Cataract surgery can still be suitable with macular degeneration, but expectations must be adjusted because the macula, not just the lens, limits vision.
When surgery can help
Removing the cataract often improves brightness and clarity.
- Presence of visually significant cataract as well as macular changes
- Potential for better contrast and use of remaining central or peripheral vision
- Improved view of the macula for injections or monitoring
- Careful timing around any anti‑VEGF treatment schedule
- Use of suitable lenses, usually monofocal, to maximise image quality
Points to discuss
Outcomes depend on the severity and type of macular disease.
- Whether dry or wet macular degeneration is present and how advanced it is
- Realistic goals, such as easier reading with magnifiers rather than perfect sight
- Risk of slow progression of macular disease despite successful surgery
- Need for continued injections or monitoring after the cataract is removed
- Support with low‑vision aids even after surgery if central damage is marked
