20 doctors weighed in:

Must I have my cataract removed?

20 doctors weighed in
Dr. Harvey Fishman
Ophthalmology
6 doctors agree

In brief: No

Only if they cause visual disability and only if you want to have better vision.
In rare circumstances they have to be removed for medical reasons

In brief: No

Only if they cause visual disability and only if you want to have better vision.
In rare circumstances they have to be removed for medical reasons
Dr. Harvey Fishman
Dr. Harvey Fishman
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Dr. Val Zudans
Ophthalmology
5 doctors agree

In brief: Cataract progression

Cataract surgery is elective.
It is done if you want to see better. The problem is that cataract slowly gets worse with time and almost never improves without treatment. Recent studies have shown increased car accident rates and increased risk of hip fracture from falls due to untreated cataract. Any surgery should be considered with respect the risk-benefit profile (declining can have risks).

In brief: Cataract progression

Cataract surgery is elective.
It is done if you want to see better. The problem is that cataract slowly gets worse with time and almost never improves without treatment. Recent studies have shown increased car accident rates and increased risk of hip fracture from falls due to untreated cataract. Any surgery should be considered with respect the risk-benefit profile (declining can have risks).
Dr. Val Zudans
Dr. Val Zudans
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Dr. Michael Ham
Ophthalmology
2 doctors agree

In brief: With vision problems

You should have your cataracts operated on cataracts when they affect your activitities of daily living.
"you have problems doing things you like, or need to do", or there is medical reasons that the cataracts should be taken care of (causing glaucoma!). There is no set vision (i.e. 20/40 or 20/50) that indicates you should have surgery. You should have symptoms, or need to pass drivers exam.

In brief: With vision problems

You should have your cataracts operated on cataracts when they affect your activitities of daily living.
"you have problems doing things you like, or need to do", or there is medical reasons that the cataracts should be taken care of (causing glaucoma!). There is no set vision (i.e. 20/40 or 20/50) that indicates you should have surgery. You should have symptoms, or need to pass drivers exam.
Dr. Michael Ham
Dr. Michael Ham
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Dr. Richard Bensinger
Ophthalmology
1 doctor agrees

In brief: It depends

Cataract removal is performed in response to the effect it has on vision.
Some cataracts, a change in the transparency of a part or more of the natural lens, have little effect on the vision. Others progress and cause lowering of vision. These can be removed if you want although some choose to live with poor vision for a variety of reasons.

In brief: It depends

Cataract removal is performed in response to the effect it has on vision.
Some cataracts, a change in the transparency of a part or more of the natural lens, have little effect on the vision. Others progress and cause lowering of vision. These can be removed if you want although some choose to live with poor vision for a variety of reasons.
Dr. Richard Bensinger
Dr. Richard Bensinger
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Dr. Sandra Lora Cremers
Ophthalmology
1 doctor agrees

In brief: When: Cataract surg

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

In brief: When: Cataract surg

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
Dr. Sandra Lora Cremers
Dr. Sandra Lora Cremers
Thank
Dr. Robert Chang
Ophthalmology
1 doctor agrees

In brief: No

Typically only time cataracts must be removed if they are causing extremely high eye pressure (phacomorphic, phacolytic, phacoanaphylactic) or traumatically dislodged and causing the cornea to decompensate or retina problems if in the posterior chamber.

In brief: No

Typically only time cataracts must be removed if they are causing extremely high eye pressure (phacomorphic, phacolytic, phacoanaphylactic) or traumatically dislodged and causing the cornea to decompensate or retina problems if in the posterior chamber.
Dr. Robert Chang
Dr. Robert Chang
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Dr. Amin Ashrafzadeh
Ophthalmology

In brief: No!

Cataracts are only removed if they interfere with your vision or very rarely when they treathen the health of your eye such as angle closure glaucoma or interfence with seeing the retina for examination.

In brief: No!

Cataracts are only removed if they interfere with your vision or very rarely when they treathen the health of your eye such as angle closure glaucoma or interfence with seeing the retina for examination.
Dr. Amin Ashrafzadeh
Dr. Amin Ashrafzadeh
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