When to proceed with cataract surgery...

May 4th - 15  |  Many of my latest blog posts seem to be related to cataracts but it is such a rapidly evolving field there is boundless interest and questions by patients in-office.  A patient last week asked "When should I get this [cataract surgery] done?"... It is an interesting question because in the past, I would have suggested waiting until best vision fell to approximately ~20/50 (the driving requirement in Ontario)... I always felt that the benefit clearly exceeded the minimal risk at this point.  However, there are several factors influencing my decision to initiate the 'cataract surgery' conversation with patients today.  [1] Cataract surgery is so much more of a low-risk refractive procedure today.  Many patients want the procedure ASAP to reduce their lifetime reliance on glasses and/or contact lenses.   It is an opportunity vs. a problem to be fixed so referrals are earlier.   [2] In Ontario, waiting lists are still long for in-hospital cataract surgery so referring earlier is essential because the cataract will get worse during the wait.   It is ironic that these extra, early-referred patients are partly the reason for the clogged system and longer lists!  [3] Function... If a patient does not drive and/or perhaps has cataract only one one eye... there is no rush.   We can wait!   A cataract is not something that needs to come out.  Yes - it will likely get worse but a simple cataract rarely causes any complications beyond poor vision.   Ultimately planning the timing and type of surgery will come down to a discussion between you and your Optometrist.   We are happy to discuss all cataract options at StudioEyeCare.com     dr.j