Cataract surgery can be very suitable over 80, and many people in this age group benefit greatly from clearer vision and maintained independence.
Assessing suitability in older adults
Chronological age alone is less important than overall health and eye status.
- Significant cataract limiting mobility, reading, or social interaction
- Reasonable general health that allows brief local anaesthetic surgery
- Support at home for drops and follow‑up visits
- Macular, corneal, and optic nerve status reviewed to set realistic expectations
- Decision made with patient and, if desired, family or carers
Special considerations in this age group
Planning may need to account for additional medical or cognitive issues.
- Coordination with medical teams about blood thinners or other drugs
- Extra reassurance and simple instructions for those with memory problems
- Preference for straightforward monofocal lenses in fragile eyes
- Short, low‑stress procedures under local anaesthetic and mild sedation if needed
- Focus on safer mobility, reduced falls risk, and easier daily living
