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Comprehensive Guide to Cataracts
Symptoms, Causes, and Treatment in Korea

cataract

Cataracts are one of the most common age-related eye conditions, gradually affecting vision as the natural
lens of the eye becomes cloudy over time. Many people first notice subtle changes such as blurry vision,
increased glare, or difficulty seeing clearly at night—symptoms that often progress if left untreated.

Understanding the symptoms of cataracts and what causes cataracts is the first step toward protecting
your vision. While cataracts are a natural part of aging, modern ophthalmology offers highly effective solutions,
including advanced cataract surgery that can restore clear vision and improve overall quality of life.

At EYE Plus Eye Clinic in Seoul, we provide personalized cataract care designed for both local and international patients.
From detailed eye examinations to customized surgical planning, our approach focuses on safety, precision,
and long-term visual outcomes—helping you regain clear, comfortable vision with confidence.

What are the Common Symptoms of Cataracts?

Cataracts develop gradually and often start with mild vision changes. The most common symptoms of cataracts include cloudy vision, where objects appear blurry or hazy, even with glasses.

You may also notice increased light sensitivity, halos around lights, and difficulty seeing clearly at night. Some patients experience monocular double vision in one eye or colors appearing dull and less vivid.

If these symptoms persist or worsen, an eye examination is important to check for cataracts and determine the right treatment.

What Is a Cataract?

Inside the eye, there is a natural lens that focuses light precisely.
This lens should be clear and transparent, like a camera lens, to provide sharp vision.

However, due to aging, injury, or inflammation, the lens can gradually become cloudy.
When this happens, vision becomes blurred—similar to looking through a foggy or dusty camera lens.

This condition is called a cataract.

Normal Eye
정상안 수정체 구조 이미지 — 투명한 수정체가 빛을 정확히 굴절시켜 망막에 초점을 맞추는 건강한 눈의 상태를 나타냄.
정상안 이미지 — 수정체와 각막이 맑고 투명하여 빛이 고르게 통과되는 건강한 눈의 모습.

Clear and transparent natural lens

Cataract
백내장 수정체 이미지 — 혼탁해진 수정체로 인해 빛이 제대로 통과하지 못해 시야가 흐려지는 백내장의 발생 원리를 보여주는 그림.
백내장 눈 이미지 — 혼탁해진 수정체로 동공이 뿌옇게 보이며 시야가 흐려진 백내장 환자의 눈을 표현한 사진.

Clouded and opaque natural lens

As cataracts progress, vision may appear blurry overall, and clarity decreases even in bright environments. It may feel like looking through a fogged window, and vision does not improve even after changing glasses.

Ultimately, cataracts are not just a simple decrease in vision, but a structural change in the eye, which is why accurate diagnosis and proper management are important.

Key Risk Factors for Cataracts

Several factors can increase the risk of developing cataracts by damaging the proteins in the eye’s natural lens, causing it to become cloudy over time.

  • Aging (40+)

    he most common cause. As we age, lens proteins naturally break down and lose transparency.

  • Diabetes

    High blood sugar can accelerate changes in the lens, increasing the risk of cataracts and affecting overall eyesight.

  • Excessive Sunlight (UV Exposure)

    Long-term exposure to UV rays can damage lens proteins and contribute to earlier cataract formation.

  • Smoking

    Oxidative stress from smoking speeds up protein damage inside the lens.

  • Prolonged Steroid Use

    Long-term use of steroid medications can alter the structure of the lens and increase cataract risk.

These key risk factors contribute to the gradual breakdown and clumping of lens proteins, leading to blurred or cloudy vision over time.

Cataract Self-Diagnosis

Cataracts often develop slowly, making them easy to overlook in the early stages. Many people mistake the symptoms for simple aging or eye fatigue. If you notice several of the following signs in your daily life, a detailed eye examination is recommended.

  • Blurry Vision

    Even with new glasses, vision remains unclear and appears hazy overall.

  • Temporary Improvement in Near Vision

    You may suddenly find it easier to read close objects without glasses, but overall vision quality becomes unstable. This can occur as the lens changes shape and refractive power.

