, especially at high doses and in long- term use Alkaline chemical eye burns, poisoning Cigarette smoking Calcium, copper, iron, gold, silver, and mercury, which tend to deposit in the pupillary area of the lens Nutritional Factors Reduced levels of antioxidants Poor nutrition Obesity Physical Factors Dehydration associated with chronic diarrhea, use of purgatives in anorexia nervosa, and use of hyperbaric oxygenation Blunt trauma, perforation of the lens with a sharp object or foreign body, electric shock Ultraviolet radiation in sunlight and x-ray Systemic Diseases and Syndromes Diabetes mellitus Down syndrome Disorders related to lipid metabolism Renal disorders Musculoskeletal disorders A nuclear cataract is associated with myopia, which worsens when the cataract progresses. If dense, the cataract severely blurs vision. Periodic changes in prescription eyeglasses help manage this problem. A cortical cataract involves the anterior, posterior, or equatorial cortex of the lens. A cataract in the equator or periphery of the cortex does not interfere with the passage of light through the centre of the lens and has little effect on vision. Cortical cataracts progress at a highly variable rate. Vision is worse in very bright light. People with the highest levels of sunlight exposure have twice the risk of developing cortical cataracts than those with low-level sunlight exposure. Posterior subcapsular cataracts occur in front of the posterior capsule. This type typically develops in younger people and, in some cases, is associated with prolonged corticosteroid use, inflammation, or trauma. Near vision is diminished, and the eye is increasingly sensitive to glare from bright light. CLINICAL MANIFESTATIONS Painless, blurry vision Light scattering Sensitivity to glare Reduced visual acuity Astigmatism Monocular diplopia Brunescens (i.e., colour values shift to yellow-brown) Reduced light transmission Medical Management No nonsurgical treatment cures cataracts. Ongoing studies are investigating ways to slow cataract progression, such as intake of antioxidants (e.g., vitamin C, beta-carotene, vitamin E) In the early stages of cataract development, glasses, contact lenses, strong bifocals, or magnifying lenses may improve vision. Reducing glare with appropriate lighting can facilitate reading. Mydriatics can be used as short-term treatment to dilate the pupil and allow more light to reach the retina, although this increases glare. Surgical management Fewer than 15% of people with cataracts suffer vision problems severe enough to require surgery. Surgery is performed on an outpatient basis and usually takes less than 1 hour, with the patient being discharged in 30 minutes or less afterward. When both eyes have cataracts, one eye is treated first, with at least several weeks, preferably months, separating the two operations. Extracapsular cataract extraction (ECCE) Smaller incisional wounds (less trauma to the eye) and maintenance of the posterior capsule of the lens, reducing postoperative complications, particularly aphakic retinal detachment and cystoid macular edema. An intact zonular-capsular diaphragm provides the needed safe anchor for the posterior chamber intraocular lens (IOL). After the pupil has been dilated and the surgeon has made a small incision on the upper edge of the cornea, a viscoelastic substance (clear gel) is injected into the space between the cornea and the lens. This prevents the space from collapsing and facilitates insertion of the IOL. POSTOPERATIVE CARE -After recovery from anesthesia, the patient receives verbal and written instruction regarding how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. -The nurse also explains that there is minimal discomfort after surgery and instructs the patient to take a mild analgesic agent, such as acetaminophen, as needed. -Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively. NURSING ASSESSMENT Assess the patient’s distant and near visual acuity. If the patient is going to have surgery, especially note the visual acuity in the patient’s unoperated eye. Use this information to determine how visually compromised the patient may be while the operative eye is healing. Assess the psychosocial impact of the patient’s visual disability and the level of knowledge regarding the disease process and therapeutic options. Postoperatively, assess the patient’s level of comfort and ability to follow the postoperative regimen. NURSING DIAGNOSIS Pre-operative 1. Disturbed Sensory Perception: Visual related to cataract as evidenced by diminished visual acuity. 2. Anxiety related to surgery that will be undertaken and the possibility of failure to obtain a sight again. 3. Risk for injury related to decreased vision. Post-operative 1. Deficient knowledge related to the post- operative care as evidenced by frequent questioning by patient and family members. 2.Risk for infection related to trauma to the incision. 3.Risk for injury related to blurring of vision after surgery. Promoting home and community-based care -To prevent accidental rubbing or poking of the eye, the patient wears a protective eye patch for 24 hours after surgery, followed by eyeglasses worn during the day. -The nurse instructs the patient and family in applying and caring for the eye shield. -Sunglasses should be worn while outdoors during the day because the eye is sensitive to light. – Importance of complying with postoperative restrictions on head positioning, bending, coughing, and Valsalva maneuver to optimize visual outcomes and prevent increased intraocular pressure. – How to instill eye medications using aseptic techniques and adherence with prescribed eye medication routine to prevent infection. -Slight morning discharge, some redness, and a scratchy feeling may be expected for a few days. A clean, damp washcloth may be used to remove slight morning eye discharge. -Because cataract surgery increases the risk for retinal detachment, the patient must know to notify the surgeon if new floaters (i.e., dots) in vision, flashing lights, decrease in vision, pain, or increase in redness occurs. Continuing Care -The eye patch is removed after the first follow-up appointment. -Patients may experience blurring of vision for several days to weeks. Sutures left in the eye alter the curvature of the cornea, resulting in temporary blurring and some astigmatism. -Vision gradually improves as the eye heals. -How to monitor pain, take pain medication, and report pain not relieved by medication. -Importance of continued follow-up as recommended to maximize potential visual outcomes. As discussed throughout the presentation, learning about cataract and its management will help nurses to care for a cataract patient. Nurses can do assessment of a cataract patient, observe the sign and symptoms, provide the necessary nursing care and support the patient psychologically. Nurses can also counsel the patients and their family for various options available in treatment for cataract.
  • #2 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Treatment of cataracts consists of surgical extraction of the cataractous lens opacity and intraoperative correction of visual deficits. Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #2 Cataract – Easy PPT for Nursing Students | PPT
    https://www.slideshare.net/slideshow/cataract-easy-ppt-for-nursing-students/218230093
    Cataract – Easy PPT for Nursing Students Definition picture Risk factors Types Clinical manifestations Diagnostic studies Medical management Surgical Management NUrsing Management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes and at any age. […] Withhold any anticoagulants the patient is receiving, if medically appropriate. In some cases, anticoagulant therapy may continue. Administer dilating drops every 10 minutes for four doses at least 1 hour before surgery. Antibiotic, corticosteroid, and anti-inflammatory drops may be administered prophylactically to prevent postoperative infection and inflammation. Provide patient verbal and written instructions about how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. Explains that there should be minimal discomfort after surgery, and instruct the patient to take a mild analgesic agent, such as acetaminophen, as needed. Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively.
