Sun: Closed. Cataracts are the most common cause of curable blindness in the world. description of the type, severity, and location of the cataract. 1. g. Book an Appointment: 1-403-516-2292. Email kim. J. can also assist with identification of posterior subcapsular cataracts and other axial opac - ities. " NYU Langone Health: "Surgery for Cataract in Adults. reports effects of cataract surgery on quality of life for patients with severe vision impairment due to AMD. Cataracts are the leading cause of blindness worldwide. A cataract :is a lens opacity or cloudiness. For infants with congenital cataracts, the critical period of visual development generally extends to 4 months for bilateral cataracts and 2 months for unilateral cataracts. Most cataracts can be diagnosed with an eye exam. Glaucoma is the result of the buildup of fluid inside your eye. Specialties: We are a full service optometric business that places customer service and quality products our number one priorities. We aimed to assess two strategies to measure visual outcome: recording the visual acuity of all patients 3 or fewer days postoperatively (early postoperative assessment), and recording that of only those patients who returned for the final follow. Cataracts in adults: management. A subset of the full test set was designed as a very challenging test set,. Faced with a potential 50% increase in cataract surgery workload per week in the post-COVID-19 world, eye units should use this event to. Feeling should start to return to your eye within a few hours of surgery, but it may take a few days. 323. 1. If you suspect you have cataracts, have an assessment with your optometrist as soon as possible. 4%–15. The Diploma in Therapeutics (. Cataract extraction is the most prevalent surgical procedure of all medical specialties with an estimated 3. 001). VIDEO 3-1 Slit-Lamp Examination (03:17) Advanced Dry Eye Clinic and Ocular Wellness, Vision and Eye Assessment, Contact Lenses, Comprehensive Eye Exams, Glaucoma Screening, Eye Glasses/Eye Products, Myopia Control: OPTOMETRIST: Dr. Mature cataract 4. 1 In the UK, childhood cataract affects 2. A cataract is a common eye disease in which the lens of your eye, which is usually clear, becomes cloudy or opaque. The surgical expertise needed is at a higher level. 6/10,000 per year, and the median prevalence is about 1. National Eye Institute: "Facts About Cataract. Please be aware that this process only lasts a few hours at most and could result in blurred vision and light sensitivity; accordingly, arrangements should be made for transport back home afterwards or someone to drive. This guideline covers managing cataracts in adults aged 18 and over. Discomfort in the eye. 1,2 Nevertheless, because patients with cataracts tend to be elderly and to have serious coexisting. Age specific prevalence of both cataract (22% compared to 17. as a Standard Assessment Tool in the Cataract Practice Kerry K Assil 1 and V Nicholas Batra2 1. It aims to improve care before, during and after cataract surgery by optimising service organisation, referral and surgical management, and reducing complications. National Institute for Health and Care Excellence (NICE), 2017, Cataracts in adults; management : 7: 7: 7: 7: 7: 53. Diagnosis of pediatric cataract is not difficult; however management is more complex than cataract in the adult. Slit-lamp exam. Used under license. The delay in surgery is because of glaucoma. When cataracts are in their early stages, people are. Cataract surgery is the most effective and most common procedure performed in all of medicine with 3 million Americans choosing to have cataract surgery each year, and an overall success rate of 97 percent or. Majority of the respondents (75. Currently, the only effective treatment of cataract is surgical removal with, in most cases, insertion of an intraocular. 5–6 mm is suitable. 9%) had fear to the. 001). Document authors: Jonathan Bhargava, Consultant Ophthalmologist, Countess of Chester Hospital. 1. For more guidance on giving information to people and discussing. 20 Total body irradiation, an adjuvant therapy. 51 Similarly, in a more recent case series study, 96% of emmetropic participants. 1 Physician Performance Measures (Measures) and related data specifications, developed by the American Medical Association. The morphology of a classic traumatic. IOL diameter of 12–13 mm with an optic size of 5. Providers recommend surgery when cataract symptoms interfere with. 3 Cataract and AMD often coexist in patients. Rasch analysis was performed on the baseline data to revise the. Comprehensive Eye Exams; What To Expect From An Eye Exam. 2. 1. <i>Purpose</i>. The current management system and laws are largely inherited from the frameworks created during this Anglo-Egyptian Condominium. Comprehensive Eye Exams & Vision Assessment, Dry Eye Clinic, Contact Lenses, Specialty Contact Lenses, Diabetic Eye Care, Ocular Eye Disease Diagnosis & Management, Pediatrics Eye Care. Cataract surgery in the presence of glaucoma poses certain challenges that need to be addressed to offer the maximum benefit without complications. 