Types of Cataracts and How They Affect Your Vision

Published on: 2025-06-09

When the World Begins to Blur
Imagine waking up to a foggy morning, except the fog never lifts. That’s what cataracts can feel like: an invisible veil slowly clouding your vision. While most people associate cataracts with aging, not all cataracts are created equal. Some affect your central vision, others blur your peripheral sight, and a few can change how you perceive colours or light. The way cataracts affect your vision depends on the type and location of the opacity that forms in the eye’s natural lens.
This blog unpacks the different types of cataracts and how they affect vision, helping you understand the condition better and take early steps to protect your sight.

What is a Cataract?
A cataract is the clouding of the eye’s natural lens, which lies behind the iris and pupil. This lens works much like a camera lens, focusing light onto the retina for clear vision. When the lens becomes cloudy, light is scattered instead of being focused, leading to blurry or distorted vision.
Cataracts typically develop gradually and are most common in older adults, but they can also occur due to injury, medications, or underlying health conditions.

Types of Cataracts and Their Impact on Vision
Let’s explore the major types of cataracts, how they form, and the specific ways they interfere with your ability to see clearly.
1. Nuclear Sclerotic Cataracts
How it forms:
This is the most common type of age-related cataract. It develops in the central part (nucleus) of the lens and gradually hardens and yellows over time.
How it affects vision:
• Blurred central vision
• Difficulty seeing i

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n low light
• Increased nearsightedness (you might temporarily feel like your reading vision has improved, known as “second sight”)
• Colours may appear faded or yellowed
This type progresses slowly and may not be noticed in its early stages. However, it can significantly impact daily tasks like reading or driving, especially at night.

2. Cortical Cataracts
How it forms:
Cortical cataracts begin at the outer edge of the lens (the cortex) and develop inward, creating spoke-like opacities.
How it affects vision:
• Glare and halos around lights, especially at night
• Difficulty with contrast and depth perception
• Blurred or scattered vision
• More noticeable issues during night driving
Since the cloudy wedges grow inward, vision may become progressively distorted from the periphery toward the center.

3. Posterior Subcapsular Cataracts
How it forms:
This type forms at the back of the lens, just beneath the lens capsule. It is more common in people with diabetes, those taking high doses of steroids, or younger individuals.
How it affects vision:
• Significant glare in bright light or sunlight
• Difficulty reading and seeing in bright environments
• Hazy or cloudy vision
• Rapid progression compared to other cataracts
Even small opacities in this area can noticeably impair vision, especially under bright lighting conditions.

4. Congenital Cataracts
How it forms:
Some babies are born with cataracts, or they may develop them during childhood. These can be genetic or caused by infections during pregnancy, metabolic disorders, or trauma.
How it affects vision:
• Poor vision development in infants
• Misalignment of the eyes (strabismus)
• Nystagmus (involuntary eye movement)
• Lazy eye (amblyopia)
Early diagnosis is critical because untreated congenital cataracts can lead to permanent visual impairment. Surgery is often needed to preserve vision.

5. Traumatic Cataracts
How it forms:
These occur after an injury to the eye, either blunt trauma or penetration. They can develop immediately or years later, depending on the severity and nature of the injury.
How it affects vision:
• Localised cloudiness at the site of impact
• Blurred or double vision
• Glare sensitivity
• Possible lens dislocation
Proper eye protection during risky activities can reduce the chances of developing traumatic cataracts.

6. Secondary Cataracts
How it forms:
These aren’t cataracts in the traditional sense but are complications that occur after cataract surgery. The lens capsule that holds the new artificial lens can become cloudy over time.
How it affects vision:
• Blurred or hazy vision months or years after cataract surgery
• Sensitivity to bright lights
• Similar symptoms to the original cataract
Treatment involves a painless laser procedure (YAG capsulotomy) that restores clear vision in a few minutes.

How Cataracts Progress
Cataracts are typically progressive, meaning they worsen over time. Some types, like nuclear sclerotic cataracts, advance slowly, while others, like posterior subcapsular, can deteriorate rapidly.
You may not notice symptoms initially, but eventually, cataracts can interfere with reading, watching television, driving at night, or even recognising faces.

Diagnosis and Treatment
Early detection is key. Regular eye exams help track the development of cataracts and determine the right time for treatment. Surgery is the only effective cure for cataracts, removing the clouded lens and replacing it with a clear artificial intraocular lens (IOL).
Modern cataract surgery is a safe, outpatient procedure with high success rates. Recovery is quick, and most people notice a dramatic improvement in vision within a few days.

Vision Care at Malabar Maxivision Eye Hospital
When the world begins to fade, Malabar Maxivision Eye Hospital is where clarity returns. Backed by advanced diagnostic tools, skilled ophthalmologists, and cutting-edge surgical techniques, we offer personalised care for every type of cataract.
Whether you’re facing a slow decline in sight or struggling with sudden light sensitivity, our team ensures you don’t just see better, you live better. From early screenings to seamless cataract surgeries, we restore more than your vision, we restore your confidence.
Trust your eyes with those who see the future of eye care.
Cataracts may be common, but with the right care, they don’t have to cloud your world. Recognising the different types of cataracts and understanding how cataracts affect vision is the first step toward protecting your sight.
So if the colours seem dull, the lights too harsh, or the words a little blurry, don’t brush it off. Get your eyes checked and see the difference expert care can make.
See life in its true colours. Trust the experts. Choose Malabar Maxivision.

If you Have Any Queries Call Us On 9847027000