  • #2 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #2 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Therapeutic interventions and nursing actions for patients with cataracts may include: Monitoring Visual Acuity and Provide Support for Visual Function Optimization, Preventing Injuries, Initiating Patient Education and Health Teachings. […] Patients with cataracts are prone to injury due to their impaired vision, which can result in reduced visual acuity, blurry vision, and decreased depth perception. […] Post cataract surgery, patient education focuses on the following aspects: providing information about the importance of properly using prescribed eye drops and medications, including the correct dosage and frequency, emphasizing the need to protect the eyes from excessive sunlight or bright light, using sunglasses or other protective measures, providing education about potential signs of complications or infection to watch out for, and the importance of attending follow-up appointments with the ophthalmologist for proper monitoring and care.
  • #2
    https://care24.co.in/nursing/cataract/
    Our nurses have experience in providing a wide range of Cataract nursing care services, which includes: […] nursing care for cataract surgery […] cataract nursing care supplying security and revolves around instruction that is individual prior to and after. […] Here are the medical care programs and nursing identification for individuals with cataracts: Disturbed Sensory Perception: Visible, Risk for Injury. […] If nursing care after cataract surgery is given in the patients house, structure the surroundings with conducive illumination and reduce fall dangers. […] Help the individual with the activities of daily living as required to cure any self-care deficit. […] As the patient recovery is ensured by a postoperative nursing care plan for cataract patient, postoperative cataract surgery nursing care is a vital element of the curing process.
  • #2 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    After cataract surgery, it is crucial for the patient to protect the operated eye, especially while sleeping. […] Following cataract surgery, patients are instructed to avoid bending over, lifting heavy objects, or performing any actions that increase intraocular pressure. […] An iridectomy is performed after a cataract extraction primarily to prevent the development of secondary glaucoma. […] Advising the client to restrict fluid intake is not an appropriate nursing intervention after cataract extraction. […] Following cataract surgery, it is important to avoid activities that could increase intraocular pressure or cause trauma to the eye.
  • #2 Cataracts: Essential Information for Aging Adults and Caregivers on Symptoms and Treatment – JEVS Human ServicesAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://www.jevshumanservices.org/cataracts-essential-information-for-aging-adults-and-caregivers-on-symptoms-and-treatment/
    Currently, surgery is the only effective way to treat cataracts. According to The National Eye Institute, cataract surgery is very safe and it improves the vision of 9 out of 10 people. During the surgery, “the doctor removes the clouded lens and replaces it with a new, artificial lens (also called an intraocular lens, or IOL).” The surgery is done as an outpatient procedure. It can take as little as 10 or 15 minutes. After surgery there can be minor side effects. According to The Cleveland Clinic, it’s normal to experience blurry vision for several days or longer, but this will gradually go away as you recover. Redness, watery eyes, and eyes that feel “gritty” are other common, temporary side effects. […] Remember: be good to your eyes and get in the habit of protecting them from possible harm. And if you or someone you care for are having any problems with your vision, see an ophthalmologist right away!
  • #2 Cataract Surgery St. Paul | Advanced Technology Lenses Stillwater
    https://www.associatedeyecare.com/cataract-care-st-paul/
    At your follow-up appointments, your eye doctor will provide you with personalized recommendations on when it’s safe to return to things like driving based on how you are healing. They will also ensure you are using your protective eye shield and prescription eye drops as directed to protect your eye during recovery. […] If both eyes require surgery, the eyes will be treated one at a time. Surgery can be performed in the second eye once the first eye has had time to improve. Most patients notice visual improvements within the first few days of healing, but it can take around six weeks to recover from the procedure fully.
  • #2 Cataracts: Long-term Costs, Care, and Challenges | Ability Central
    https://abilitycentral.org/article/cataracts-long-term-costs-care-and-challenges
    Some types of cataracts, like those that do not interfere with vision or cause other symptoms, are considered elective procedures. […] If you do not have private insurance or your insurance doesn’t cover the cost of cataract surgery in full, there are other funding options for cataract surgery. […] Up to 20% of people who have cataract surgery develop a secondary cataract within three years of the procedure. […] YAG laser eye surgery takes about five minutes, and your sight should improve in about 24 hours. […] Many insurances, including Medicare Part B, cover YAG laser capsulotomy if your doctor deems it medically necessary. […] If you do not have private medical insurance or don’t qualify for government-sponsored care programs, you still have options. […] Many nonprofits help people who cannot afford vision treatments like cataract surgery.
  • #2 Cataracts – Causes, Symptoms, Risk Factors, Diagnosis, Treatment, and Prevention
    https://www.webmd.com/eye-health/cataracts/what-are-cataracts
    If youre over 60 and your vision has gotten blurry or cloudy, you may have cataracts. Its a common condition in older adults, and it can be treated by your eye doctor. […] Surgery is the only way to treat cataracts, but you may not need it right away. If you catch the problem at an early stage, you might be able to get by with a new prescription for your glasses. A stronger lens can make your vision better for a while. […] Keep close tabs on how your cataracts affect the way you see. When your vision troubles start to get in the way of your daily routine — especially if they make driving dangerous — it’s time to talk to your doctor about surgery. […] More than 95% of people who have this done say they can see better afterward. […] Adults should see an eye doctor at least every 2 years until age 50 and every year after that.
  • #2 Cataract Surgery Benefits for Aging Adults
    https://coloradoeyeclinic.net/how-cataract-surgery-can-improve-quality-of-life-in-aging-adults/
    Improved vision from cataract surgery often results in more than just a clearer view of the world—it can lead to measurable improvements in quality of life. Aging adults who undergo the procedure often report increased confidence, greater mobility, and a renewed sense of independence. […] Cataract-related vision impairment is also associated with a higher risk of falls, depression, and social isolation. By restoring clear vision, surgery helps reduce these risks. […] Many people wonder when cataract surgery is necessary. In general, if cataracts begin to interfere with daily tasks—such as driving, reading, or recognizing faces—it’s time to consult an ophthalmologist. […] Preparation is key to ensuring a successful cataract surgery. Before the procedure, patients undergo a detailed eye evaluation to determine the most appropriate lens type and surgical approach.
  • #2 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    This guideline provides recommendations to primary care practitioners for the prevention, diagnosis, management and postoperative care of cataracts in adults (age 19 and older). […] The following are recommended to delay the onset and progression of cataracts: Smoking cessation, Reduced ultraviolet (UV) -B exposure (hats, sunglasses with UV-B protection), Safety eyeglasses during high-risk activities at work or recreation to avoid eye trauma. […] Patients who are long-term users of corticosteroids (by any route) should be informed of the increased risk of cataract formation. […] Indications for cataract surgery are not limited to Snellen visual acuity alone and referral for cataract surgery consultation is indicated in the setting of glare, monocular diplopia or other non-visual functional impairment.
