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013 243 1632 or 086 166 4664

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Cataracts

Cataracts are one of the most common causes of vision loss — but they’re also one of the most treatable. Whether you’re noticing changes in your own eyesight or guiding patients through care decisions, understanding cataracts is the first step toward clearer vision.

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This comprehensive guide covers everything you need to know, from what causes cataracts and how they are diagnosed, to how surgery works, the types of lenses available, and what recovery looks like. It’s designed for both patients seeking clarity and healthcare professionals supporting timely, informed referrals.

What Are Cataracts?

A cataract is a clouding of the eye’s natural lens, which sits just behind the iris. The lens focuses light onto the retina, allowing you to see clearly. When a cataract develops, the lens becomes increasingly cloudy, causing blurred vision and eventually making it difficult to carry out everyday tasks. Cataracts can occur in one or both eyes, but they don’t spread from one eye to the other.

Cataracts Causes & Risk Factors

Cataracts are most commonly associated with aging, but they can also develop due to other causes. The proteins in the lens naturally degrade and clump together with age, leading to cloudiness. Additional risk factors include:

  • A family history of cataracts

  • Chronic conditions such as diabetes or hypertension

  • Prolonged UV exposure without proper eye protection

  • Smoking and excessive alcohol use

  • Long-term use of corticosteroid medications

  • Eye trauma, inflammation, or previous surgery

Can Cataracts Be Prevented?

While there’s no guaranteed way to prevent cataracts, certain lifestyle choices may help delay their onset. These include wearing sunglasses with UV protection, avoiding smoking, managing underlying health conditions, and maintaining a nutrient-rich diet with plenty of antioxidants.

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Recognising the Symptoms of Cataracts

Because cataracts develop gradually, symptoms can be easy to miss at first. Many people only become aware of the condition once vision noticeably declines. Common signs include:

  • Cloudy, blurry, or dim vision

  • Increased glare or sensitivity to light

  • Colors appearing dull or faded

  • Halos around lights

  • Difficulty with night vision

  • Frequent changes in eyeglass prescriptions

These changes can interfere with daily activities like reading, driving, or recognizing faces. If you or your patients are experiencing any of these symptoms, it’s important to schedule a comprehensive eye exam.

Cataracts Diagnosis & Evaluation

Diagnosing cataracts begins with a thorough eye exam. Your eye specialist may perform several tests to assess the clarity of the lens and overall eye health:

  • Visual acuity test: Measures the sharpness of vision at various distances.

  • Slit-lamp examination: Magnifies the front structures of the eye to evaluate lens cloudiness.

  • Dilated pupil exam: Allows the retina and back of the lens to be clearly seen.

  • Tonometry: May be used to measure intraocular pressure, particularly if other conditions are suspected.

When Is Surgery Needed?

Cataract surgery is recommended when vision loss from cataracts begins to interfere with daily life. While early cataracts can be managed with brighter lighting or stronger glasses, surgery is the only effective way to restore lost vision.

If your ability to read, drive, work, or maintain independence is affected, it’s likely time to consider surgery.

Understanding Cataract Surgery

At Dr. Cronjé’s practice, cataract surgery is performed using a technique called phacoemulsification. This method is safe, efficient, and widely used:

  1. A small incision is made in the eye.

  2. The cloudy lens is broken up using ultrasound.

  3. The lens fragments are removed.

  4. A folded intraocular lens (IOL) is inserted in place of the old lens.

The procedure typically takes 15–30 minutes and is done under local anesthetic, often with medicine to help you relax. Most patients go home the same day.

Traditional vs Laser-Assisted Surgery

Laser-assisted cataract surgery uses a femtosecond laser to perform certain steps with precision. However, studies show no significant advantage in visual outcomes for most standard cases. At our clinic, we perform traditional surgery due to its excellent safety record and consistent results.

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Intraocular Lenses (IOLs)

Choosing the right IOL is a key part of surgical planning. The lens becomes a permanent part of your eye, so the type selected will impact your post-operative vision.

Types of IOLs:

  • Monofocal lenses: Provide clear vision at one distance (usually far). Reading glasses are typically still needed.

  • Toric lenses: Correct astigmatism and improve clarity for patients with irregular corneas.

  • Multifocal or EDOF lenses: Help reduce dependence on glasses by allowing for clearer vision at multiple distances, though some glare or halos may occur.

Dr. Cronjé will help you select the lens best suited to your vision needs and lifestyle goals.

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Cataracts Surgery Recovery & Aftercare

Most people notice improvement in vision within a few days. Full recovery generally takes about 4–6 weeks. Mild discomfort, light sensitivity, or a gritty sensation are normal and usually temporary.

Aftercare Instructions

  • Use prescribed eye drops to reduce inflammation and prevent infection

  • Wear an eye shield at night for the first few days

  • Avoid rubbing your eye or doing any heavy lifting

  • Protect your eye from bright sunlight with sunglasses

  • Attend all scheduled follow-up appointments

If surgery is needed in both eyes, the second procedure is typically done within 1–4 weeks after the first.

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Cataracts Surgery Recovery & Aftercare

Most people notice improvement in vision within a few days. Full recovery generally takes about 4–6 weeks. Mild discomfort, light sensitivity, or a gritty sensation are normal and usually temporary.

Aftercare Instructions

  • Use prescribed eye drops to reduce inflammation and prevent infection

  • Wear an eye shield at night for the first few days

  • Avoid rubbing your eye or doing any heavy lifting

  • Protect your eye from bright sunlight with sunglasses

  • Attend all scheduled follow-up appointments

If surgery is needed in both eyes, the second procedure is typically done within 1–4 weeks after the first.

Supporting Your Cataract Journey

Whether you’re seeking treatment or helping patients plan their next step, understanding cataracts empowers better decisions. With early detection, skilled surgical care, and thoughtful lens selection, cataract treatment can lead to significant improvements in vision and quality of life.

Appointments

Call Us At:
013 243 1632 or 086 166 4664

Queries

Email Us At: eye@drcronje.com

Office Hours

Mon - Fri: 8:00 AM - 5:00 PM
Sat: By Appointment Only

The information on this website is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult Dr. Cronje for specific eye health concerns.

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