2 . Book Online. The Cataract Workforce Guidance document is intended to provide information on the optimum workforce required to deliver the hospital component of the cataract patient pathway but acknowledge the primary care pre- and post-operative assessment options as well. toggle navigation. Book Online. Cataracts in infants and children will be reviewed here. 103 Optimal management of infantile cataracts involves long-term care 128. Introduction. Our Crowfoot, West Springs & Creekside eye doctors can help you with glasses for your specific needs. The Way Forward project commissioned by the Royal College of Ophthalmologists (RCOphth) in 2015 21 set about collating best practice guidelines to support the increasing demand for cataract surgery and reported on the global estimations that a 52% rise in cataract cases is to be expected between 2015 and 2035. The Pentacam Oculus Automated examination for cataract grading revealed that 8 eyes (2. Population: Consecutive. Workflow of Artificial Intelligence in the different stages of cataract treatment. Rapid cataract formation is typically a result of lens capsule rupture with seepage of aqueous humor into lens fibers. This blinding disease can affect infants, adults, and older people, but it predominates the latter group. 81. Annually, at least 25 million eyes develop visual acuity <6/60 due to. At this stage, it may become apparent that high-quality evidence exists in the literature that exactly meets eligibility criteria for 1 or. 94 million people are blind or visually impaired globally, and cataract is the most common cause of blindness worldwide. This test compares your sight to standard 20/20 vision. Traumatic cataract is a clouding of the lens that may occur after either blunt or penetrating ocular trauma that disrupts the lens fibers. Methods. It can be bilateral and vary in severity. Despite being rare with an estimated prevalence of 4·24 per 10 000, 1 congenital cataract has a significant impact on inflicted patients regarding the low age of its target population and subsequent deprivation amblyopia. 5%) used their skills to diagnose cataract based on reduced visual acuity and funduscopy examination results. The Framework, now named the Ophthalmic Common Clinical Competency Framework (OCCCF), has been developed into a curriculum, with corresponding workplace-based assessments and resources, covering four clinical areas; acute and emergency eye care, cataract assessment, glaucoma and medical retina. 5 D or less . The first symptoms include blurry vision (like looking through frosted glass), double vision, shadowing of images, increased glare and colours. Cataract is one of the most common reasons for visual loss in elderly people. 2/10,000 and 13. Cataract surgery Low Risk Arthroscopy Central venous catheter removal Electrophysiologic Testing. Variation in prevalence between populations is likely due to better identification rates in. Cataracts are the leading cause of vision loss among people over age 55. The overall achievements seem impressive. 2768, P < 0. The aim of this review was to discuss frequently encountered themes such as cataract surgery in presence of age-related macular degeneration (AMD), dementia, Immediate Sequential Bilateral Cataract Surgery (ISBCS), discussing non-standard intraocular lens (IOL) options during consultation in the National Health Services (NHS) and the choice of. Assessment in line with cataract accreditation. COVID-19 pandemic of 2020 has impacted all aspects of clinical practice in the UK. Cataract Assessment & Management. This keeps light from passing through clearly. Worldwide 20,000–40,000 children with congenital or childhood cataract are born every year with varying degrees and patterns of lens opacification with a broad aetiology. In fact, more than half of all Americans age 80 or older either have cataracts or have had surgery to get rid of cataracts. [ 5] Cataracts continue to be an important cause of blindness. Two patterns of posterior capsular opacification are seen: cellular proliferation, producing drop-like deposits in the visual axis (Elschnig’s pearls), or fibrosis and shrinkage of the capsule, producing striae. 29, 60 The 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery specifically states that cardiac risk assessment should not be done before very low-risk surgeries, such as cataract surgery. Diagnosis is by ophthalmoscopy and slit-lamp examination. 1%) were higher when compared to the Eye Diseases Prevalence Research Group. 988-9322Studies were included if they were longitudinal with ≥100 participants, diabetes was defined, a description of cataract assessment was provided, data were from humans, and the reports were in English. 