What is a cataract?
A cataract is a clouding of the lens of the eye, which is typically clear. For people who have cataracts, seeing through cloudy lenses is like looking through a frosty or fogged-up window, it can make it more difficult to read, drive a car at night or see the expression on a friend’s face.
Most cataracts develop slowly and don’t disturb eyesight early on. But with time, cataracts will eventually affect vision.
At first, stronger lighting and eyeglasses can help deal with cataracts. But if impaired vision affects usual activities, cataract surgery might be needed. Fortunately, cataract surgery is generally a safe, effective procedure.

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Try the cataract vision simulator to get a better understanding of lens replacements and their impact to your vision.*
*Videos for illustrative purposes only and your consultant will guide you through the best choice for the outcome you desire. Actual results may vary.
What are the symptoms of cataracts?
At first, the cloudiness in your vision caused by a cataract may affect only a small part of the eye’s lens. You may not notice any vision loss. As the cataract grows larger, it clouds more of your lens. As the clouding increases, less light passes through the lens, which can make your symptoms more noticeable.
How do you diagnose cataracts?
Visiting one of Veonet Ireland’s specialist clinicians or your optometrist/GP who will review your medical history, symptoms and carry out the necessary diagnostics.

Your clinician may perform several tests including:
Vision test
A vision test, also called a visual acuity test, uses an eye chart to measure how well you can read a series of letters. One eye is tested at a time, while the other eye is covered. A chart or a viewing device with letters that get smaller is used. With this, your eye doctor determines if you have 20/20 vision or if you have trouble seeing.
Eye structure exam
An eye structure exam, also called a slit lamp, allows your eye doctor to see the structures at the front of your eye up close. It’s called a slit lamp because it uses an intense line of light, a slit, to light up the structures in your eye. The slit allows your clinician to view these structures in small sections. This makes it easier to find anything that may be wrong.
Retinal exam
A retinal exam looks at the back of your eyes, called the retina. To prepare for a retinal exam, your clinician puts drops in your eyes to open your pupils wide, called dilation. This makes it easier to see the retina. Using a slit lamp or a special device called an ophthalmoscope, your clinician can examine your lens for signs of a cataract.
Fluid pressure
This test, also called applanation tonometry, measures fluid pressure in your eye. There are multiple different devices available to do this.
When do you need to see a GP or optometrist?
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Most cataracts develop when aging or injury changes the tissue that makes up the eye lens. Proteins and fibres in the lens begin to break down. This causes vision to become hazy or cloudy.
Yes. Some disorders can be passed down from parents that cause other health problems can
increase your risk of cataracts. Cataracts can also be caused by other eye conditions, past eye
surgery or medical conditions such as diabetes. Long-term use of steroid medicines may also
cause cataracts to develop.
Cataract types include:
- Nuclear Cataracts affecting the centre of the lens A nuclear cataract may at first
cause objects far away to be blurry but objects up close to look clear. A nuclear
cataract may even improve your reading vision for a short time. But with time, the
lens slowly turns more yellow or brown and makes your vision worse. It may
become difficult to tell colours apart. - Cortical Cataracts that affect the edges of the lens A cortical cataract begins as
white, wedge-shaped spots or streaks on the outer edge of the lens cortex. As the
cataract slowly grows, the streaks spread to the centre and affect light passing
through the lens. - posterior subcapsular Cataracts that affect the back of the lens, A posterior
subcapsular cataract starts as a small spot that usually forms near the back of the
lens, right in the path of light. A posterior subcapsular cataract often affects your
reading vision. It also may reduce your vision in bright light and cause glare or
halos around lights at night. These types of cataracts tend to grow faster than others. - Congenital Cataracts you’re born with Some people are born with cataracts or
develop them during childhood. These cataracts may be passed down from parents.
They also may be associated with an infection or trauma while in the womb.
These cataracts also may be due to certain conditions. These may include myotonic
dystrophy, galactosemia, neurofibromatosis type 2 or rubella. Congenital cataracts
don’t always affect vision. If they do, they’re usually removed soon after they’re
found.
As you age, the lenses in your eyes become less flexible, less clear and thicker. Ageing and some
medical conditions can cause proteins and fibres within the lenses to break down and clump
together. This is what causes the clouding in the lenses.
As the cataract grows, the clouding worsens. A cataract scatters and blocks the light as it passes
through the lens. This prevents a sharply defined image from reaching your retina. As a result,
your vision becomes blurred.
Cataracts usually happen in both eyes, but not always at the same rate. The cataract in one eye
may be worse than the other. This causes a difference in vision between the eyes.
Factors that increase your risk of cataracts include:
- Increasing age.
- Diabetes.
- Getting too much sunlight.
- Smoking.
- Obesity.
- Family history of cataracts.
- Previous eye injury or inflammation.
- Previous eye surgery.
- Prolonged use of corticosteroid medicines.
- Drinking excessive amounts of alcohol.
There is clinical evidence of preventing or slowing the growth of cataracts. But along with
mitigating the risks, Voeonet Ireland and our team of world class physicians recommend
- Regular eye exams. Eye exams can help detect cataracts and other eye problems at
their earliest stages. Ask your health care team how often you should have an eye
examination. - Do not smoke. stop smoking. Medicines, counselling and other strategies are
available to help you. LINK NHS - Manage other health problems. if you have diabetes or other medical conditions
that can increase your risk of cataracts. LINK Other sites - Choose a healthy diet that includes plenty of fruits and vegetables large
population study recently showed that a healthy diet rich in vitamins and minerals
reduced the risk of developing cataracts. Fruits and vegetables have many proven
health benefits. Eating them is a safe way to get enough minerals and vitamins in
your diet. - Wear sunglasses. Ultraviolet light from the sun may cause cataracts. Wear
sunglasses that block ultraviolet B rays when you’re outdoors. - Reduce alcohol use. Drinking too much alcohol can increase the risk of cataracts.
Your treatment pathway
Below is an overview of a typical patient journey. Our team works closely with your GP or optometrist to ensure you receive the highest standard of care, tailored treatment, and the best possible outcomes.
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Referral
If your GP or optometrist detects cataract-related vision changes, they’ll refer you one of our specialist eye clinics to arrange your first appointment.
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Comprehensive eye test & pre-assessment
Before surgery, you’ll have a detailed eye exam and painless tests to confirm your eye health and ensure cataract surgery is suitable for you.
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The day of surgery
Cataract surgery takes about 15–30 minutes under local anaesthetic, replacing the cloudy lens with a clear artificial one, and you can go home the same day.
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After surgery
You’ll have a follow-up within 2–4 weeks, and most people notice clearer vision within days as your specialist checks your recovery.
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Routine care
After recovery, your GP or optometrist resumes your regular eye care, with your surgery summary shared for continuity.
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Cross border cataract surgery now available in Belfast
Eligible patients can have up to €1,312 reimbursed by the HSE, which includes €194 for a consultation appointment and €1,118 for cataract surgery.
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Contact us today to learn more about our rapid access Cross Border Cataract Surgery and HSE funding options
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