  • Day Blindness (Light Sensitivity)

    Eyes become more sensitive to bright light, causing discomfort outdoors, while vision may feel relatively better in dim environments.

  • Glare and Halos Around Lights

    Lights may appear scattered or overly bright, especially at night when driving.

  • Monocular Double Vision

    Covering one eye still results in double or overlapping images.

Which one do you have?

Cataract vs. Presbyopia

Cataracts and presbyopia are both common aging eye conditions, but the causes and symptoms are clearly different.
The key differences are:

① At what distance your vision feels uncomfortable
② Whether symptoms are temporary or progressively worsening

Quick Comparison of Cataract vs. Presbyopia

Category Presbyopia Cataract
Field of view
example image

가로등 불빛과 자동차 조명이 번져보이는 야경 사진

가로등 불빛과 자동차 조명이 번져보이는 야경 사진

Vision Example Near objects are blurry,
distance is relatively clear
Both near and distance vision
appear blurry and hazy
Main Cause Reduced flexibility of the lens (aging) Clouding of the lens blocking light
Onset Starts gradually in your 40s Common after 50–60s (but can occur earlier)
Difficult Distance Difficulty focusing on near objects Blurred vision at all distances
Visual Experience Difficulty focusing, delayed clarity Foggy, cloudy vision like looking through mist
With Reading Glasses Near vision improves Vision remains blurry even with glasses
Light Sensitivity /
Halos
Usually mild Noticeable glare and halos, especially at night
Progression Relatively stable progression Gradually worsens over time
Double Vision Rare Possible even in one eye (monocular double vision)
Treatment Reading glasses or laser correction Cataract surgery (lens replacement)

Types of Cataracts

Cataracts can develop for different reasons and may vary depending on the underlying cause and progression. Understanding the types of cataracts helps determine the most appropriate treatment approach.

  • Senile Cataract (Age-Related Cataract)

    This is the most common type, caused by the natural aging process. As the lens gradually loses transparency over time, vision becomes cloudy. While cataracts often begin after the age of 50, not everyone experiences significant vision loss at the same rate.
  • Traumatic Cataract

    This type occurs when the lens is damaged due to external injury or impact. In many cases, other parts of the eye such as the retina may also be affected, which can limit visual recovery even after cataract surgery.
  • Complicated Cataract (Cataracta Complicata)

    Complicated cataracts develop as a result of other eye or systemic conditions, such as diabetes, glaucoma, uveitis, or vitreous disorders. Even if surgery is successful, visual outcomes may depend on the underlying disease, and the risk of complications can be higher.
  • Posterior Subcapsular Cataract

    This type often develops after cataract surgery or due to changes in the lens capsule. It causes clouding at the back of the lens and can usually be treated effectively with a simple laser procedure, restoring vision.
  • Congenital Cataract

    Congenital cataracts are present at birth or develop during early childhood. In many cases, the exact cause is unknown. Early detection and timely treatment are important, as severe cases can affect visual development.

Advanced Cataract Diagnosis at EYE Plus Clinic

Accurate diagnosis is essential for safe and successful cataract surgery. At EYE Plus Clinic, a university-level diagnostic system is used to precisely analyze each patient’s eye condition and design a customized surgical plan.

We utilize advanced equipment such as the IOL Master 700 and AL-SCAN to perform detailed measurements of the eye, ensuring high accuracy and predictable outcomes.

Precise Biometric Measurement with IOL Master 700

The IOL Master 700 uses swept-source OCT technology to measure the eye’s length, corneal curvature, and anterior chamber depth with exceptional precision. These measurements are critical for selecting the correct intraocular lens (IOL) power, directly affecting post-surgery vision quality.

Comprehensive Analysis with AL-SCAN

The AL-SCAN provides fast and accurate biometric data, including axial length and corneal parameters. By combining multiple data points, it helps improve the reliability of surgical planning and reduces the risk of refractive errors after surgery.