3% of pediatric blindness and a significant avertable disability-adjusted life years. Age-related cataracts are the most common type. The Optical Quality Analysis System (OQAS, Visiometrics) provides objective measurements of image formed onto retina, by combining quantification of ocular media transparency and of optical aberrations. An estimated of 25 million people were blind due to cataract i. Advanced age is the major risk factor for developing cataracts because the lens loses water and lens fibers become more compact. This study was aimed to quantitatively assess objective forward scattering and its relevant factors in eyes having cataract. 9/10,000). It aims to improve care before, during and after cataract surgery by optimising service organisation, referral and surgical management, and reducing complications. Find an Eye Doctor; COVID-19 Update; Articles; Work With Us; Eye Services. The vast majority of the patients are more than 70 years of age and. 1%) 4- Aging is the most common risk. Selected examples of low-risk procedures include cataract and plastic surgery. ) Cataracts in adults: management. 2 Cataract surgery has a high level of efficacy, has minimal complications and is convenient for patients. Results. Cataracts are the leading cause of blindness worldwide. Short title. 3% of pediatric blindness and a significant avertable disability-adjusted life years. In ophthalmology, AI has delivered robust results in the screening and detection of diabetic retinopathy, age-related macular degeneration, glaucoma, and retinopathy of prematurity. Cataract surgery is the most common elective surgery among Medicare beneficiaries, with 1. Abstract. A client accidentally splashes chemicals into one eye. 2. 2 Genetic mutations account for the majority of cases of bilateral cataract, and the most frequent mode. Pediatric cataracts are one of the common causes of childhood blindness and are responsible for approximately 10% to 20% of blindness in children worldwide. Cataracts develop when proteins and fibres in the lens begin to break down, which causes vision to become hazy or unclear. 77. Recovery. You can choose to do nothing about your cataracts. Meta-analysis. Most cataracts occur as a result of getting older, usually sometime after age 40. Our study comprised 192 eyes of 192 patients (mean age, 71. Treatment is surgical removal and placement of an intraocular lens. Quality assessment. Cataract surgery removes your clouded lens and replaces it with a clear artificial lens called an IOL. advanced cataracts, surgery is the only effective treatment. Optometrists are well placed to assess and refer cataract patients. Referral Management centres or directly. Introduction. The secondary outcomes were measured by the functional impairment caused by cataract (the VF-14), cooperativeness during the surgery period,. Small keloids might be reduced or removed by freezing them with liquid nitrogen (cryotherapy). This guideline covers managing cataracts in adults aged 18 and over. Clin Ophthalmol. The study by Taipale et al. For more guidance on giving information to people and discussing their preferences, see the NICE guideline. Even with cataract assessment by human experts in a research context, the accuracy and consistency of diagnosis and severity classification are known to be suboptimal. Faced with a potential 50% increase in cataract surgery workload per week in the post. Cataracts form when protein builds up in the lens of your eye and makes it cloudy. 1 Patient information. Introduction. Cataract is an opacity in the lens which can block or scatter light. Serotonin is crucial in lens. Blink Eyewear showcases an array of fashionable frames for your Transitions® lenses at all three locations in Crowfoot in NW Calgary, West Springs in SW Calgary, and Creekside in NW Calgary. This blinding disease can affect infants, adults, and older people, but it predominates the latter group. Keywords: Diagnostic tests/Investigation, Lens and zonules, Public. Moderate to high quality evidence. Treatment is with surgery involving an incision into the eye and removal. G. Congenital cataracts. Cataract is associated with decreased quality of life and reduced life expectancy. Montés-Micó R. 1 Patient information. Treatment is surgical removal and placement of an intraocular lens. then generated a detailed cataract assessment and scoring criteria for zebra sh models based on more than 700 lens images obtained from our experiments ( Fig. Postoperative follow up for cataract surgery is traditionally recommended to detect possible complications, assess the visual and refractive outcome whilst also considering whether there is a need for surgery on the second eye. Also, frequent changes in your glasses or contact lens prescription can indicate cataracts. The global prevalence of congenital cataract (CC) is estimated as between 2. Crowfoot West Springs Creekside. Given that the most common pathogens causing. It covers topics such as risk factors, surgical techniques, complications, and quality of life. They should also be able to explain what cataracts are and their management without causing undue. Based on the causes, cataracts can be classified into age-related cataracts, pediatric cataracts, and cataracts due to other causes. Several questionnaires have been developed to measure quality-of-life outcomes in patients with cataracts. 