Cataract Progression Rate:
4 Stages of Cataract Development

Cataract progression varies with each individual and is dependent on the type of cataract and other accelerating risk factors such as age, exposure to UV rays and use of certain medications. Understanding the different stages of cataract development is useful in planning treatment.

Stages of Cataract Progression

Four circular samples in a row labeled Normal, Immature, Mature, and Hypermature.

Stage 1: The Early Stage

In the early stage, the lens remains clear but the ability to focus at distance and then refocus on near objects is slowly lost.

Glossy black sphere with a blue rim centered on a white circular background.

Symptoms

Early warning signs

  • Mild blurring or clouding
  • Increasing eye strain
  • Increasing light sensitivity
  • Early appearance of glare

Steps to take

A cataract in the early stages of development may be rectified with:

  • New glasses
  • Anti-glare sunglasses
  • Magnifying lenses

Stage 2: The Immature Stage

At this stage, lens opacity is enough to noticeably obstruct vision. If the eye is illuminated from the side, the edge of the pupil casts a shadow on the lens.

Close-up of a circular lens-like shape with a dark outer ring and a pale beige center.

Symptoms

  • Blurred vision
  • Dimmed vision
  • Double vision

Steps to take

A cataract in the immature stage of development may be rectified with:

  • Brighter light
  • Frequent eyeglass prescription changes

Stage 3: The Mature Stage

A mature cataract causes the lens to become completely white or deep amber in color. The iris edge no longer casts a shadow.

Glossy gold sphere with a bright highlight on a white circular background.

Symptoms

Same as in the immature stage, but more severe and alters quality of life.

  • Mild blurring or clouding
  • Increasing eye strain
  • Increasing light sensitivity
  • Early appearance of glare

Steps to take

See an optometrist or ophthalmologist at your earliest convenience for possible surgical correction (i.e. removal of the cataract).

Stage 4: The Hypermature Stage

At the hypermature stage, the lens becomes shrunken with white spots and occasionally may partially dislocate or suffer from secondary glaucoma.

Glossy brown-orange circular disc with a pale edge and white highlights on a black background.

Symptoms

  • Significant blur
  • Loss of vision

Steps to take

See an optometrist or ophthalmologist at your earliest convenience for possible surgical correction (i.e. removal of the cataract).

Types of Cataracts

The progression rate varies depending on the type of cataract you have been diagnosed with.

Close-up of a circular, dark-centered shape with a pale outer ring and a small white highlight.

Nuclear
Sclerotic

These cataracts form deep in the nucleus. The yellowing and hardening of the central portion of the crystalline lens occurs slowly over years.

Close-up illustration of a dark iris with radiating patterns and a glossy highlight.

Cortical

These cataracts have white opaque “spokes” that start to affect peripheral vision and works toward the center. Progression is variable, with some progressing over yearsand others in months.

Circular object featuring a dark center, a pale outer ring, and soft white highlights.

Posterior Subcapsular

Progression is variable but tends to progress more rapidly than nuclear sclerotic cataracts. They affect diabetics and people who use high doses of steroids.

Risk Factors

In addition to the type of cataract, there are also compounding risk factors that may increase the rate of cataract progression.

Increasing Age

Smoking

Obesity

High Blood Pressure

Prolonged Use of Corticosteroid Medications

Excessive Exposure to Sunlight

Early Treatment is Key

If you have been diagnosed with cataracts, or if you are worried that you may have an undiagnosed cataract in either eye, the best thing to do is consult your eye doctor on treatments and steps you can take to manage the progression of cataracts.

For the best results, contact a cataract specialist today.