
![]()
Cataract
A cataract is a clouding
of the eye's lens that causes loss of vision. Age-related cataract is the most
common type.
Causes
Researchers suspect that there are several causes of
cataract, such as smoking and diabetes. Or, it may be that the protein in the
lens just changes from the wear and tear it takes over the years. Sunlight and
diet have also been linked to early development of cataract.
Cataract and Age
The term "age-related" is a little misleading. You don't
have to be a senior citizen to get this type of cataract. People can have an
age-related cataract in their 40s and 50s. But during middle age, most cataracts
are small and do not effect vision. It is after age 60 that most cataracts steal
vision.
Symptoms
A cataract starts out small. It has little effect on
vision at first. You may notice that your vision blurs a little, like looking
through a cloudy piece of glass. A cataract may make light from the sun or a
lamp seem too bright, causing a glare. Or, you may notice when you drive at
night that the oncoming headlights cause more glare than before. Also, colors
may not appear as bright to you as they once did.
Age-Related Macular Degeneration
Types of AMD
Dry and wet are the two forms of AMD.
Ninety people have dry AMD. Scientists are still not sure
what causes this. Studies suggest that an area of the retina becomes diseased,
leading to slow breakdown of the light-sensing cells in the macula and a gradual
loss of central vision. Wet AMD affects only ten percent of all people with AMD,
but accounts for ninety percent of all blindness from the disease. As dry AMD
worsens, new blood vessels may begin to grow and cause "wet" AMD. Because these
new blood vessels tend to be fragile, they often leak blood and fluid under the
macula. This causes rapid damage to the macula that can lead to the loss of
central vision in a short period of time.
AMD and Age
Age is the greatest risk factor associated with AMD.
Although AMD may occur during middle age, studies clearly show that people over
age 60 at greater risk.
Symptoms
There is no pain associated with AMD.
The most common early sign of dry AMD is blurred vision. Often blurred vision
will go away in brighter light. If the loss of these light-sensing cells becomes
great, people may see a small - but growing - blind spot in the middle of their
field of vision. The classic early symptom of wet AMD is when straight lines
appear crooked. This results when fluid from the leaking blood vessels gathers
and lifts the macula, distorting vision. A small blind spot may also appear in
wet AMD, resulting in loss of one's central vision.
Glaucoma
Glaucoma is an eye disease in which the internal pressure
of your eye rises to a point that the optic nerve is damaged. The pressure that
builds up is due to a problem in the flow or drainage of fluid normally produced
in your eye. Glaucoma is one of the leading causes of blindness in the U.S.
Causes
The exact cause of glaucoma is not known. In general, this
drainage mechanism for fluid produced in your eyes can become blocked, or you
may simply produce too much fluid and overwhelm this mechanism. This results in
fluid building up within your eye and increasing pressure on the optic nerve.
The nerve fibers and blood vessels in the optic nerve can easily be damaged by
pressure.
Glaucoma and Age
Glaucoma most frequently occurs in individuals over the
age of 40 and there is a hereditary tendency for the development of the disease
in some families. Primary open-angle glaucoma is more common among blacks than
whites, causes damage at an earlier age and leads to blindness at a much greater
rate. There is also a greater tendency for glaucoma to develop in individuals
who are nearsighted or who have diabetes.
Symptoms
The signs or symptoms of glaucoma can vary depending on
the type. Primary open-angle glaucoma often develops gradually and painlessly.
There are no early warning signs. It can gradually destroy your vision without
you knowing it. The first indication may occur after some vision has already
been lost. Acute angle-closure glaucoma, which results from a sudden blockage of
drainage channels in your eye, causes a rapid build up of pressure accompanied
by blurred vision, the appearance of colored rings around lights and pain or
redness in the eyes.
Diabetes
Diabetic eye disease refers to a
group of eye problems that people with diabetes may face as a complication of
this disease. It can cause severe vision loss or even blindness. Diabetic eye
disease may include: Diabetic retinopathy - damage to the blood vessels in the
retina, Cataract and Glaucoma.
Diabetic Retinopathy
This disease is a leading cause of blindness in American
adults. It is caused by changes in the blood vessels of the retina. In some
people with diabetic retinopathy, retinal blood vessels may swell and leak
fluid. In other people, abnormal new blood vessels grow on the surface of the
retina. These changes may result in vision loss or blindness. The longer someone
has diabetes, the more likely he or she will get diabetic retinopathy. Nearly
half of all people with diabetes will develop some degree of diabetic
retinopathy during their lifetime.
Symptoms
Generally there are no symptoms in the early stages of the
disease. Vision may not change until the disease becomes severe. Pain may not be
present. Blurred vision may occur when the macula - the part of the retina that
provides sharp, central vision - swells from the leaking fluid. This condition
is called macular edema. If new vessels have grown on the surface of the retina,
they can bleed into the eye, blocking vision. But, even in more advanced cases,
the disease may progress a long way without symptoms.