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A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision of the eye. [1] [7] Cataracts often develop slowly and can affect one or both eyes. [1] Symptoms may include faded colours, blurry or double vision, halos around light, trouble with bright lights, and difficulty seeing at night. [1]
Early symptoms of cataract may be improved by wearing appropriate glasses; if this does not help, cataract surgery is the only effective treatment. [4] Surgery with implants generally results in better vision and an improved quality of life: however, the procedure is not readily available in many countries. [4] [11] [12] [13]
A-scan ultrasound biometry, commonly referred to as an A-scan (short for Amplitude scan), uses an ultrasound instrument for diagnostic testing. [1] A-scan biometry measures the axial length (AL) of the eye prior to cataract surgery in order to assess the refractive power of the intraocular lens that will be implanted.
Cataracts: An often age-related condition that leads to gradual vision loss secondary to clouding of the lens. Examination may reveal opacification of the lens and often an absent or blunted red reflex. Dilated fundus exam allows for examination of more peripheral cataracts, as well as evaluating candidacy for cataract surgery. [9] [12]
Consequently, today cataracts are more common among adults than in children. [56] That is, people face higher chances of developing cataracts as they age. Nonetheless, cataracts tend to have a greater financial and emotional toll upon children as they must undergo expensive diagnosis, long term rehabilitation, and visual assistance. [58]
Some infants are born with congenital cataracts, and environmental factors may lead to cataract formation. Early symptoms may include strong glare from lights and small light sources at night and reduced visual acuity at low light levels. [4] [5] Couching (lens depression) was the original form of cataract surgery, and was used from antiquity.
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