  • #2 What Your Loved One Might See When They Have Cataracts – CareHop
    https://carehop.ca/blog/what-your-loved-one-might-see-when-they-have-cataracts/
    Here are 6 ways you can support someone who has cataracts or is recovering from cataract surgery: Offer help with driving and errands: People with cataracts are often not comfortable driving, especially after dark when approaching headlights and streetlights can create a glare. […] Assist with household duties: If the cataracts are severe, simple tasks like cooking, washing dishes, doing laundry, and using the vacuum can become difficult. […] Ensure they arrange eye exams: Encourage the person to make an appointment with their eye specialist every year. This will help ensure that their prescription is adjusted enough to manage vision loss and monitor the cataracts progression. […] Remind them to wear sunglasses: Exposure to UV rays has been linked to cataracts and other degenerative eye diseases.
  • #2 Understanding the Different Types of Cataracts | Clarkson Eyecare
    https://www.clarksoneyecare.com/eye-care-resources/types-of-cataracts
    At Clarkson Eyecare, we provide personalized, comprehensive eye care, ensuring that each patient receives the support and guidance they need. […] Clarkson Eyecare’s approach to cataract care emphasizes not only the importance of cutting-edge treatment but also the value of patient education and support.
  • #2 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Cataracts are a significant cause of blindness worldwide. Treatment options include correction with refractive glasses only at earlier stages, and if cataract mature enough to interfere with routine activities, surgery may be advised, which is very fruitful. […] The treatment choice depends upon the degree of opacity sufficient enough to cause difficulty in performing essential daily activities. Following treatment modalities are available: Medical: If visual acuity is 6/24 or better, pupillary dilatation with 2.5% phenylephrine or refractive glasses is enough to carry on routine activities, and surgery is not required. […] Nursing Management: Check visual acuity, Teach patient about cataracts and their treatment, Teach patient about healthy diet, Educate about medication compliance. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #2 Nurses’ role in early detection of cataracts | Nursing Times
    https://www.nursingtimes.net/assessment-skills/nurses-role-in-early-detection-of-cataracts-20-04-2015/
    By looking for early signs of cataracts when conducting holistic patient assessments, nurses can help affected patients manage any loss of vision until surgery is appropriate […] Nurses in all settings can help identify patients experiencing loss of visual acuity and refer them to local ophthalmic services. This could increase the number of cataracts diagnosed at an early stage, allowing patients to be helped to access and develop skills to compensate for their reducing vision until surgery is appropriate.
  • #3 Cataract – adult: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001001.htm
    A cataract is a clouding of the lens of the eye. […] As a person ages, proteins in the lens begin to break down. This makes the lens less flexible so that it is harder to focus on near objects. Over time, the lens becomes cloudy. What the eye sees may appear blurry at all distances. This condition is known as a cataract. […] Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse. […] The only treatment for a cataract is surgery to remove it. If a cataract is not making it hard for you to see, surgery is usually not needed. […] Early diagnosis and properly timed treatment are key to preventing permanent vision problems. […] Contact your eye care professional for an appointment if you have: Decreased night vision, Problems with glare, Vision loss. […] The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help.
  • #3 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Its estimated that more than 24.4 million Americans over the age of 40 have cataracts. […] By age 75, at least 50 percent will have cataracts, and by age 80, it rises to 70 percent. […] Most optometrists tend to agree and say that If you live long enough, you will eventually develop cataracts, as they are considered an age-related condition. […] Cataracts are a common eye condition that usually affects older adults. […] Cataracts occur when the lens of your eyes becomes clouded and unable to focus images. […] This eye condition develops when natural proteins form abnormal clumps in the lens. […] As cataracts progress, less and less light is able to pass through the lens resulting in blurry and cloudy vision, especially at night. […] Aging is the biggest culprit of cataracts. […] Injury to the eye is also another common cause of cataracts.
  • #3 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #3 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #3 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #3
    https://www.focalpointeeyecare.com/eyecare/eye-diseases/cataracts
    Cataracts are the leading cause of vision loss among Americans over age 40, and are also the primary cause of blindness worldwide. […] Early stage cataracts are usually treated by prescribing stronger glasses or bi-focals, the use of magnifiers or improved lighting. […] As cataracts progress, surgery becomes a more viable option, especially in cases where vision loss is impacting daily activities. […] If you are experiencing any symptoms of cataracts or are at risk due to age, medical conditions, lifestyle or a combination of these factors, call us today to schedule an appointment.
  • #3 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    Cataract surgery should be recommended when indicated because of proven effectiveness in enhancing quality of life. […] The primary indication for surgery is visual function that no longer meets the patients needs and for which cataract surgery provides a reasonable likelihood of improved vision. Other indications for a cataract removal include the following: There is clinically significant anisometropia in the presence of a cataract; The lens opacity interferes with optimal diagnosis of management of posterior segment conditions; The lens causes inflammation or secondary glaucoma (phacolytic, lens particle, phacoanaphylactic); The lens induces or risks angle closure. […] The extracapsular cataract extraction (ECCE) surgical procedure is used primarily for advanced cataracts where the lens is too dense to dissolve into fragments. This procedure involves the removal of the lens nucleus in one piece with an incision of approximately 10-14 mm, leaving the capsule in place.
  • #3 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    This document addresses cataract extraction in adults as a treatment for visually-significant cataracts, when lens removal is needed to allow better visualization of the retina or as a component of another surgical procedure. This document does not address congenital cataracts. […] Cataract removal surgery in adults is considered medically necessary for any of the following: The lens displays signs of cataract formation and the following criteria are met: The cataract is causing symptomatic impairment of visual function not correctable with a tolerable change in glasses or contact lenses; and Vision loss interferes with one or more of the following: Reading; or Viewing television; or Driving, or Meeting vocational or recreational needs; or Other daily activities; and Other eye disease(s) have been ruled out as the primary cause of decreased visual function including, but not limited to: Macular degeneration; or Diabetic retinopathy; and Surgery is reasonably expected to result in improved visual function.
  • #3 Cataracts – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/diagnosis-treatment/drc-20353795
    To determine whether you have a cataract, your eye doctor will review your medical history and symptoms. They also will perform an eye exam. Your doctor may do several tests, including: […] When your prescription glasses can’t clear your vision, the only effective treatment for cataracts is surgery. […] Talk with your eye doctor about whether surgery is right for you. Most eye doctors suggest considering cataract surgery when your cataracts begin to affect your quality of life. This may include your ability to perform daily activities, such as reading or driving at night. […] Waiting to do cataract surgery typically won’t affect how well your vision recovers. Take time to consider the benefits and risks of cataract surgery with your doctor. […] Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens. The artificial lens, called an intraocular lens, is put in the same place as your natural lens. It remains a permanent part of your eye.
