As you get older, you might notice subtle changes in your vision. Colors may seem less vibrant, or night driving might become more challenging. These shifts are often a natural part of aging, which is why regular eye exams are so important, but they can also point to specific eye health conditions that require professional attention.
This often leads people to wonder if their regular eye doctor can spot more serious issues. Yes, an optometrist can diagnose cataracts during a comprehensive eye exam. Your optometrist is trained to identify cataracts, along with many other conditions that can affect your eye health and vision.
The Role of an Optometrist in Eye Health
Your optometrist is your primary eye care provider. They perform comprehensive eye exams to check your vision and the overall health of your eyes. Think of them as the first person you see for most eye-related concerns.
Primary Vision Care & Exams
During your routine visits, an optometrist looks for any changes in your eyes. This includes checking for signs of common eye conditions and monitoring your eye health over time.
What Are Cataracts & Their First Signs
A cataract is a clouding of the lens of your eye, which is normally clear. As the lens becomes cloudy, it makes your vision blurry, similar to looking through a foggy window. This change usually happens gradually over many years.
Common Vision Changes to Notice
- Blurry or dim vision
- Faded or yellowed colors
- Increased sensitivity to light & glare
- Seeing “halos” around lights
- Difficulty with vision at night, which can sometimes be managed with specialized glasses for night blindness
- Frequent changes to your glasses prescription
How an Eye Doctor Detects Cataracts
A regular eye exam is often where cataracts are first discovered. These exams involve comprehensive tests that allow your optometrist to get a clear picture of your eye health. For cataracts, these tests might include:
- Visual Acuity Test: This familiar test uses an eye chart to measure how well you see at various distances. A change in your vision can be an early indicator of cataracts or other vision issues.
- Slit-Lamp Exam: Your optometrist uses a special microscope with a bright light to examine your lens, cornea, & other parts of your eye up close. This allows them to see any cloudiness on the lens.
- Pupil Dilation: Your eye doctor may use drops to widen your pupils. A dilated eye exam gives them a better view of the back of your eye and the entire lens to check for cataracts.
Optometrists & Ophthalmologists
While both are eye doctors, they have different roles in your care. Optometrists and ophthalmologists often work together to provide complete eye care. This collaboration helps you move smoothly from diagnosis to treatment.
Different Roles in Your Care
An optometrist focuses on primary eye care. They perform eye exams, prescribe glasses, and diagnose many eye conditions. An ophthalmologist is a medical doctor who can perform eye surgery, like cataract removal. They handle the surgical aspects of eye health.
When a Referral Is Made
If an optometrist diagnoses a cataract that affects your daily activities, like reading or driving, they will refer you to an ophthalmologist. The ophthalmologist will then discuss surgical options with you. Your optometrist helps coordinate this process.

Your Options After a Cataract Diagnosis
If your eye doctor finds a cataract, the next steps depend on how much it affects your vision. Not all cataracts require immediate surgery. Your optometrist will discuss the best path forward for you.
Early Stage Management
In early stages, vision changes caused by cataracts may be manageable with a new prescription for your glasses. Your optometrist may also suggest strategies like using brighter lights for reading or wearing sunglasses with anti-glare lens coatings to help reduce discomfort.
Surgical Treatment for Cataracts
When cataracts begin to interfere with your quality of life, surgical treatment is an effective option. An ophthalmologist removes the cloudy natural lens and replaces it with a clear, artificial one. This new lens is called an intraocular lens, or IOL.
Types of Intraocular Lenses (IOLs)
Several types of IOLs are available to fit your visual needs. Some correct vision at one distance, while others can correct vision at multiple distances. You can discuss which IOL fits your lifestyle with your eye care team.
Protect Your Vision with Regular Check-Ups
Regular eye exams are a key part of your overall health care. They allow for the early detection of conditions like cataracts, which can help protect your vision for the long term. Finding a cataract early gives you more time to manage the symptoms and plan for the future.
Regular appointments with your eye doctor in San Jose make sure that any changes in your eyes are found before they become bigger problems. Our team at Total Vision Golden Hills is dedicated to providing quality eye care for every member of your family.
Schedule your comprehensive eye exam with us today to take a proactive step for your vision health.