What's the alternative for cataracts in a 60 year old?

Surgery and prevent: Surgery if they have progressed. Prevention of progression of cataracts takes the form of ultraviolet protection (hats and sunglasses), and avoiding smoking.

None: There are no real alternative treatments. Your options are surgery, or no surgery. If you choose not to have surgery, you can slow the progression by protecting yourself from uv light and not smoking.

Alternatives & info: Not all cataracts require surgery. If best vision is worse than 20/40 or glare is significantly affecting VA, most surgeons prefer to do surgery sooner but depends on pt's sx, pt's risk factors, pt's preferences; also, though no guarantees with any surgery, many patients are less dependent on glasses & even glasses free after surgery which helps many in decision process: eyedoc2020.blogspot.com