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Cataract surgery is worthwhile at any age

Cataract, also known as cataracts, is an eye disease that affects millions of people worldwide. It is a condition in which the natural lens of the eye gradually loses its transparency. However, this issue is not limited solely to the older population, as is often mistakenly believed. Although cataracts are most commonly associated with ageing and typically affect older adults, they can also occur in younger individuals.

The primary cause of cataracts is the ageing of the eye’s natural lens due to changes in its structure and size. They most commonly develop between the ages of 65 and 75, when the clear lens gradually becomes cloudy. This clouding prevents light from properly reaching the retina, making vision appear as though one is looking through a mist. Typical symptoms therefore include blurred, impaired and distorted vision, both at near and at distance.

“Most cases of cataract are age-related. In younger individuals, cataracts may be caused by injury, disease, an unhealthy lifestyle or the use of certain medications, such as corticosteroids,” explains Radan Zugar, MD, Chief Doctor of the Clinic at Oční centrum Praha, adding: “Congenital cataracts can also occur in newborns, most commonly due to genetic factors, medication or illnesses affecting the mother during pregnancy.”

Age is no barrier – surgery is always worthwhile

Cataracts can only be treated surgically. There is no alternative form of treatment. If left untreated, the condition will eventually lead to blindness. This is why surgery is worthwhile at any age.

“At Oční centrum Praha, the age range of our cataract patients is from 23 to 99. This wide range clearly demonstrates that cataract surgery is both successful and beneficial across all age groups. Vision that was once dull and cloudy becomes clear and vibrant again. Most patients are delighted with their new vision and experience a significant improvement in their quality of life,” says Zugar, MD.

In the case of the youngest patient, aged 23, the cataract developed as a complication of another eye disease. For younger patients, it is often worth investing in premium intraocular lenses, as they will benefit from them for many years. Premium lenses typically offer higher visual quality and greater comfort, can correct multiple vision problems simultaneously and ensure long-term satisfaction. For younger individuals, surgery not only improves current vision but also reduces the likelihood of future complications and the need for further procedures.

The oldest patient was nearly 100 years old. Even at this age, cataract surgery is highly beneficial, as it significantly enhances quality of life. After the procedure, patients can see clearly and sharply again, which has a positive impact on both physical and mental wellbeing. Improved vision supports greater independence in everyday activities, reduces the risk of falls and injuries, and encourages a more active lifestyle. Psychologically, patients often experience greater enjoyment of life, as they can once again fully engage with the world around them—reading, watching television and participating in social activities.

A common and safe procedure

“Cataract surgery is fully covered by health insurance. Thanks to modern medicine and the latest technologies, it is now one of the most common and safest surgical procedures performed today. There are virtually no significant restrictions before or after the operation. The procedure is carried out on an outpatient basis and is completely painless,” explains Zugar, MD.

During the surgery, the ophthalmic surgeon replaces the clouded natural lens with an artificial intraocular lens. The procedure is performed under local anaesthesia, is entirely painless and takes approximately fifteen minutes. Typically, one eye is operated on first, followed by the second eye about a week later. However, at Oční centrum Praha, both eyes are now routinely treated on the same day. Suitability for bilateral surgery is always assessed individually and must be recommended by a doctor based on a pre-operative examination.

Key benefits of surgery

As mentioned above, cataract surgery significantly improves patients’ quality of life. By enabling them to see clearly again, it brings substantial positive changes to everyday life and overall wellbeing.

Improved vision: The primary benefit of cataract surgery is the restoration of clear, sharp vision. Patients often notice a dramatic improvement, allowing them to see the world in more vivid colours and finer detail.

Increased safety: Better vision leads to improved spatial awareness, reducing the risk of accidents and injuries. This is particularly important for older adults, who are more prone to falls.

Greater independence: Restored vision enhances independence and self-sufficiency. Clear vision allows patients to resume everyday activities such as reading, driving and watching television, which may previously have been difficult or impossible.

Enhanced social life: Improved vision enables patients to fully engage in social activities, enhancing both their social life and emotional wellbeing. They can once again attend family gatherings, cultural events and other social occasions that may have been limited due to poor eyesight.

Boost in confidence: Many patients report increased confidence and overall life satisfaction following cataract surgery. Improved vision provides a greater sense of control and ability to manage daily challenges, positively affecting mental health.

Better work performance: For younger patients or those of working age, restored vision can significantly improve job performance and the ability to carry out professional duties more effectively and safely.

Improved overall eye health: In addition to removing the cataract, surgery can also help detect and address other eye problems early, contributing to better overall eye health and preventing future complications.