1. A posterior polar cataract requires special care to prevent posterior capsular dehiscence and subsequent vitreous disturbance. It accounts for 7. Drag and drop the diagnostic test that would provide direct visualization of Fred's eye. 1. Assil Eye Institute, Beverly Hills, California, US; 2. 1%) 183 (19. Using that threshold, sensitivity and specificity to detect cataract were 94. Cataract is the leading cause of reversible visual impairment with a rising global clinical burden. 1 Give people with cataracts, and their family members or carers (as appropriate), both oral and written information. Assessment of the red reflex . Visual Acuity Test: Read letters from each side as you're covering one eye. Information should be tailored to the person's needs, for example, in an accessible format. Cataract is the primary cause of blindness, which can significantly influence people’s quality of life. 9%) 2- Cataract is an opacity of the eye lens 514 (56%) 404 (44%) 3- Cataract has increased risk with positive family history 421 (45. This survey provides. Clean the lower lid with an alcohol wipe. Cataract is the most common cause of blindness worldwide. A cataract is a common eye disease in which the lens of your eye, which is usually clear, becomes cloudy or opaque. Please bring your current distance and reading glasses and a copy of your glasses. Indications for cataract surgery Since a subjective assessment of visual acuity cannot be obtained in very young children, greater reliance must. Sensitivity to light and glare. Since there are no pharmacologic treatments to eliminate cataracts, cataract surgery is the primary management of significant visual impairment. • Preoperative medical testing did not reduce the risk of medical adverse events during or after cataract surgery when compared to selective or no testing (high-certainty evidence). The risk factors of age,. Qual Health Care. A cataract is a common eye disease in which the lens of your eye, which is usually clear, becomes cloudy or opaque. Assil Eye Institute, Beverly Hills, California, US; 2. The median grade was 2 and the mode was also 2. Cataracts can affect people of all ages, but they are particularly prevalent in elderly patients. Cataract services suffered severe disruption due to necessary measures taken to reduce elective surgery in order to release capacity to support intensive care requirements. About Us. Larger keloids can be flattened by pulsed-dye laser sessions. The patient should be advised to return for a further assessment as and when you see fit. Medical Managementwhile the other 35 patients received regular clinical treatment only. Symptoms. Purpose of review . A cataract is a congenital or degenerative opacity of the lens. [] The. 8 to 3. 1,2 Nevertheless, because patients with cataracts tend to be elderly and to have serious coexisting. 2014; 40:716–721. 3M), or click on a page image below to browse page by page. People with cataracts may find they require brighter lights to read. It can be bilateral and vary in severity. Preoperative risk assessment decisions should be informed by focused history, physical examination, assessment of functional limitations, and complexity of the planned surgical procedure. Cataracts often develop slowly and painlessly, so vision and lifestyle can be affected without a. The following are the nursing priorities for patients with cataracts: Assess and recognize cataracts. The cataract type must be identified prior to surgery. In this paper, we are reviewing the preoperative assessment, surgical options, the planning, and postoperative care. PMC1055403. Objectives: Outline the etiology of cataracts. 2. Coster. With population ageing, thisAssessment Level of Awareness… 2102 Table (4): Knowledge of subjects about steroid cataract: Correct Incorrect 1- Cataract is a disease of the eye 735 (80. Evidence review flow charts. Blurred vision. Cataract surgery is one of the most commonly performed ophthalmic surgeries in the world. Such a phenomenon, which some call “lens within a lens phenomenon,” may lead to monocular diplopia that is not correctable with spectacles, prisms, or contact lenses. Client wears reading glasses Client has hypotension Negative family history Client is African American Client has Type II diabetes, Which clinical manifestations are associated with the. g. What are the risks of cataract surgery? As with any surgery, cataract surgery poses risks, suchAims To investigate the risk factors for cataract following eye-preserving therapies for retinoblastoma. Cataract diagnoses and surgeries, though not type of cataract, were successfully identified using electronic algorithms. It is known as a. management of postoperative macular edema. Give people with cataracts, and their family members or carers (as appropriate), both oral and written information. To find out more about our comprehensive contact lens fittings and how our optometrists can help safely correct your vision, visit one of our three