About Cataracts
A cataract is a condition where the eye’s natural lens becomes cloudy, reducing the amount of light that reaches the retina. This clouding can result in blurred or hazy vision and, in more severe cases, lead to vision impairment or loss of sight. People with cataracts often find that colours appear less vibrant, and everyday activities like reading, driving, or recognising faces become more difficult. Cataracts typically develop slowly over time, and the early stages might not be noticeable until vision problems begin to interfere with daily life.
Cataract Risk Factors
The primary cause of cataracts is age-related changes to the eye’s lens. As we age, proteins in the lens begin to break down, leading to a cloudy lens. However, there are other factors that may contribute to the development of cataracts at an earlier age:
- General health conditions: People with diabetes and high blood pressure have an increased risk of developing cataracts.
- Certain Medications: Long-term use of medications like corticosteroids can accelerate cataract formation.
- Eye Trauma or Surgery: Previous eye injuries or surgeries may increase the likelihood of cataracts.
- High Myopia: People with higher levels of myopia are more prone to developing cataracts.
- Family History: A genetic predisposition can also contribute to the development of cataracts.
- Lifestyle: Prolonged exposure to UV light without proper eye protection as well as smoking and excessive alcohol consumption.
Cataract Symptoms and Early Warning Signs
Cataracts often develop slowly, and many people are unaware of the problem until it affects their daily lives. Common symptoms include:
- Blurred or cloudy vision: As the lens becomes clouded, objects may lose sharpness, making it harder to see details.
- Difficulty with contrast and colour perception: Colours can appear faded or yellowed, making it challenging to distinguish between shades, especially in low light.
- Glare and light sensitivity: Bright lights, such as headlights, may cause discomfort, and you may see halos or rings around lights, especially at night.
- Frequent changes in glasses prescription: Cataracts can cause vision changes, requiring more frequent updates to your glasses prescription.
- Double vision in one eye (diplopia): The cataract can distort vision, causing overlapping/double images in one eye.
Eye Examination
An ophthalmologist diagnoses cataracts through a comprehensive eye examination. During the exam, a slit-lamp is used to thoroughly examine the eye, including the lens and other structures. Eye drops may dilate the pupil, allowing the specialist to examine the lens and retina in more detail.
Cataract tests and investigations
In addition to a standard eye examination, further tests may be recommended to determine the severity of the cataract and to check for any associated conditions:
- Corneal imaging (Pentacam) to assess the health of the cornea.
- Biometry to measure the eye’s shape and size, which helps determine the strength of the replacement intraocular lens (IOL).
- Optical Coherence Tomography (OCT) to scan the retina and detect any underlying retinal conditions.
Currently, no medical treatment, such as eye drops or medication, can reverse or prevent cataracts. The most effective treatment is surgery, which involves removing the cloudy natural lens and replacing it with an artificial lens.
Types of Intraocular Lenses (IOLs) for Cataract Surgery
During cataract surgery, the clouded natural lens is replaced with an artificial lens called an intraocular lens (IOL). Several types of IOLs are available to suit different needs:
- Monofocal Lenses: Provide clear vision at a single set distance (usually for distance vision), though glasses may still be needed for reading or intermediate tasks.
- Multifocal Lenses: These lenses offer clear vision at multiple distances (near, intermediate, and far), reducing the need for glasses after surgery.
- Extended Depth-of-Focus (EDOF) Lenses: EDOF lenses provide a wider range of high-quality vision for intermediate and distance tasks, with reduced reliance on glasses.
- Toric Lenses: Designed specifically for patients with astigmatism, toric lenses correct the shape of the eye and provide clear vision. They are available as monofocal, multifocal, and EDOF options.
Looking for more information?
Explore our frequently asked questions for additional information about your condition, care and treatment.
FAQ
Cataract surgery is usually considered when changes in vision begin to affect everyday activities, rather than at a fixed stage. It is not always necessary to wait until a cataract becomes advanced before discussing treatment, as earlier intervention may help avoid further reduction in vision and increasing difficulty with daily activities. At Moorfields UAE, this is assessed clinically, and the findings are discussed with you to determine the most appropriate next step.
Cataracts do not always require immediate treatment and can often be monitored over time. In many cases, surgery is recommended when vision is significantly affected or when the cataract begins to interfere with daily activities. The timing of treatment is based on clinical findings and individual needs, which are reviewed during your assessment.
Cataract assessment at Moorfields UAE is carried out through a structured clinical evaluation to understand how the cataract is affecting your vision and overall eye health. This includes measuring your vision, examining the eye in detail and carrying out additional imaging where required. The findings are reviewed to provide a clear diagnosis and to discuss appropriate treatment options.
A range of intraocular lens options is available, including lenses designed to provide clear vision at a single distance or across multiple distances. The most appropriate lens depends on your prescription, visual requirements and lifestyle. These options are discussed during your assessment to ensure the choice is aligned with your expectations and clinical findings.
Cataract surgery is a widely performed procedure with a well-established safety profile when carried out following appropriate assessment and clinical standards. As with any surgical procedure, it does carry risks, although it is generally considered very safe. At Moorfields UAE, surgery is delivered within an audited clinical system, with outcomes measured against recognised benchmarks to support patient safety and quality of care. Surgery is performed by internationally trained specialists using advanced methods such as phacoemulsification and laser-assisted surgery, following strict clinical protocols to support safety and precision.
Moorfields UAE monitors cataract surgery outcomes on an ongoing basis as part of its commitment to patient safety, quality and clinical transparency. Cataract complication rates and patient satisfaction with surgery consistently outperform recognised benchmarks. View the latest published figures on our satisfaction rates page. These outcomes are supported by clinical standards aligned with JCI and ACHSI accreditation.
This depends on the type of intraocular lens (IOL) implanted and your individual visual needs. Some lenses are designed to correct distance vision, while others may reduce the need for glasses for both near and distance tasks. Even with advanced lens options, some people may still require glasses for specific activities, such as reading or driving at night. Your surgeon will discuss suitable lens choices before surgery.
Cataract surgery is typically performed as a day-case procedure, meaning patients return home on the same day. The procedure itself usually takes around 15 to 30 minutes. Many patients notice improved vision within a few days, although full stabilisation may take several weeks. Mild discomfort is normal, such as itching, light sensitivity, or slight swelling, which typically subsides within a few days.
Your eye doctor will provide clear post-operative care instructions, including using prescribed eye drops to prevent infection and reduce inflammation. During recovery, avoid rubbing your eye and strenuous activity to allow it to heal properly. We will schedule follow-up appointments to monitor your progress and support a successful recovery.