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Cataract
Cataract is a clouding of the eye's naturally clear lens. Most cataracts appear
with advancing age. The exact cause of cataract is
unclear, but it may be the result of a lifetime of exposure to ultraviolet
radiation contained in sunlight, or may be related to other lifestyle factors
such as cigarette smoking, diet, and alcohol consumption.
Cataract can also occur at any age as a result of other causes such as eye
injury, exposure to toxic substances or radiation, or as a result of other
diseases such as diabetes.
Congenital cataracts may even be present at birth due to genetic defects or
developmental problems. Cataracts in infants may also result from exposure
to diseases such as rubella during pregnancy.
According to the World Health Organization, cataract is the leading cause
of blindness in the world. In the United States, cataract is sometimes
considered a conquered disease because treatment is widely available that
can eliminate vision loss due to the disease. However, cataract still accounts
for a significant amount of vision impairment in the U.S., particularly in older
people who may have difficulty accessing appropriate eye care due to cost,
availability, or other barriers.
Treatment of cataract involves removal of the clouded natural lens. The lens
is usually replaced with an artificial intraocular lens (IOL) implant. Cataract
removal is now one of the most commonly performed surgical procedures
with more than a million such surgeries performed each year.
Surgery is not truly a cure for cataract, however, and its success in controlling
vision loss comes with a price. It is estimated that the federal government
spends more than $3.4 billion each year treating cataract through the
Medicare program.
Ongoing research into the normal healthy functioning of the eye's lens may
help us better understand the causes of cataract and how they might be
prevented. Even partial achievement of this goal might save hundreds of
millions of dollars in the annual costs of treating cataract.
Because of the variety of opacifications possible, cases of cataract can be
defined by a number of classification schemes. The cases included in the
prevalence statistics below include cortical cataract affecting 25% or more of
the lens, posterior sub-capsular cataract 1mm or larger, and nuclear cataract
greater than or equal to the next-to-the-highest grade in the grading system
used (generally NII or NIII in the LOCS II grading system).
Cataract affects nearly 20.5 million Americans age 40 and older, or about one
in every six people in this age range. By age 80, more than half of all Americans
have cataract.
Cataract is slightly more common in women than in men. It also affects Whites
somewhat more frequently than other races, particularly with increasing age.
Available tables:
- Estimated Number of Cases of Cataracts in the U.S. Population Aged 40 and over by State, Race and Sex
- Prevalence Rates for Cataracts by State, Race and Sex
- National age-specific prevalence rates for cataracts
- U.S. Census 2000 Population aged 40 and over by Race and Sex
The tables are located on the following page:
Notes:
- The page opens in a new window.
- There are 4 tabs located in the bottom left corner that select the different tables.
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