Primary cause is normal aging, occurs bilaterally and symmetrically
Other causes include congenital, trauma, and meds (esp chronic / long-term steroid use)
Presentation
Most common symptoms include progressive decreased vision over years, increased glare, increased difficulty with night vision (e.g. glare from headlights when driving at night).
Evaluation and Management
Unless the cataracts are dense enough, it is difficult to appreciate without a slit lamp exam