  • #3 3 Cataracts Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/cataracts-nursing-care-plans/
    Developing a nursing care plan for cataract patients requires a thorough understanding of the nursing diagnosis for this condition. […] Treatment of cataracts consists of surgical extraction of the cataractous lens opacity and intraoperative correction of visual deficits. Nursing care revolves around patient education before and after surgery and providing safety. […] The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts, Educate patients about cataracts, Monitor visual acuity and limitations, Provide support for visual function optimization, Coordinate referrals for surgical evaluation. […] Goals and expected outcomes may include: The patient will regain the optimal vision possible and will adapt to permanent visual changes, The patient will be able to verbalize understanding of visual loss and diseases of the eyes, The patient will be able to regain vision to the maximum possible extent with the surgical procedure, The patient will be able to deal with the potential for permanent visual loss, The patient will maintain a safe environment with no injury noted, The patient will be able to use adaptive devices to compensate for visual loss, The patient will be compliant with the instructions given and will be able to notify the physician of emergency symptoms, The patient will be free of injury and will be able to perform activities within the parameters of sensory limitation, The patient will be able to be free of injury, The patient and/or family will be able to modify the environment to ensure patient safety.
  • #3 Cataract and its management | PPT
    https://www.slideshare.net/slideshow/cataract-and-its-management/235055000
    Cataract and its management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes at any age. Visual impairment normally progresses at the same rate in both eyes over many years or in a matter of months. If cataracts are present in both eyes, one may affect the patients vision more than the other. The World Health Organization (WHO) estimates that nearly 18 million people are bilaterally blind from cataract in the world, representing almost half of all global cases of blindness. By age 65, over 90 percent of people have a cataract and half of the people between the ages of 75 and 85 have lost some vision due to a cataract. In India cataract is the principal cause of blindness accounting for 62.6% cases of blindness. Risk Factors for Cataract Formation Aging Loss of lens transparency Clumping or aggregation of lens protein (which leads to light scattering) Accumulation of a yellow-brown pigment due to the breakdown of lens protein Decreased oxygen uptake Decrease in levels of vitamin C, protein, and glutathione (an antioxidant) Associated Ocular Conditions Retinitis pigmentosa Myopia Retinal detachment and retinal surgery Infection (e.g., herpes zoster, uveitis) Toxic Factors Corticosteroids, especially at high doses and in long- term use Alkaline chemical eye burns, poisoning Cigarette smoking Calcium, copper, iron, gold, silver, and mercury, which tend to deposit in the pupillary area of the lens Nutritional Factors Reduced levels of antioxidants Poor nutrition Obesity Physical Factors Dehydration associated with chronic diarrhea, use of purgatives in anorexia nervosa, and use of hyperbaric oxygenation Blunt trauma, perforation of the lens with a sharp object or foreign body, electric shock Ultraviolet radiation in sunlight and x-ray Systemic Diseases and Syndromes Diabetes mellitus Down syndrome Disorders related to lipid metabolism Renal disorders Musculoskeletal disorders A nuclear cataract is associated with myopia, which worsens when the cataract progresses. If dense, the cataract severely blurs vision. Periodic changes in prescription eyeglasses help manage this problem. A cortical cataract involves the anterior, posterior, or equatorial cortex of the lens. A cataract in the equator or periphery of the cortex does not interfere with the passage of light through the centre of the lens and has little effect on vision. Cortical cataracts progress at a highly variable rate. Vision is worse in very bright light. People with the highest levels of sunlight exposure have twice the risk of developing cortical cataracts than those with low-level sunlight exposure. Posterior subcapsular cataracts occur in front of the posterior capsule. This type typically develops in younger people and, in some cases, is associated with prolonged corticosteroid use, inflammation, or trauma. Near vision is diminished, and the eye is increasingly sensitive to glare from bright light. CLINICAL MANIFESTATIONS Painless, blurry vision Light scattering Sensitivity to glare Reduced visual acuity Astigmatism Monocular diplopia Brunescens (i.e., colour values shift to yellow-brown) Reduced light transmission Medical Management No nonsurgical treatment cures cataracts. Ongoing studies are investigating ways to slow cataract progression, such as intake of antioxidants (e.g., vitamin C, beta-carotene, vitamin E) In the early stages of cataract development, glasses, contact lenses, strong bifocals, or magnifying lenses may improve vision. Reducing glare with appropriate lighting can facilitate reading. Mydriatics can be used as short-term treatment to dilate the pupil and allow more light to reach the retina, although this increases glare. Surgical management Fewer than 15% of people with cataracts suffer vision problems severe enough to require surgery. Surgery is performed on an outpatient basis and usually takes less than 1 hour, with the patient being discharged in 30 minutes or less afterward. When both eyes have cataracts, one eye is treated first, with at least several weeks, preferably months, separating the two operations. Extracapsular cataract extraction (ECCE) Smaller incisional wounds (less trauma to the eye) and maintenance of the posterior capsule of the lens, reducing postoperative complications, particularly aphakic retinal detachment and cystoid macular edema. An intact zonular-capsular diaphragm provides the needed safe anchor for the posterior chamber intraocular lens (IOL). After the pupil has been dilated and the surgeon has made a small incision on the upper edge of the cornea, a viscoelastic substance (clear gel) is injected into the space between the cornea and the lens. This prevents the space from collapsing and facilitates insertion of the IOL. POSTOPERATIVE CARE -After recovery from anesthesia, the patient receives verbal and written instruction regarding how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. -The nurse also explains that there is minimal discomfort after surgery and instructs the patient to take a mild analgesic agent, such as acetaminophen, as needed. -Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively. NURSING ASSESSMENT Assess the patient’s distant and near visual acuity. If the patient is going to have surgery, especially note the visual acuity in the patient’s unoperated eye. Use this information to determine how visually compromised the patient may be while the operative eye is healing. Assess the psychosocial impact of the patient’s visual disability and the level of knowledge regarding the disease process and therapeutic options. Postoperatively, assess the patient’s level of comfort and ability to follow the postoperative regimen. NURSING DIAGNOSIS Pre-operative 1. Disturbed Sensory Perception: Visual related to cataract as evidenced by diminished visual acuity. 2. Anxiety related to surgery that will be undertaken and the possibility of failure to obtain a sight again. 3. Risk for injury related to decreased vision. Post-operative 1. Deficient knowledge related to the post- operative care as evidenced by frequent questioning by patient and family members. 2.Risk for infection related to trauma to the incision. 3.Risk for injury related to blurring of vision after surgery. Promoting home and community-based care -To prevent accidental rubbing or poking of the eye, the patient wears a protective eye patch for 24 hours after surgery, followed by eyeglasses worn during the day. -The nurse instructs the patient and family in applying and caring for the eye shield. -Sunglasses should be worn while outdoors during the day because the eye is sensitive to light. – Importance of complying with postoperative restrictions on head positioning, bending, coughing, and Valsalva maneuver to optimize visual outcomes and prevent increased intraocular pressure. – How to instill eye medications using aseptic techniques and adherence with prescribed eye medication routine to prevent infection. -Slight morning discharge, some redness, and a scratchy feeling may be expected for a few days. A clean, damp washcloth may be used to remove slight morning eye discharge. -Because cataract surgery increases the risk for retinal detachment, the patient must know to notify the surgeon if new floaters (i.e., dots) in vision, flashing lights, decrease in vision, pain, or increase in redness occurs. Continuing Care -The eye patch is removed after the first follow-up appointment. -Patients may experience blurring of vision for several days to weeks. Sutures left in the eye alter the curvature of the cornea, resulting in temporary blurring and some astigmatism. -Vision gradually improves as the eye heals. -How to monitor pain, take pain medication, and report pain not relieved by medication. -Importance of continued follow-up as recommended to maximize potential visual outcomes. As discussed throughout the presentation, learning about cataract and its management will help nurses to care for a cataract patient. Nurses can do assessment of a cataract patient, observe the sign and symptoms, provide the necessary nursing care and support the patient psychologically. Nurses can also counsel the patients and their family for various options available in treatment for cataract.