branches, Crowfoot (67 Crowfoot Terrace NW, T3G 4J8), West Springs (1009 873 85 St SW, T3H 0J5) or Creekside (12192 Symons Valley Rd NW, T3P 0A3). Examination findings Elschnig’s pearls are large droplet-like deposits on the posterior capsule (Figure 8. Age related macular degeneration is a progressive, debilitating disease. Optical coherence tomography (OCT) is a safe, rapid, noninvasive, and reproducible imaging modality used for structural evaluations of maculae. All selected articles were analyzed to assess the level of evidence according. A cataract :is a lens opacity or cloudiness. Poor follow-up after cataract surgery in developing countries makes assessment of operative quality uncertain. Diagnosing the effect a cataract is having on you, and providing a personalised approach to management is complex. • what cataract surgery involves, including possible risks and benefits • how the person's quality of life may be affected if they choose not to have cataract surgery • whether the person wants to have cataract surgery. Go ahead and Blink; what you see is really what you get. Go to: 12. This blinding disease can affect infants, adults, and older people, but it predominates the latter group. Results: There was a statistically significant difference between the types of cataract and individual risk factors ( p < 0. California’s Fourth Climate Change Assessment, projects that California’s wildfire burn area likely will. Dry eye disease (DED) is found to coexist in most patients with cataracts due to the overlapping age groups of both these conditions. 29 Significant improvement in quality of life has been observed after cataract. Introduction: Cataract is a frequent ocular pathology in the world. The three most common types are traumatic, congenital, or senile cataractSecretary Wade Crowfoot. Vision may become blurred or cloudy, colours may be seen differently, and people may experience problems with glare. 74 to 1. Crowfoot, also known as Lake Pointe, is a beautiful and tranquil community with waterfront views in a desirable location. The development of diabetic retinopathy (DR) occurs in nearly all persons with diabetes and remains a leading cause of blindness worldwide [ 1 ]. 1. Redness in the white of the eye. 1. Your ophthalmologist will examine your cornea, iris, lens and the other areas at the front of the eye. For this exam, drops placed in your eyes widen (dilate) your pupils to allow your doctor a better view inside your eyes. The difficulty of these cases is compounded by a thin capsule and densely packed. This force causes a rapid elevation of intraocular pressure (IOP) that leads to frank. All of our stores are inventoried with the most sought-after designer and commercial frames and eyewear for all occasions and purposes. 6 ). . Of 5255 publications identified, 19 from 13 study populations were included. 7 million cases per year in the USA, 7 million in Europe and 20 million worldwide. 1. Need for brighter light for reading and other activities. 1. The cataract national data set specification covers all aspects of the care pathway and is available as Appendix 1 formatted as an Excel workbook. Intraoperative floppy iris syndrome (IFIS) is a clinical entity originally described by Chang and Campbell in 2005 [1]. With regular eye exams, our Calgary optometrists can continually monitor cataract progression, keeping you informed of your eye health. They should take this into consideration when discussing benefits, risks, and alternatives related to surgery with members. 4%–15. Cataract surgery has been shown to improve visual function to an extent, which is poorly correlated with pre-operative best-corrected visual acuity (BCVA). Possible side effects of cryotherapy are blistering, pain and loss of skin color (hypopigmentation). 5 inch flat grind needle. 2%) worried about the cost to incur for the cataract surgery and 257 (43. Montés-Micó R. A cataract is a cloudy or opaque lens. 1 Due to the different types of cataracts, the decision-making process for cataract surgery can be complex in determining the appropriate treatment, technique, devices, and complications to consider. 1. We use state-of-the-art-technology to spot macular degeneration, as well as cataracts and signs of pre-diabetes. Hydrodissection must be avoided in this type of cataract. Some of these Cataracts can worsen due to things like poor diet, smoking, UV light from the sun and poorly controlled diabetes. Assil Eye Institute, Beverly Hills, California, US; 2. 