Cataracts are clumps of protein that collect on the lens of the eye and interfere with vision. Normally light passes through the lens, the clear tissue behind the pupil, and focuses on the retina. The retina is the light-sensitive layer of the eye that sends visual signals to the brain. A cataract happens when the clear lens becomes cloudy.
Most cataracts develop slowly over time and are a natural result of aging. Once cataracts become large enough that vision loss interferes with everyday activities, such as driving, reading, or watching television, they should be surgically removed.
Cataract removal is one of the most common operations performed in the United States. According to the National Eye Institute, roughly 90% of people who have cataract surgery have better vision afterward.
To avoid developing cataracts wear UV-blocking sunglasses and do not smoke.
Some medications may help delay cataracts from forming, particularly if you have diabetes or other high-risk conditions. But none can reverse the progression of cataracts once they form.
- Eye drops containing phenylephrine and homatropine may be prescribed to dilate the pupil and provide better vision.
- Aldose reductase inhibitors may help prevent or delay cataracts in people with diabetes.
- Antibiotics and steroid eye drops may be prescribed after cataract surgery.
Surgical and Other Procedures
In its early stages, a cataract usually does not cause vision loss. However, over time, a cataract may grow larger and cloud over more of the lens, making it difficult to see.
When cataracts cause vision loss that interferes with everyday activities, such as driving, reading, or watching television, surgery is the only effective treatment. During surgery, the cloudy lens is replaced with a substitute lens.
Your doctor may also recommend having cataract surgery if:
- You have other eye conditions
- The cataract threatens to cause another eye disorder
- The cataract prevents examination or treatment for another eye problem
Complementary and Alternative Therapies
A comprehensive treatment plan for cataracts may include a range of complementary and alternative therapies.
Nutrition and Supplements
While there are no supplements that will improve cataracts once you have them, eating more antioxidant-rich foods may help you maintain good eye health. Try green, leafy vegetables, peppers, cherries, and berries, such as blueberries, blackberries, and raspberries. Berries contain high levels of beneficial antioxidants for eye health.
Eating fish may help prevent cataracts. In one study, researchers found that women who ate fish 3 times a week rather than once a month lowered their risk of cataracts by 11%.
There has been some study of antioxidants in the diet, too. In one study, researchers found that higher dietary intakes of lutein (found in green vegetables, egg yolks, squash, corn, grapes, and orange juice) and vitamin E from food and supplements significantly reduced the risk of cataracts during the 10-year study period. However, there is no proof that taking these nutrients in supplement form will help. In fact, one study found that high-dose vitamin C and high-dose vitamin E increased the risk of age-related cataracts.
In another study, people who ate more foods with protein, niacin, thiamin, riboflavin, and vitamin A had fewer cataracts than those who ate less of these nutrients. Niacin, thiamin, and riboflavin are B vitamins. Again, the study looked at people who got the nutrients through food. Researchers do not know whether taking any of these vitamins as a supplement would help reduce the risk of cataracts.
The use of herbs is a time-honored approach to strengthening the body and treating disease. However, herbs can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, you should take herbs with care, under the supervision of a health care practitioner.
You may use herbs as dried extracts (capsules, powders, or teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, make teas with 1 tsp. of herbs per cup of hot water. Steep for 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. You may use tinctures alone or in combination.
Bilberry (Vaccinium myrtillus) standardized extract, 80 mg, 2 to 3 times daily, is an antioxidant that has been used traditionally to reduce the risk of cataracts. However, more studies are needed to determine whether it is safe and effective. Bilberry may increase the risk of bleeding, especially if you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin. Bilberry may also lower blood sugar. So people who take diabetes medications should ask their doctor before taking bilberry. People with low blood pressure, heart disease, or blood clots should not take bilberry. DO NOT take bilberry if you are pregnant or breastfeeding.
Although few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider certain remedies for the treatment of cataracts based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account your constitutional type, includes your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual.
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