  • #3 Cataract Nursing Care Plan & Management – RNpedia
    https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/cataract/
    After cataract surgery, it is crucial for the patient to protect the operated eye, especially while sleeping. […] Following cataract surgery, patients are instructed to avoid bending over, lifting heavy objects, or performing any actions that increase intraocular pressure. […] An iridectomy is performed after a cataract extraction primarily to prevent the development of secondary glaucoma. […] Advising the client to restrict fluid intake is not an appropriate nursing intervention after cataract extraction. […] Following cataract surgery, it is important to avoid activities that could increase intraocular pressure or cause trauma to the eye.
  • #3 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #3 Cataract Surgery St. Paul | Advanced Technology Lenses Stillwater
    https://www.associatedeyecare.com/cataract-care-st-paul/
    At your follow-up appointments, your eye doctor will provide you with personalized recommendations on when it’s safe to return to things like driving based on how you are healing. They will also ensure you are using your protective eye shield and prescription eye drops as directed to protect your eye during recovery. […] If both eyes require surgery, the eyes will be treated one at a time. Surgery can be performed in the second eye once the first eye has had time to improve. Most patients notice visual improvements within the first few days of healing, but it can take around six weeks to recover from the procedure fully.
  • #3 Management of cataracts – Primary Care Notebook
    https://primarycarenotebook.com/pages/ophthalmology/traumatic-cataract/management-of-cataracts
    At present there is no pharmacological treatment to cure existing cataracts or to halt its progression. Non surgical management that can be considered includes: counselling the patient about cataract symptoms and how it may affect daily activities […] advising the patients about minimizing their exposure to risk factors e.g. – cessation of smoking, control of diabetes, alternate medications for people on oral or inhaled corticosteroids. […] prescribing spectacles or contact lenses to improve vision […] using brimmed hats or sunglasses to minimize glare […] dilating the pupil (if there is a small centrally located cataract). Surgery remains the only effective treatment method in cataract patients to restore or maintain vision. In UK over 90% of cataract surgeries are done in people who are 60 years or older. In one systematic review of systematic reviews, cataract surgery was consistently associated with improved vision-related quality of life, particularly if carried out immediately after diagnosis. Ophthalmological referral for surgery should be based on factors such as: the level of visual impairment and how it affects the patients quality of life
  • #3 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    This guideline provides recommendations to primary care practitioners for the prevention, diagnosis, management and postoperative care of cataracts in adults (age 19 and older). […] The following are recommended to delay the onset and progression of cataracts: Smoking cessation, Reduced ultraviolet (UV) -B exposure (hats, sunglasses with UV-B protection), Safety eyeglasses during high-risk activities at work or recreation to avoid eye trauma. […] Patients who are long-term users of corticosteroids (by any route) should be informed of the increased risk of cataract formation. […] Indications for cataract surgery are not limited to Snellen visual acuity alone and referral for cataract surgery consultation is indicated in the setting of glare, monocular diplopia or other non-visual functional impairment.
  • #3 Cataracts – Causes, Symptoms, Risk Factors, Diagnosis, Treatment, and Prevention
    https://www.webmd.com/eye-health/cataracts/what-are-cataracts
    If youre over 60 and your vision has gotten blurry or cloudy, you may have cataracts. Its a common condition in older adults, and it can be treated by your eye doctor. […] Surgery is the only way to treat cataracts, but you may not need it right away. If you catch the problem at an early stage, you might be able to get by with a new prescription for your glasses. A stronger lens can make your vision better for a while. […] Keep close tabs on how your cataracts affect the way you see. When your vision troubles start to get in the way of your daily routine — especially if they make driving dangerous — it’s time to talk to your doctor about surgery. […] More than 95% of people who have this done say they can see better afterward. […] Adults should see an eye doctor at least every 2 years until age 50 and every year after that.
  • #3 Cataract in adults – UpToDate
    https://www.uptodate.com/contents/cataract-in-adults
    Cataract is a significant cause of blindness worldwide. […] Cataracts occur frequently with increasing age and may be a normal part of aging. […] Modern microsurgical technique combined with intraocular lens implantation can restore normal vision in the vast majority of patients. […] The major advances in the surgical treatment of cataract have not been matched by advances in the understanding of cataract formation, approaches to prevention, or in nonsurgical therapy. […] Cataracts continue to be an important cause of blindness. […] Cataract surgery has increased in most areas of the world, and the proportion of cases of blindness due to cataract has been decreasing.
