Can Cataracts Make You Tired? The Science Explained

Cataracts are a common eye condition impacting vision as people age. This involves a gradual clouding of the eye’s natural lens, affecting clear vision. Many individuals with cataracts report experiencing a sense of general tiredness. This article explores the connection between cataracts and fatigue, detailing the scientific reasons behind this link and how treatment can offer relief.

What Cataracts Are

Cataracts occur when the normally clear lens within the eye becomes cloudy, hindering the passage of light to the retina. Proteins in the lens can break down and clump together, causing this clouding to worsen over time. Initial symptoms may be subtle, but as cataracts progress, they can lead to blurry or dim vision, making it feel like looking through a fog.

Other common symptoms include:

  • Increased sensitivity to glare, especially at night.
  • Difficulty seeing in low-light conditions.
  • Faded or yellowish colors.
  • Double vision in one eye.

These visual changes develop gradually and can significantly affect daily life.

How Cataracts Can Cause Fatigue

Cataracts can indirectly contribute to feelings of tiredness through several interconnected mechanisms, primarily by increasing the effort required for vision. As the eye’s lens becomes cloudy, the eyes must work harder to focus and interpret images. This constant exertion can lead to eye strain and physical fatigue.

Reduced light input to the retina also plays a role in fatigue. The clouded lens filters out light, especially blue light, which is important for regulating the circadian rhythm. Less light reaching specialized cells in the retina can weaken signals to the brain’s “master clock,” potentially disrupting sleep patterns and leading to daytime drowsiness. This disruption can affect melatonin regulation, a hormone that signals the body it is time to rest, making it harder to fall asleep or causing fragmented sleep.

Furthermore, the brain expends more cognitive energy to process distorted or blurry visual information. Trying to make sense of what is seen through a cloudy lens demands increased mental effort, which can result in cognitive exhaustion. This heightened mental workload contributes to general tiredness, even without significant physical activity.

These visual impairments make routine tasks more challenging and draining. Activities like reading, driving, or simply navigating familiar environments become more demanding, requiring sustained concentration. The constant struggle to see clearly can be both mentally and physically taxing, adding to a person’s overall feeling of fatigue and reducing motivation for daily activities.

Relief from Cataract-Related Tiredness

Treating cataracts directly addresses the underlying cause of vision-related fatigue. Cataract surgery is the main treatment to restore clear vision. During the procedure, the cloudy natural lens is removed and replaced with a clear artificial lens, which allows light to pass unimpeded to the retina.

Restoring clear vision reduces eye strain and mental effort. Patients often report improved sleep quality and increased energy levels after surgery, as the eyes and brain no longer need to work as hard to compensate for impaired sight. The enhanced light transmission post-surgery can also help re-synchronize the body’s circadian rhythm, contributing to better sleep patterns and reduced daytime tiredness.

While surgery is the main solution, temporary measures can offer minor relief before the procedure. These might include updating eyeglass prescriptions, using anti-glare coatings, or ensuring brighter lighting for tasks like reading. However, these provide limited benefits compared to surgical removal, which significantly reduces fatigue and improves quality of life.