Characteristic symptoms of senile cataract include the following: Decreased visual acuity - The most common complaint of patients with senile cataract Glare - Can range from a decrease in contrast sensitivity in brightly lit environments or disabling [emedicine.medscape.com]

Gunn pupil or a relative afferent pupillary defect (RAPD) indicative of optic nerve lesions or severe diffuse retinal involvement Slit lamp examination - Should concentrate on the evaluation of not only lens opacity but also other ocular structures [emedicine.medscape.com]