  • #3 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Cataracts are a significant cause of blindness worldwide. Treatment options include correction with refractive glasses only at earlier stages, and if cataract mature enough to interfere with routine activities, surgery may be advised, which is very fruitful. […] The treatment choice depends upon the degree of opacity sufficient enough to cause difficulty in performing essential daily activities. Following treatment modalities are available: Medical: If visual acuity is 6/24 or better, pupillary dilatation with 2.5% phenylephrine or refractive glasses is enough to carry on routine activities, and surgery is not required. […] Nursing Management: Check visual acuity, Teach patient about cataracts and their treatment, Teach patient about healthy diet, Educate about medication compliance. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #3 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Some long-term health conditions can also increase your risk of getting cataracts, such as type 2 diabetes, severe dermatitis and high blood pressure. […] Over time cataracts will get worse and you’ll need cataract surgery if you want to improve your sight. […] If you decide to have surgery, there may be a wait for treatment. […] Cataract surgery is done under a local anaesthetic. This means you’ll be awake but you will not feel any pain. […] The cloudy lens is replaced with an artificial one. You should be able to go home on the same day. […] Cataracts affect your sight and without treatment will eventually cause sight loss. […] For most people, cataract surgery will help to improve their vision. Recovery from surgery is quick and serious complications are rare.
  • #4 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Its estimated that more than 24.4 million Americans over the age of 40 have cataracts. […] By age 75, at least 50 percent will have cataracts, and by age 80, it rises to 70 percent. […] Most optometrists tend to agree and say that If you live long enough, you will eventually develop cataracts, as they are considered an age-related condition. […] Cataracts are a common eye condition that usually affects older adults. […] Cataracts occur when the lens of your eyes becomes clouded and unable to focus images. […] This eye condition develops when natural proteins form abnormal clumps in the lens. […] As cataracts progress, less and less light is able to pass through the lens resulting in blurry and cloudy vision, especially at night. […] Aging is the biggest culprit of cataracts. […] Injury to the eye is also another common cause of cataracts.
  • #4 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #4 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #4 Cataract – adult: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001001.htm
    A cataract is a clouding of the lens of the eye. […] As a person ages, proteins in the lens begin to break down. This makes the lens less flexible so that it is harder to focus on near objects. Over time, the lens becomes cloudy. What the eye sees may appear blurry at all distances. This condition is known as a cataract. […] Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse. […] The only treatment for a cataract is surgery to remove it. If a cataract is not making it hard for you to see, surgery is usually not needed. […] Early diagnosis and properly timed treatment are key to preventing permanent vision problems. […] Contact your eye care professional for an appointment if you have: Decreased night vision, Problems with glare, Vision loss. […] The best prevention involves controlling diseases that increase the risk for a cataract. Avoiding exposure to things that promote cataract formation can also help.
  • #4 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #4 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    This document addresses cataract extraction in adults as a treatment for visually-significant cataracts, when lens removal is needed to allow better visualization of the retina or as a component of another surgical procedure. This document does not address congenital cataracts. […] Cataract removal surgery in adults is considered medically necessary for any of the following: The lens displays signs of cataract formation and the following criteria are met: The cataract is causing symptomatic impairment of visual function not correctable with a tolerable change in glasses or contact lenses; and Vision loss interferes with one or more of the following: Reading; or Viewing television; or Driving, or Meeting vocational or recreational needs; or Other daily activities; and Other eye disease(s) have been ruled out as the primary cause of decreased visual function including, but not limited to: Macular degeneration; or Diabetic retinopathy; and Surgery is reasonably expected to result in improved visual function.
  • #4 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #4 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    This guideline provides recommendations to primary care practitioners for the prevention, diagnosis, management and postoperative care of cataracts in adults (age 19 and older). […] The following are recommended to delay the onset and progression of cataracts: Smoking cessation, Reduced ultraviolet (UV) -B exposure (hats, sunglasses with UV-B protection), Safety eyeglasses during high-risk activities at work or recreation to avoid eye trauma. […] Patients who are long-term users of corticosteroids (by any route) should be informed of the increased risk of cataract formation. […] Indications for cataract surgery are not limited to Snellen visual acuity alone and referral for cataract surgery consultation is indicated in the setting of glare, monocular diplopia or other non-visual functional impairment.
  • #4 Management of cataracts – Primary Care Notebook
    https://primarycarenotebook.com/pages/ophthalmology/traumatic-cataract/management-of-cataracts
    At present there is no pharmacological treatment to cure existing cataracts or to halt its progression. Non surgical management that can be considered includes: counselling the patient about cataract symptoms and how it may affect daily activities […] advising the patients about minimizing their exposure to risk factors e.g. – cessation of smoking, control of diabetes, alternate medications for people on oral or inhaled corticosteroids. […] prescribing spectacles or contact lenses to improve vision […] using brimmed hats or sunglasses to minimize glare […] dilating the pupil (if there is a small centrally located cataract). Surgery remains the only effective treatment method in cataract patients to restore or maintain vision. In UK over 90% of cataract surgeries are done in people who are 60 years or older. In one systematic review of systematic reviews, cataract surgery was consistently associated with improved vision-related quality of life, particularly if carried out immediately after diagnosis. Ophthalmological referral for surgery should be based on factors such as: the level of visual impairment and how it affects the patients quality of life
  • #4 Cataract and its management | PPT
    https://www.slideshare.net/slideshow/cataract-and-its-management/235055000
