Management of patients with age-related cataract

The majority of patients referred because of age-related cataract should be referred when their ability to function in their desired lifestyle is reduced due to poor vision. Generally the decision to refer should not be based on visual acuity, and the referral letter should reflect this. Patients who are not referred should not just be monitored until referral. There are several simple strategies for improving their vision which should be discussed with the patient, such as broad-brimmed hats or caps, typoscopes, anti-reflection coats and UV-blocking tints. There are also several strategies which may delay the progress of their cataract, which include reducing UV exposure and cigarette smoking and taking anti-oxidant vitamin supplements. These could also be discussed with the patient.