Blindness due to cataract continues to take a heavy toll on economic,
social, and personal resources. Research into factors that may cause o
r prevent cataracts is of the highest priority. In this paper, the epi
demiological evidence is summarized on the role of sunlight exposure a
nd antioxidants for cataract. To date, there are consistent findings l
inking ultraviolet B (UV-B) radiation to cataract, particularly cortic
al and posterior subcapsular opacities. Antioxidants are likely to exe
rt a protective effect against oxidative stress in the lens, but the c
urrent epidemiologic data present less coherent support for this hypot
hesis. Difficulties in summarizing these data include different method
s for assessing antioxidant status, widely varying populations, and di
fferent research designs. Nevertheless, most studies have found some m
easure of antioxidant status to be associated with some type of catara
ct. Future research directions are described.