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Causes
The cause of most cataracts is unknown, but at least two factors associated with aging contribute to cataract development. One, clumping (aggregation) of lens proteins leads to scattering of light and a decrease in the transparency of the lens. Two, the breakdown of lens proteins leads to the accumulation of a yellow-brown pigment that clouds the lens.
Certain chemical changes have been noted in the eyes of people with cataracts. These changes include a reduced uptake of oxygen by the lens and a rise in the water content of the lens, which is later followed by dehydration. Amounts of calcium and sodium in the lens increase, while levels of potassium, vitamin C, and protein decrease during cataract formation. In addition, glutathione (an antioxidant) appears to be deficient in lenses with cataracts. Studies on the use of medications or vitamins to alter the levels of these substances in the lens have not produced promising results, however.
The extent of vision damage and how quickly vision becomes impaired depend not only on the size and density of the cataract but also its location in the lens. For example, a cataract on the outside edge of the cortex has little effect on vision because it does not interfere with the passage of light through the center of the lens, while a dense nuclear cataract causes severe blurring of vision.
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