6). These include Activities of Daily Vision Scale, Visual Disability Assessment, and VF-14. The size of the nucleus and grade of the sclerosis must be assessed to decide on the incision and type of. As a library, NLM provides access to scientific literature. (NICE Guideline, No. e 50% or more of the global burden of blindness. A key component of determining a successful outcome is the ability to calculating of power of the lens implantation used to replace the naturally objective. Call one of our store numbers or fill out the form below to book an appointment. D. Since glaucoma occurs in 10% of congenital cataract surgery, many surgeons delay the. There are four different types of cataracts, and each has its own cause. All. as a Standard Assessment Tool in the Cataract Practice Kerry K Assil 1 and V Nicholas Batra2 1. It also is one of the safest and most effective types of surgery. Cataract Assessment & Management; Dry Eye Syndrome Disease; Presbyopia Treatment; Astigmatism; Vision Therapy; LASIK. Cataract assessment clinic 10 patients 40 mins in hospital 2 healthcare assistants 1 ophthalmic Nurse 1 surgeon Surgery 8 patients Operating 08:30–12:30 First patientThe overall prevalence of visual loss as a result of cataract increases each year as the world’s population ages. Itchiness in the eye. With the development. Despite the generally positive outcomes of cataract surgery, some patients are dissatisfied with their postoperative result due to a suboptimal refractive outcome that may be the result of unresolved issues on the ocular surface. 1. The purpose of the visit is to complete all the relevant tests and documentation required to determine if you need cataract surgery. He has served as Secretary since 2019 and advises Governor Newsom as a member of his cabinet. Your ophthalmologist will also look for glaucoma, and examine the retina and optic nerve. 3 ± 9. Go ahead and Blink; what you see is really what you get. 99). 1, 2, 4–6 Using such evidence, guidance produced by. Have the patient look straight ahead. Our clinics in Creekside, West Springs, and Crowfoot are all outfitted with experienced optometrists and opticians, the latest optometry instruments, and a wide range of brand frames. Cataracts may form immediately after trauma or months to years later. National Institute for Health and Care Excellence:. 2. Cataract is the most common cause of blindness worldwide. 1. The special slit-lamp microscope makes it easier to spot abnormalities. B. Give people with cataracts, and their family members or carers (as appropriate), both oral and written information. Do not restrict access to cataract surgery on the basis of visual acuity. An estimated 95 million people worldwide are affected by cataract. It is the most common cause of blindness worldwide. Study quality was assessed using the Newcastle Ottawa Scale and GRADE. 1016/j. It is clear that there is a significant heterogeneity being reported in the literature in terms of poor visual outcome, following the cataract surgery (Q-Statistic - 386. Serious complications of cataract surgery are rare, occurring in about 2% of cases. Total cataract patient care encompasses nursing assessment, clinical management, emotional support, and the accessibility of the nurse to the patient. 29 SAMBA. 8 to 3. Methods The Chinese translated and culturally adapted version of the Catquest-9SF was interviewer-administered to patients, pre and post cataract surgery. Cataracts in adults: management Review London: National Institute for Health and Care Excellence (NICE); 2017 Oct. txt) or read book online for free. Cataracts are very common and often develop as you get older, so it's important to have regular eye examinations. Initial consultation (2-4 weeks before surgery) £95. Transition lenses combine the benefits of corrective glasses and prescription sunglasses. Book an Appointment: 1-403-516-2292. Most traumatic cataracts are intumescent, but their type and clinical course depend on trauma mechanism and the integrity of the capsular bag. As a modification to the Delphi method, we included an. Symptoms. Start 2/3 lateral along the inferior orbital rim (inferior to the temporal limbus) with the needle tip pointing perpendicular to the plane of the patient’s face. 6 Cataract surgery is currently the only effective treatment to improve or maintain vision and is the most commonly performed elective surgical procedure in the UK with around 330 000 cataract operations performed per year in England in recent. 8 to 3. 180 Quality in Health Care 1996;5:180-185 Effectiveness Bulletin afftf~~~~~ Management of cataract Rumona Dickson, Alison Eastwood, Paramjit Gill, Arabella Melville, Susan O'Meara, Trevor Sheldon This review is based on Effective Health Care, Volume 2, Bulletin No 3 Cataract is an opacity in the lens which can effects on social functioning and quality. 67 Crowfoot. Hydrodissection must be avoided in this type of cataract. Symptoms, Causes, Diagnosis, Treatment, and Prevention. Seeing "halos" around lights. There are no medicines that can slow down cataracts. The normal ratio of the cup-to-nerve diameters is 0 to 0. standard questionnaires such as the VF14 will provide greater insight into patient satisfaction than visual acuity assessment. definition of a cataract is an opacification of the lens that leads to measurably decreased visual acuity and/or some functional disability as perceived by the patient. One hundred seventeen patients on our waiting list were assessed of which 17 high-risk patients had their surgery deferred and eight eligible patients requested delay to their surgery.