    Cataract and its management A cataract is a lens opacity or cloudiness. Cataracts can develop in one or both eyes at any age. Visual impairment normally progresses at the same rate in both eyes over many years or in a matter of months. If cataracts are present in both eyes, one may affect the patients vision more than the other. The World Health Organization (WHO) estimates that nearly 18 million people are bilaterally blind from cataract in the world, representing almost half of all global cases of blindness. By age 65, over 90 percent of people have a cataract and half of the people between the ages of 75 and 85 have lost some vision due to a cataract. In India cataract is the principal cause of blindness accounting for 62.6% cases of blindness. Risk Factors for Cataract Formation Aging Loss of lens transparency Clumping or aggregation of lens protein (which leads to light scattering) Accumulation of a yellow-brown pigment due to the breakdown of lens protein Decreased oxygen uptake Decrease in levels of vitamin C, protein, and glutathione (an antioxidant) Associated Ocular Conditions Retinitis pigmentosa Myopia Retinal detachment and retinal surgery Infection (e.g., herpes zoster, uveitis) Toxic Factors Corticosteroids, especially at high doses and in long- term use Alkaline chemical eye burns, poisoning Cigarette smoking Calcium, copper, iron, gold, silver, and mercury, which tend to deposit in the pupillary area of the lens Nutritional Factors Reduced levels of antioxidants Poor nutrition Obesity Physical Factors Dehydration associated with chronic diarrhea, use of purgatives in anorexia nervosa, and use of hyperbaric oxygenation Blunt trauma, perforation of the lens with a sharp object or foreign body, electric shock Ultraviolet radiation in sunlight and x-ray Systemic Diseases and Syndromes Diabetes mellitus Down syndrome Disorders related to lipid metabolism Renal disorders Musculoskeletal disorders A nuclear cataract is associated with myopia, which worsens when the cataract progresses. If dense, the cataract severely blurs vision. Periodic changes in prescription eyeglasses help manage this problem. A cortical cataract involves the anterior, posterior, or equatorial cortex of the lens. A cataract in the equator or periphery of the cortex does not interfere with the passage of light through the centre of the lens and has little effect on vision. Cortical cataracts progress at a highly variable rate. Vision is worse in very bright light. People with the highest levels of sunlight exposure have twice the risk of developing cortical cataracts than those with low-level sunlight exposure. Posterior subcapsular cataracts occur in front of the posterior capsule. This type typically develops in younger people and, in some cases, is associated with prolonged corticosteroid use, inflammation, or trauma. Near vision is diminished, and the eye is increasingly sensitive to glare from bright light. CLINICAL MANIFESTATIONS Painless, blurry vision Light scattering Sensitivity to glare Reduced visual acuity Astigmatism Monocular diplopia Brunescens (i.e., colour values shift to yellow-brown) Reduced light transmission Medical Management No nonsurgical treatment cures cataracts. Ongoing studies are investigating ways to slow cataract progression, such as intake of antioxidants (e.g., vitamin C, beta-carotene, vitamin E) In the early stages of cataract development, glasses, contact lenses, strong bifocals, or magnifying lenses may improve vision. Reducing glare with appropriate lighting can facilitate reading. Mydriatics can be used as short-term treatment to dilate the pupil and allow more light to reach the retina, although this increases glare. Surgical management Fewer than 15% of people with cataracts suffer vision problems severe enough to require surgery. Surgery is performed on an outpatient basis and usually takes less than 1 hour, with the patient being discharged in 30 minutes or less afterward. When both eyes have cataracts, one eye is treated first, with at least several weeks, preferably months, separating the two operations. Extracapsular cataract extraction (ECCE) Smaller incisional wounds (less trauma to the eye) and maintenance of the posterior capsule of the lens, reducing postoperative complications, particularly aphakic retinal detachment and cystoid macular edema. An intact zonular-capsular diaphragm provides the needed safe anchor for the posterior chamber intraocular lens (IOL). After the pupil has been dilated and the surgeon has made a small incision on the upper edge of the cornea, a viscoelastic substance (clear gel) is injected into the space between the cornea and the lens. This prevents the space from collapsing and facilitates insertion of the IOL. POSTOPERATIVE CARE -After recovery from anesthesia, the patient receives verbal and written instruction regarding how to protect the eye, administer medications, recognize signs of complications, and obtain emergency care. -The nurse also explains that there is minimal discomfort after surgery and instructs the patient to take a mild analgesic agent, such as acetaminophen, as needed. -Antibiotic, anti-inflammatory, and corticosteroid eye drops or ointments are prescribed postoperatively. NURSING ASSESSMENT Assess the patient’s distant and near visual acuity. If the patient is going to have surgery, especially note the visual acuity in the patient’s unoperated eye. Use this information to determine how visually compromised the patient may be while the operative eye is healing. Assess the psychosocial impact of the patient’s visual disability and the level of knowledge regarding the disease process and therapeutic options. Postoperatively, assess the patient’s level of comfort and ability to follow the postoperative regimen. NURSING DIAGNOSIS Pre-operative 1. Disturbed Sensory Perception: Visual related to cataract as evidenced by diminished visual acuity. 2. Anxiety related to surgery that will be undertaken and the possibility of failure to obtain a sight again. 3. Risk for injury related to decreased vision. Post-operative 1. Deficient knowledge related to the post- operative care as evidenced by frequent questioning by patient and family members. 2.Risk for infection related to trauma to the incision. 3.Risk for injury related to blurring of vision after surgery. Promoting home and community-based care -To prevent accidental rubbing or poking of the eye, the patient wears a protective eye patch for 24 hours after surgery, followed by eyeglasses worn during the day. -The nurse instructs the patient and family in applying and caring for the eye shield. -Sunglasses should be worn while outdoors during the day because the eye is sensitive to light. – Importance of complying with postoperative restrictions on head positioning, bending, coughing, and Valsalva maneuver to optimize visual outcomes and prevent increased intraocular pressure. – How to instill eye medications using aseptic techniques and adherence with prescribed eye medication routine to prevent infection. -Slight morning discharge, some redness, and a scratchy feeling may be expected for a few days. A clean, damp washcloth may be used to remove slight morning eye discharge. -Because cataract surgery increases the risk for retinal detachment, the patient must know to notify the surgeon if new floaters (i.e., dots) in vision, flashing lights, decrease in vision, pain, or increase in redness occurs. Continuing Care -The eye patch is removed after the first follow-up appointment. -Patients may experience blurring of vision for several days to weeks. Sutures left in the eye alter the curvature of the cornea, resulting in temporary blurring and some astigmatism. -Vision gradually improves as the eye heals. -How to monitor pain, take pain medication, and report pain not relieved by medication. -Importance of continued follow-up as recommended to maximize potential visual outcomes. As discussed throughout the presentation, learning about cataract and its management will help nurses to care for a cataract patient. Nurses can do assessment of a cataract patient, observe the sign and symptoms, provide the necessary nursing care and support the patient psychologically. Nurses can also counsel the patients and their family for various options available in treatment for cataract.
  • #4 Cataract (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK568765/
    Cataracts are a significant cause of blindness worldwide. Treatment options include correction with refractive glasses only at earlier stages, and if cataract mature enough to interfere with routine activities, surgery may be advised, which is very fruitful. […] The treatment choice depends upon the degree of opacity sufficient enough to cause difficulty in performing essential daily activities. Following treatment modalities are available: Medical: If visual acuity is 6/24 or better, pupillary dilatation with 2.5% phenylephrine or refractive glasses is enough to carry on routine activities, and surgery is not required. […] Nursing Management: Check visual acuity, Teach patient about cataracts and their treatment, Teach patient about healthy diet, Educate about medication compliance. […] The management of cataract differs based on the severity of the disease, visual impairment, and age of the patient. The mainstay of treatment is usually surgical cataract extraction. […] Diagnosis and treatment of cataracts require an interdisciplinary team approach, to include primary care providers (physicians, PAs, NPs), specialists (ophthalmologists, ophthalmic surgeons), and nursing support. This approach helps to ensure timely and effective patient care and optimal outcomes.
