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Black Cataract - An Overview

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A black cataract is a term used to describe an advanced stage of a cataract in which the lens turns dark brown or black, severely impairing vision.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Aditi Dubey

Published At December 7, 2023
Reviewed AtDecember 7, 2023

Introduction

A cataract is a clouding of the eye's lens that, if left untreated by surgery, might result in blindness. Black cataracts are quite particular. The lens nucleus has gone beyond brunescence and is now severely hardened, sclerotic, and darkened. As the nucleus becomes sclerotic, it develops a discoloration called brunescence. The eyesight gradually worsens over time due to the growing opacification and discoloration. Legal blindness is caused by black cataracts, which means that the best that can be expected from eyesight is hand motion or light perception. For those considering surgery, this poses severe and expected risks.

The optimal surgical approach following a black cataract diagnosis may be an extracapsular cataract extraction. Prior to phacoemulsification, laser cracking of the lens may be indicated in some facilities with sophisticated laser technology. The density of the darkened lens must be liquefied with more ultrasonic time and energy when there is a black cataract. As a result, the patient is vulnerable to surgical complications such as posterior capsular rips and zonular tears.

What Is Cataract?

When the natural lens of the eye gets hazy, a cataract develops. Things appear fuzzy, foggy, or less colorful as a result of proteins in the lens breaking down. The majority of cataracts develop gradually over several years. Vision blur is the key sign. When a person has cataracts, it might feel like gazing through a foggy window. The hazy lens can be swapped out for a clear, artificial lens when a cataract prevents someone from doing their daily tasks normally. Typically, this is an outpatient surgery.

Most cataracts develop due to the regular changes that occur in the eyes with age. The lens of an infant's eye is transparent. Around the age of 40, the proteins in the eye's lens begin to degrade and clump together cloudy vision results from this protein clump.

What Is Black Cataract?

Black cataracts, often called mature cataracts, are a particular form of cataract that, if ignored, can result in serious vision loss. One variety of cataracts that develops when the lens of the eye's center turns opaque is known as a black cataract. If ignored, this opacity can result in severe vision loss and ultimately lead to blindness. Black cataracts are more prevalent in elderly people and can be brought on by a number of things, including heredity, diabetes, and UV radiation exposure.

What Causes Black Cataract?

The following are the causes of black cataracts:

  • Age-related protein clumping can occur in the natural lens of the eye. These clusters bring on cloudiness. They could enlarge and cover more of the lens with time, impairing vision.

  • To enable clear vision, the lens inside the eye acts similarly to a camera lens by concentrating light onto the retina. Additionally, it alters the eye's focus, enabling us to see objects clearly up close and from a distance.

  • The majority of the eye's lens is composed of protein and water. Because of the perfect arrangement of the proteins, the lens remains clear and allows light to flow through.

  • A black cataract is a particularly unique condition. The lens nucleus has grown so rigid, sclerotic, and darkened that it has progressed beyond brunescence. Brunescence is a nucleus darkening that happens as the nucleus becomes sclerotic. Brunescence is characterized by a yellowing that proceeds to orange and brown.

What Are the Symptoms of Black Cataract?

The following are the symptoms of black cataract:

  • Foggy or blurry vision.

  • Seeing poorly at night.

  • Increased light sensitivity.

  • Dual perception.

  • Colors that seem dingy or yellowed.

A cataract may initially only impair a tiny portion of the eye's lens, causing cloudiness in the vision. One might not have any visual loss. A bigger cataract obstructs more of the lens. Increased cloudiness modifies the light that enters the lens. Individuals can notice additional symptoms as a result of this.

It is crucial to make an appointment with an eye doctor immediately if someone exhibits any of these symptoms.

What Are the Risk Factors of Black Cataracts?

There are several risk factors for cataracts.

  • Senior citizens who are overweight and drink heavily.

  • Existing eye injuries.

  • High blood pressure.

  • Having cataracts runs in the family.

  • Diabetes.

  • Radiation from X-rays.

  • Cancer therapies are all risks associated with excessive sun exposure.

  • Hormone replacement therapy.

  • Prolonged use of corticosteroids.

  • Use of statin medication to lower blood cholesterol.

Are Black Cataracts and Glaucoma the Same?

Cataracts and glaucoma damage distinct parts of the eyes. Both cataracts and glaucoma cause the lens to become clouded, whereas glaucoma increases eye pressure and damages the optic nerve.

What Are the Treatment Modalities for Black Cataracts?

When symptoms start, an individual might be able to temporarily improve the vision by using the following:

  • Wearing eyewear.

  • Robust bifocals.

  • Spectacles that magnify objects.

  • Suitable lighting or other visual help.

  • Cataract surgery is one of the other possible treatments for advanced cataracts.

What Lifestyle Changes Helped in Treating Black Cataracts?

Healthy lifestyle modifications can help lower the chance of later cataract development. This covers practices like giving up smoking, consuming alcohol in moderation, and wearing sunglasses in the sun.

1. The American Optometric Association advises receiving an eye checkup every two years until age 64 for those without risk factors. They should get an examination every year beyond the age of 64.

2. It is indicated that a healthy diet can lower the chance of acquiring cataracts. It has been demonstrated that some antioxidants and omega-3 fatty acids enhance eye health. It was discovered that a decreased risk of cataract development was connected with dietary consumption of lutein and zeaxanthin. Leafy vegetables that are yellow or dark green contain these antioxidants.

Conclusion

Although there are measures to lower the risk, many people develop black cataracts as they age. Increasing the consumption of yellow or dark-green leafy vegetables, reducing exposure to UV (ultraviolet) rays, and abstaining from drinking and smoking all helped reduce the risk of black cataracts. However, surgery may not be required right away. More ultrasonic duration and energy are required to liquefy the density of the darkened lens in a black cataract. To know more, consult the doctor online.

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Dr. Aditi Dubey
Dr. Aditi Dubey

Ophthalmology (Eye Care)

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