Can Cataracts Be Treated in One Eye Only? Your Options - Ophthalmology

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Can cataracts be surgically treated in only one eye?


Hello Doctor: My mother is 59 years old and has difficulty seeing objects clearly with her left eye at night (compared to her right eye).
She visited a large hospital for an examination, and the results showed her vision to be 0.4 in the left eye and 0.7 in the right eye.
The doctor diagnosed her with cataracts and advised that surgery is not necessary at this time, recommending a follow-up in three months to review the report.
Can cataract surgery be performed only on the left eye? Is it too early for someone aged 59 to have cataracts? Are there any health methods to slow down the progression of cataracts? Thank you, Doctor, for taking the time to respond.

Niming, 50~59 year old female. Ask Date: 2018/12/13

Dr. Gao Pilin reply Ophthalmology


Hello: Cataracts can indeed be operated on one eye at a time, with the other eye being treated later if necessary.
At 59 years old, having cataracts is not considered too early.
Currently, cataract eye drops can be used to slow the progression of cataracts.
The ophthalmology department at Puzi Hospital in Taiwan is open on Mondays, Tuesdays, Thursdays, and Fridays from 8:00 AM to 12:00 PM, and on Wednesdays from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical care at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2018/12/13

More Info


Cataracts can indeed be treated in one eye only, and this is a common practice in ophthalmology. In your mother's case, since she has been diagnosed with cataracts in her left eye, it is entirely possible for her to undergo surgery on just that eye while leaving the right eye untreated, especially if her right eye is functioning well. This approach is often taken to maintain some level of vision while addressing the more problematic eye.

Cataracts are a clouding of the lens in the eye, which can lead to decreased vision, especially in low-light conditions, as you mentioned regarding your mother's difficulty seeing at night. The decision to operate on one eye versus both typically depends on the severity of the cataract in each eye and the patient's overall visual needs. If the left eye's cataract is significantly impairing vision, surgery may be warranted sooner rather than later, even if the right eye is still functioning adequately.

Regarding your concern about your mother's age, 59 is not considered too early for cataract development. While cataracts are more common in older adults, they can occur in younger individuals due to various factors, including genetics, diabetes, prolonged use of corticosteroids, and environmental factors such as UV exposure.
To potentially slow the progression of cataracts, there are several lifestyle modifications and health practices that can be beneficial:
1. Regular Eye Exams: Keeping up with regular eye check-ups can help monitor the progression of cataracts and other eye health issues.

2. UV Protection: Wearing sunglasses that block UV rays can help protect the eyes from harmful sunlight, which has been linked to cataract formation.

3. Healthy Diet: Consuming a diet rich in antioxidants, vitamins C and E, and omega-3 fatty acids may help reduce the risk of cataracts. Foods like leafy greens, fish, nuts, and fruits are excellent choices.

4. Quit Smoking: If your mother smokes, quitting can significantly reduce the risk of cataract development and other eye diseases.

5. Manage Health Conditions: Keeping conditions like diabetes under control can help reduce the risk of cataracts.

6. Limit Alcohol Consumption: Excessive alcohol intake has been associated with an increased risk of cataracts.

7. Exercise Regularly: Maintaining a healthy weight and engaging in regular physical activity can also contribute to overall eye health.

In summary, cataracts can be treated in one eye, and your mother's situation is not uncommon. While 59 is not too early for cataracts, adopting a healthy lifestyle can potentially delay their progression. It is essential for her to follow up with her ophthalmologist for ongoing assessments and to discuss the best timing for surgery based on her specific circumstances.

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