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Who needs cataract surgery?

The Bugle App

Donna Portland

06 March 2024, 2:12 AM

Who needs cataract surgery?

Cataract surgery is among the most common procedures in Australia, with around 250,000 operations performed in Australia each year. Cataracts, characterised by a clouding of the eye's lens, can significantly diminish visual clarity. Those afflicted may experience symptoms such as blurred vision, heightened sensitivity to light, glare, and a perceptible dimming or discoloration of their surroundings.


Vision Eye Institute Sydney says that age is the biggest risk factor for developing cataracts, with diagnosis mainly in people over 60, but they can occur at any age. A cataract can also be associated with eye trauma, prolonged use of steroids, sun exposure or previous inflammation and infection in the eye.



Vision Hospital Group Melbourne points out that being diagnosed with a cataract does not automatically mean you need surgery. Cataract removal is only recommended if your vision is impaired and affects your ability to carry out daily tasks (e.g. driving, being safe and looking after yourself at home, participating in hobbies). People with early cataracts can often manage with prescription glasses, low-vision aids and other adjustments (e.g. increased lighting, increased font sizes on digital devices).


Modern cataract surgery involves precise procedures such as phacoemulsification or extracapsular surgery, where the cloudy lens is meticulously removed and replaced with a clear artificial lens. This outpatient procedure, typically lasting less than half an hour, necessitates local anaesthesia and may involve a sedative to ensure patient comfort.



The benefits of cataract surgery include improved vision and reduced dependence on glasses, reduced risk of falls, fractures and surgical complications, increased safety and confidence, reduced anxiety and depression, continue ability to carry out daily tasks and hobbies, continued ability to work and drive, reduced/delayed need for a nursing home or carer.


Despite its efficacy, the cost of cataract surgery varies depending on factors like hospital, insurance coverage, surgeon, and lens choice. Private health insurance can largely cover expenses, but without insurance, the cost can exceed $3,000 per eye, underscoring the importance of considering individual circumstances and financial planning.