Customized Surgical Planning Through Precision Diagnostics

All diagnostic results are carefully analyzed to determine the most suitable surgical method and intraocular lens for each patient. This **precision diagnostics** approach allows for safer procedures, better visual outcomes, and long-term stability after cataract surgery.

Does Insurance Cover Cataract Surgery in Korea?

Cataract surgery in Korea is generally covered under the National Health Insurance Service (NHIS Korea), depending on the patient’s eligibility and the medical necessity of the procedure. If the cataract significantly affects vision and daily life, a portion of the surgery cost may be reimbursed through bnational health insurance Korea for foreigners who are enrolled in NHIS.

However, coverage may vary depending on the type of intraocular lens (IOL) used. Standard monofocal lenses are typically covered, while premium lenses (such as multifocal or toric IOLs) may require additional out-of-pocket payment.

For those with private insurance (medical reimbursement / “Silson”), it is important that the procedure is clearly documented as a medical treatment rather than a cosmetic or elective procedure. Insurance approval often depends on whether the cataract diagnosis and treatment purpose are properly stated in medical records.

Tailored treatment is necessary
depending on the timing.

How are cataracts treated?

Cataract treatment varies depending on the stage of progression. In the early stages, management focuses on slowing progression and monitoring vision changes. As the cataract advances and begins to significantly affect daily life, surgical treatment becomes the most effective solution. The key is choosing the right timing based on symptoms and precise eye examination results.

Early Stage: Drug Treatment and Regular Check-Ups

In the early stage, cataracts are often mild, and vision may not be severely affected. In this phase, drug treatment may be used to help slow progression while monitoring the condition.

Regular eye examinations every 3–6 months are recommended to track changes in vision and cataract progression. However, it is important to note that medication cannot completely remove cataracts and should be considered a supportive management approach rather than a cure.

Advanced Stage: Surgical Treatment

As cataracts progress, the clouding of the lens begins to affect overall vision, and glasses or medication are no longer sufficient. At this stage, laser cataract surgery or conventional cataract surgery is required.

The procedure involves removing the clouded natural lens and replacing it with an artificial intraocular lens (IOL). At EYE Plus Eye Clinic, the timing of surgery is carefully determined based on detailed examinations, ensuring that treatment is not rushed unnecessarily.

A personalized approach is taken by considering factors such as the severity of symptoms, lifestyle, and expected visual outcomes, providing the most appropriate treatment for each patient.

* A more accurate diagnosis can be found through a specialized examination. Please feel free to proceed with the consultation or appointment through the button below.

Presbyopia and Cataract surgery methods

The appropriate treatment for presbyopia and cataracts depends on the patient’s age, degree of progression,
and lifestyle. Not all patients require the same approach, which is why a detailed eye examination
is essential to determine the most suitable solution.

At EYE Plus Eye Clinic, treatment plans are customized based on years of clinical experience in both presbyopia correction and
cataract surgery, ensuring safe and effective visual outcomes.

미세절개 백내장 수술: 백내장이 있는 경우 미세절개 백내장 수술 안내 이미지 — 혼탁한 수정체를 제거하고 인공렌즈를 삽입해 시력을 회복하는 백내장 수술 방법을 설명함.

This procedure involves removing the clouded
natural lens and replacing it with an
artificial intraocular lens (IOL).
By implanting a multifocal or customized IOL,
both presbyopia and cataracts can be
corrected at the same time.

Restores clear vision by removing the cloudy lens
Corrects both near and distance vision simultaneously
Provides a long-term solution for aging eyes

Read more

레이저 노안 교정술: 백내장이 없는 경우 레이저 노안 교정술 안내 이미지 — 근거리와 원거리를 동시에 교정해 노안을 개선하는 레이저 시력교정 수술 방법을 설명함.

For patients without cataracts,
laser-based vision correction can
improve both near and distance vision.

One eye is adjusted for
distance and the other for near
vision (monovision approach)
Allows clear vision at multiple
distances without relying heavily
on reading glasses
Customized based on visual needs and lifestyle

Read more
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FAQ About Cataract