Advantages and disadvantages of cataract surgery for the elderly

Written by Wang Hui Zhen
Ophthalmology
Updated on April 02, 2025
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Any surgery carries risks, and cataract surgery is no exception. However, many elderly people have mature cataracts that require prompt surgical treatment. If not addressed timely, it can lead to blindness or even cause secondary glaucoma, leading to symptoms such as eye pain, headaches, nausea, and vomiting.

In some advanced cases, it can lead to neovascular glaucoma, making it difficult to control intraocular pressure. Cataracts are a vision-impairing disease caused by the clouding of the lens, which is an important optical component in the human eyeball. Normally, the lens is transparent. In elderly people, the lens proteins often degenerate and age, leading to cloudiness and various degrees of vision impairment. It is advisable for those with cataracts to seek prompt ophthalmologic care and, if necessary, undergo cataract removal surgery. Complications and sequelae from cataract surgery may include postoperative infection, shallow anterior chamber, corneal edema, explosive bleeding, macular edema, and more.

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Written by Tao Yuan
Ophthalmology
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Will the pupil turn white in the early stages of cataract?

Cataracts are a common eye disease in ophthalmology and are currently the leading cause of blindness in China, posing a serious threat to the eye health of the public. In the early stages of cataract formation, the lens inside the eyeball usually has only mild cloudiness. Visually, from the outside, the cloudiness in the pupil area cannot be seen with the naked eye. However, when a doctor uses a slit lamp microscope for enhanced observation, cloudy patches inside the lens can be detected. At this time, the patient's vision decline is not significant, and surgery might not be immediately necessary; it is feasible to continue monitoring the changes in vision. As the cataract progresses, the area of cloudiness in the lens gradually expands. When it develops to the middle or late stage, white patches can be seen in the pupil area with the naked eye, and surgical treatment becomes necessary.

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Written by Deng Jiang Tao
Ophthalmology
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Is vitreous opacity cataract?

Vitreous opacity and cataract are two different concepts; they are two different diseases. Vitreous opacity occurs when the collagen in the vitreous cavity slowly emulsifies into a turbidity. A cataract occurs when the lens inside the human eye becomes cloudy, forming a cataract. These are two completely different diseases, and their treatment methods are generally different as well. Cataract treatment primarily involves surgery, whereas vitreous opacity, including floaters, does not require surgical treatment.

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Written by Li Min
Ophthalmology
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Is cataract easy to treat?

If you are diagnosed with cataracts, we generally use surgical methods nowadays. Our surgical approach typically involves cataract phacoemulsification combined with the implantation of an artificial lens. If you have a simple case of cataracts without any other eye diseases—such as glaucoma, diabetic retinopathy, hypertensive retinopathy, or central retinal vein occlusion—the outcome after surgery is generally good. As for the eye drops for treating cataracts advertised on TV, like Sharp Eye Love, their effectiveness is not very certain in our medical practice. Currently, the main method of treating cataracts is still through surgery.

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Written by Peng Xi Feng
Ophthalmology
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Cataract is what?

All sorts of reasons, such as aging, genetics, local nutritional disorders, immune and metabolic abnormalities, trauma, poisoning, radiation, etc., can cause metabolic disorders in the lens, leading to the denaturation of the lens proteins and resulting in opacity known as cataract. At this point, the light is obstructed by the opaque lens and cannot be projected onto the retina, causing blurred vision. It is commonly seen in people over the age of forty, and the incidence increases with age. This disease can be divided into congenital cataracts and acquired cataracts. Congenital cataracts are also known as developmental cataracts, and there are six types of acquired cataracts.

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Written by Li Zhen Dong
Ophthalmology
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What is the cataract OCT examination?

OCT is used for examining the macula and optic nerve head of the retina. It is a non-destructive, non-contact method that performs cross-sectional scanning of the ultrastructure on the retina. It primarily replaces ultrasound by using light waves to drive sound waves, conducting tomographic scans on biological tissues with low coherence, and displaying the results in forms of graphics and numbers. In this context, it is mainly used for diagnosing macular lesions and optic nerve head lesions. For cataract examinations, this method is generally not used; instead, ocular B-ultrasound and slit lamp microscopy are sufficient for detection.