Treatment Overview
Currently, surgery is the only effective method of treating vision
loss caused by
cataracts.
Cataract surgery is a common procedure that involves removing the
clouded lens of the eye (the cataract). The lens makes it possible for the eye
to focus (see a picture of the
lens
). The lens can be replaced with an artificial
lens called an intraocular lens implant (IOL), or it can be left out and
eyeglasses or contact lenses can compensate for its absence. For more
information about IOL implants, see
intraocular lens to replace the natural lens of the
eye.
Surgery is often not necessary or can be delayed for months or
years. Many people with cataracts get along very well with the help of
eyeglasses, contacts, and other vision aids.
The choices for
treating cataracts in children depend on how likely
the cataracts are to interfere with development of normal vision.
Whether surgery is needed for an adult with cataracts depends on
the degree of vision loss and whether it affects quality of life and ability to
function.
Should I have cataract surgery?
What to Think About
Occasionally a cataract needs to be removed because of another
eye disease, such as
diabetic retinopathy or
macular degeneration. In some cases the cataract has
to be removed so that the eye specialist can treat the retina, the nerve layer
at the back of the eye.
Because of fear of blindness or loss of independence, older
adults may think they need to have surgery even when their cataracts do not
affect their quality of life. In many cases, wearing eyeglasses or contacts and
using other vision aids might be appropriate and just as effective without any
of the risks of surgery.
Only you can decide whether a cataract is affecting your vision
and your life enough to have surgery. If surgery is not going to improve your
vision, you may decide that surgery is not for you.