[Update on current care guidelines: cataract in adults]

The indications for cataract surgery under the Finnish public healthcare system are as follows: a BCVA in the better eye of < or = 0.5, or a BCVA in the worse eye of < or = 0.3. A small, clear corneal incision is the most commonly administered type of cataract wound. This entails decreased postoperative inflammation and surgically induced astigmatism. Sharp-edged IOL optics decreases the incidence of secondary cataracts. Povidone-iodine preoperatively, and intracameral cefuroxime, reduce the incidence of postoperative endophthalmitis. Pre- and postoperative topical antibiotics are widely used, despite a lack of clear evidence on their effectiveness.