What Is a Spear Shaped Cataract? Treatment Options

What Is a Spear Shaped Cataract? Treatment Options

A spear-shaped cataract is a fairly rare type of cataract that affects the lens of your eye. It can be difficult to treat, as there are not many options available. In this blog post, we will discuss what spear-shaped cataracts are, as well as the treatment options available. We hope that this information will help you make the best decision for your health!

What Is a Spear-Shaped Cataract?

What Is a Spear-Shaped Cataract?A spear-shaped cataract, otherwise known as a “Brunescent” cataract, is an opacity in the lens of the eye that is shaped like a spearhead. It typically affects people over 65 years old and can cause difficulty seeing clearly. In some cases, the vision becomes so blurred that it impacts everyday life.

This is a type of cataract that looks needle or spearhead-shaped, and this structure is distinct from other types of cataracts. The opacities are usually located toward the front of the lens, which makes it difficult for light to pass through to the retina.

There are so many causes or even risk factors that can increase the chances of developing this type of cataract. These include:

  • Age
  • Hypertension
  • Diabetes
  • Smoking
  • Ultraviolet radiation exposure

Therefore, it is important to take steps to reduce the risk of developing a spear-shaped cataract. And this would be possible with the awareness and knowledge of this condition and a healthy lifestyle.

What Are The Symptoms?

This spear-shaped cataract is not an easy condition to detect. Symptoms can vary, but usually include a decrease in visual acuity and sensitivity to light. Other symptoms may include:

  • Double vision
  • Glares
  • Halos around bright lights
  • Clouded vision

If you begin to experience any of these symptoms it is important to consult with an ophthalmologist as soon as possible. More often than not, this type of cataract requires surgery for treatment.

How Is It Diagnosed?

Diagnosis is a vital part of treating a spear-shaped cataract. To accurately diagnose this type of cataract, your eye care provider will use special imaging techniques to get an accurate view of the lens and its shape. This typically involves using ultrasound imaging or slit lamp photography.

These methods work to provide a comprehensive view of the lens, allowing your doctor to accurately diagnose and identify any signs of cataract development. Once the diagnosis is made, your doctor will work with you to create an individualized treatment plan that’s suited for your unique case.

It is an essential part of an eye exam to detect any changes in the lens, as these can be indicative of a spear-shaped cataract. For example, patients who have high levels of astigmatism may be more likely to develop this type of cataract due to their having an irregularly shaped cornea.

So be aware and checkups regularly for any changes in the lens should be part of your routine.

How Is Spear-Shaped Cataract Treated?

How Is Spear-Shaped Cataract Treated?Unfortunately, there are few available options for treating a spear-shaped cataract. These include:

Intraocular lens (IOL) implantation

This is one of the most common treatment options and involves replacing the natural lens of the eye with an artificial one. This is done under local or general anesthetic, depending on the surgeon’s preference. The IOL implantation procedure involves a small incision in the cornea to insert the lens. And then the surgeon will adjust the lens to fit properly in the eye.

Cataract extraction

This procedure involves removing the affected lens and replacing it with a new artificial one. The procedure is usually done under local anesthetic or sedation, depending on the patient’s preference. This can help improve vision and reduce glare from the damaged lens.

Corticosteroid injections

Corticosteroid injections can be used to help reduce inflammation and swelling in the eye. The steroids are injected directly into the eye and can help slow or stop the progression of a spear-shaped cataract. However, this is only a temporary solution and may need to be repeated periodically in order to maintain its effectiveness.


In some cases, medications can help reduce the symptoms associated with a spear-shaped cataract. These may include eye drops or ointments, such as anti-inflammatory drugs, that can help reduce pain and improve vision.

Laser therapy

Another possible option is laser therapy. This uses a highly focused beam of light to target the area of the cataract, which can help reduce its size and improve vision. Laser therapy is not always effective and may need to be repeated in order to achieve the desired results.

The best way to treat spear-shaped cataracts is to consult with your ophthalmologist or optometrist who can assess your individual situation and recommend the best course of action. Treatment options may vary depending on the severity and location of the cataract, so it is important to get a professional opinion before making any decisions.

Can It Be Prevented?

Spear-shaped cataracts are a rare type of cataract that appears in the shape of a spear. It occurs when the lens of the eye becomes hardened and shrunken, forming an abnormal shape. There are some ways to reduce the risk of developing a spear-shaped cataract, but prevention can be difficult.

However, some of the most effective preventive measures include:

  • Wearing sunglasses with UV protection
  • Eating a healthy diet full of antioxidants
  • Avoiding smoking and excessive alcohol consumption
  • Managing underlying illnesses such as diabetes or hypertension
  • Maintaining an active lifestyle

Unfortunately, although prevention is important, it is not always possible to prevent the formation of a spear-shaped cataract. As this type of cataract is very rare, there are not many treatment options available.

All in all, if you feel that you are at risk of developing spear-shaped cataracts, it is important to take preventive measures and keep an eye out for any potential signs or symptoms. If a spear-shaped cataract does develop, surgery may be necessary in order to remove the affected lens and replace it with an artificial one.


To conclude, spear-shaped cataracts may be an unfamiliar term for many, but it is a condition that can cause significant vision impairment. The formation of the cataract is not fully understood, making treatment difficult and there are few options available to those who suffer from this condition. Surgery is the most effective way to reduce the effects of spear-shaped cataracts.

However, it may not be a viable option for everyone in terms of cost or health risks. For those who cannot have surgery, other treatments may be available. So, consult with a professional today to find out what the best treatment options are for you!

You can also reach out to Mantra Care, at MantraCare we have a team of experienced eye surgeons, who will be happy to answer any questions on cataract surgery. Call us at +91-9711116605 for any inquiries.