Understanding Cataracts and Your Vision Options
Cataracts are a common part of aging and occur when the natural lens of the eye becomes cloudy over time. This can lead to blurry vision, glare, difficulty seeing at night, and changes in how clearly you see colors and contrast.
At 20Twenty Eyecare, we provide thorough cataract exams and management to evaluate how cataracts may be affecting your vision and daily life. Using detailed testing and imaging, we assess the clarity of your natural lens and overall eye health, then guide you through your options with clarity and care.
Whether you’re noticing early changes or have been told you may have cataracts, we help you understand what is happening and what comes next. Contact us to book your cataract exam today.
What Are Cataracts?
Cataracts develop when proteins in the eye’s natural lens begin to break down and clump together, causing the lens to become cloudy. This process is usually gradual and often related to aging, though other factors can also contribute.
Common symptoms include:
- Frequent prescription changes
- Blurry or cloudy vision
- Increased glare or sensitivity to light
- Difficulty seeing at night
- Faded or yellowed colors

We Provide Cataract Surgery Consultations
When cataracts begin to interfere with daily activities, cataract surgery may be considered. This procedure involves removing the cloudy natural lens and replacing it with a clear artificial lens called an intraocular lens, or IOL.
At 20Twenty Eyecare, we help guide patients through the cataract surgery process by:
- Evaluating cataract severity and visual impact
- Discussing lens options and visual goals
- Preparing you for a surgical consultation
- Supporting pre- and post-surgical eye health care
While surgery is the only way to remove cataracts, not all cases require immediate treatment. We help you understand timing and options based on your individual needs.

When to Get a Cataract Exam
A cataract exam is recommended if you are noticing changes in your vision or if you have been told you may have early cataracts. You may benefit from an exam if you experience:
- Difficulty driving at night
- Trouble reading even with updated glasses
- Increased glare from lights or screens
- Vision that feels consistently “foggy” or unclear
Regular eye exams also help track cataract development over time, even before symptoms become noticeable.


Diagnostic Technology for Cataract Evaluation
We use detailed testing and imaging to understand how cataracts are affecting your vision and to rule out other conditions that may contribute to visual changes. Each test gives us important information about different parts of your eye health:
- Visual Field Testing: Checks how well you see in all areas of your vision, including peripheral vision, which can be affected by other eye health conditions.
- Optomap Retinal Imaging: Captures a wide view of the back of your eye, helping us evaluate overall retinal health and identify other conditions that may impact vision clarity.
- OCT Imaging: Provides detailed images of the retina and macula, allowing us to assess deeper layers of eye health and ensure there are no additional causes of vision changes.
Schedule Your Cataract Exam in Bozeman
Cataracts develop gradually, which makes regular monitoring an important part of protecting your long-term vision. By tracking changes over time, we can help you understand what is happening with your eyesight, review your options, and guide you through each stage of care with clarity and support.
If you are noticing changes in your vision or want to better understand your risk of cataracts, a comprehensive exam is the best place to start. Book your cataract exam today and take a proactive step toward healthy vision.
Frequently Asked Questions About Cataracts
Cataracts are a clouding of the eye’s natural lens. They usually develop slowly over time and can cause blurry vision, glare, and changes in how clearly you see colors and contrast.
Early cataracts may not cause noticeable symptoms. As they progress, common signs include blurry or cloudy vision, increased glare from lights, difficulty driving at night, and frequent changes in prescription.
Most cataracts are related to aging, but other factors can contribute, including UV exposure, smoking, diabetes, eye injuries, and long-term use of certain medications.
In the early stages, vision changes may be managed with updated glasses or contact lenses. However, surgery is the only way to remove cataracts once they begin to significantly affect vision.
Cataract surgery is usually considered when vision changes begin to interfere with daily activities like reading, driving, or working. The timing depends on your symptoms and visual needs.
A cataract exam includes a detailed eye health assessment, vision testing, and imaging to evaluate the clarity of your natural lens and overall eye health. This helps determine how cataracts may be affecting your vision.
We monitor cataracts using vision testing, retinal imaging, OCT scans, and other eye health measurements over time. This helps track changes and guide treatment recommendations.
Cataracts do not return after surgery because the natural lens is replaced with an artificial lens. However, some patients may develop a mild clouding of the capsule behind the lens over time, which can be treated if needed.
Cataract surgery is one of the most commonly performed procedures and has a high success rate. Your surgeon will review risks and benefits based on your individual eye health.
Yes. Regular eye exams are still important after cataract surgery to monitor overall eye health and ensure your vision remains stable over time.
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- Phone: 406-522-8888
- Fax: 406-404-1885
- Email: info@20twentymt.com
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Testimonials
I had a great experience at 20twenty eyecare from start to finish. Dr. Blom and Cora were friendly, knowledgeable, and great to work with. Cora was fantastic when helping me pick out and fit my frames. She picked out frames that would best suit my face and made sure everything fit comfortably. I’m really happy with my experience and would definitely recommend them to anyone!
Bailey
I was very well taken care of at 20Twenty. Dr Blom and the staff were great. I felt the exam was very thorough and not rushed. Dr Blom spent a lot of time with me and was very good at explaining my tests. I would highly recommend him. He has also taken excellent care of my daughter. Much appreciated.
Wally
What a kind and professional staff! I felt heard and allowed to ask questions. The office was very clean and with today’s health concerns, that is important. My Dr. was thorough and I felt well taken care of. I was grateful that my annual vision health was taken seriously with Professionalism. A patient of 4 years.
April
20Twenty Eyecare is the very best that I have experienced anywhere. All of the staff, from the front desk to the examining rooms and the opticians are very professional, extremely knowledgeable, and always willing to explain what they are doing and answer questions. They are always very thorough and get it right the first time. Thank you for a very pleasant experience each time that I visit.