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The Ophthalmologist / Issues / 2025 / November / Fix the Roof While the Sun Is Shining / Summary
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
Cataract surgery in patients with dementia is often overlooked due to misconceptions about their potential benefits and risks. Cognitive decline complicates their visual processing, increasing the likelihood of falls and independence loss. Early intervention is crucial, as delaying surgery can exacerbate visual impairment and functional decline. General anesthesia is safe for cataract patients with dementia, and evidence suggests cataract surgery may even slow dementia progression. Ophthalmologists must reevaluate their approach to these patients to enhance their quality of life.

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. 

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