  • #5 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Its estimated that more than 24.4 million Americans over the age of 40 have cataracts. […] By age 75, at least 50 percent will have cataracts, and by age 80, it rises to 70 percent. […] Most optometrists tend to agree and say that If you live long enough, you will eventually develop cataracts, as they are considered an age-related condition. […] Cataracts are a common eye condition that usually affects older adults. […] Cataracts occur when the lens of your eyes becomes clouded and unable to focus images. […] This eye condition develops when natural proteins form abnormal clumps in the lens. […] As cataracts progress, less and less light is able to pass through the lens resulting in blurry and cloudy vision, especially at night. […] Aging is the biggest culprit of cataracts. […] Injury to the eye is also another common cause of cataracts.
  • #5 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #5 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #5 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #5 CG-SURG-40 Cataract Removal Surgery for Adults
    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_c171907.html
    This document addresses cataract extraction in adults as a treatment for visually-significant cataracts, when lens removal is needed to allow better visualization of the retina or as a component of another surgical procedure. This document does not address congenital cataracts. […] Cataract removal surgery in adults is considered medically necessary for any of the following: The lens displays signs of cataract formation and the following criteria are met: The cataract is causing symptomatic impairment of visual function not correctable with a tolerable change in glasses or contact lenses; and Vision loss interferes with one or more of the following: Reading; or Viewing television; or Driving, or Meeting vocational or recreational needs; or Other daily activities; and Other eye disease(s) have been ruled out as the primary cause of decreased visual function including, but not limited to: Macular degeneration; or Diabetic retinopathy; and Surgery is reasonably expected to result in improved visual function.
  • #5 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #5 Management of cataracts – Primary Care Notebook
    https://primarycarenotebook.com/pages/ophthalmology/traumatic-cataract/management-of-cataracts
    At present there is no pharmacological treatment to cure existing cataracts or to halt its progression. Non surgical management that can be considered includes: counselling the patient about cataract symptoms and how it may affect daily activities […] advising the patients about minimizing their exposure to risk factors e.g. – cessation of smoking, control of diabetes, alternate medications for people on oral or inhaled corticosteroids. […] prescribing spectacles or contact lenses to improve vision […] using brimmed hats or sunglasses to minimize glare […] dilating the pupil (if there is a small centrally located cataract). Surgery remains the only effective treatment method in cataract patients to restore or maintain vision. In UK over 90% of cataract surgeries are done in people who are 60 years or older. In one systematic review of systematic reviews, cataract surgery was consistently associated with improved vision-related quality of life, particularly if carried out immediately after diagnosis. Ophthalmological referral for surgery should be based on factors such as: the level of visual impairment and how it affects the patients quality of life
  • #5 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    This guideline provides recommendations to primary care practitioners for the prevention, diagnosis, management and postoperative care of cataracts in adults (age 19 and older). […] The following are recommended to delay the onset and progression of cataracts: Smoking cessation, Reduced ultraviolet (UV) -B exposure (hats, sunglasses with UV-B protection), Safety eyeglasses during high-risk activities at work or recreation to avoid eye trauma. […] Patients who are long-term users of corticosteroids (by any route) should be informed of the increased risk of cataract formation. […] Indications for cataract surgery are not limited to Snellen visual acuity alone and referral for cataract surgery consultation is indicated in the setting of glare, monocular diplopia or other non-visual functional impairment.
  • #6 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #6 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #6 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #6 Cataract surgery
    https://www.nhs.uk/conditions/cataract-surgery/
    Cataract surgery is done to improve your vision if you have cataracts. […] Surgery in adults is not always needed straight away but may be recommended if cataracts are affecting your daily life. […] Most people recover quickly after cataract surgery. […] Your surgeon will talk to you about what to expect and what you should do. They’ll check your eye and talk to you about when to remove the dressing. They’ll also tell you about pain relief you can take while you recover. […] You’ll be given eye drops to help your eye to heal and prevent infection. You’ll usually need to take these eye drops for about 4 weeks. […] Possible complications include: problems with your vision, such as cloudiness, blurriness, dark shadows or areas of light. […] If you have complications, most are likely to happen immediately after surgery.
  • #7 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #7 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #7 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #8 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #8 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #8 Cataracts in Older Adults: What You Need to Know | VIPcare
    https://getvipcare.com/blog/cataracts-in-older-adults-what-you-need-to-know/
    Other contributing factors to the development of cataracts include diabetes, obesity, high blood pressure, long-term steroid use, smoking, and radiation treatments. […] Cataracts in older adults develop slowly, often making symptoms unnoticeable in the beginning stages. […] However, one of the first symptoms of cataracts is a high sensitivity to glare or bright lights. […] In the early stages of cataracts, you can often improve your vision with prescription glasses. […] However, surgery is the only way to treat and get rid of cataracts successfully. […] Cataract removal eye surgery is an extremely common procedure. […] When cataracts begin to affect your everyday life and prevent you from doing the things you enjoy, you should most definitely consider cataract-removal surgery. […] Although there is no way to prevent cataracts from developing, you can take steps to reduce your risk or delay the onset of cataracts. […] Let your doctor know if youve noticed a change in your vision. […] Together you can monitor your cataracts progression and form a plan of action that best fits your needs.
  • #9 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #9 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #10 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #10 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #11 Cataracts in adults
    https://www.nhs.uk/conditions/cataracts/
    Cataracts is where the lens in your eye becomes cloudy, causing blurred vision and loss of sight. It usually affects older adults and can be treated with surgery. […] Symptoms of cataracts usually develop slowly. […] Symptoms include: blurred vision, difficulty seeing at night, difficulty reading and watching television, your eyes being uncomfortable in, or sensitive to, light and glare, looking at 1 object but seeing 2 (double vision), seeing glowing rings (halos) around lights, colours look faded, especially blue. […] If you wear glasses, you may notice that you need to change the prescription of your glasses more often than usual. […] You may be more likely to get cataracts if: you’re aged 60 or over, you’ve had an eye injury or eye surgery in the past, you have another eye condition, such as uveitis or being very short-sighted, you’ve taken steroid medicines for long periods of time, you smoke, a parent, brother or sister has had cataracts, you’re a woman, your eyes have been regularly exposed to a lot of sunlight without protection such as sunglasses.
  • #11 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #12 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.
  • #13 Cataracts – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/cataracts/symptoms-causes/syc-20353790
    Make an appointment for an eye exam if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or a sudden headache, see a member of your health care team right away. […] No studies have proved how to prevent or slow the growth of cataracts. But health care professionals think several strategies may be helpful, including: Regular eye exams. Eye exams can help detect cataracts and other eye problems at their earliest stages. […] Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye may be worse than the other. This causes a difference in vision between eyes. […] Factors that increase your risk of cataracts include: Increasing age. Diabetes. Getting too much sunlight. Smoking. Obesity. Family history of cataracts. Previous eye injury or inflammation. Previous eye surgery. Prolonged use of corticosteroid medicines. Drinking excessive amounts of alcohol.