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The Ophthalmologist / Issues / 2025 / November / Fix the Roof While the Sun Is Shining / Notecards
Cataract Neuro-ophthalmology Opinions

Fix the Roof While the Sun Is Shining

Cataracts, dementia, and us – why we must do better

By Paul Ursell 11/4/2025 4 min read

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article Full Article subject Summary summarize Notecard

1. Cataract surgery may enhance quality of life for dementia patients.

2. Delaying surgery can worsen visual impairment.

3. General anesthesia is safe for these patients.

4. Avoid diffractive multifocal lenses.

5. Early intervention is crucial for maintaining independence.

6. There is a 29% reduced risk of dementia progression with surgery.

7. Surgeons must challenge assumptions about the futility of surgery.

8. Regular referrals and assessments are essential in geriatric care.

About the Author(s)

Paul Ursell

Paul Ursell is Immediate past President of UKISCRS, Honorary Professor at the University of Bradford, and in private practice in Wimbledon, London. 

More Articles by Paul Ursell

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