A 69-year-old has bilateral cataracts. Snellen acuity is 6/9, but glare and loss of contrast prevent safe night driving and substantially impair work....

Question

A 69-year-old has bilateral cataracts. Snellen acuity is 6/9, but glare and loss of contrast prevent safe night driving and substantially impair work. Ocular comorbidity does not explain the symptoms, and the patient wants surgery after discussing risks. What should be done?

Accepted Answer

Refer for cataract surgery after shared decision-making

Answer

Schedule referral when visual acuity reaches 6/18

Answer

Manage bilateral cataracts with annual optometric surveillance

Answer

Offer laser trabeculoplasty before cataract assessment

Answer

Schedule referral when the cataract becomes clinically dense

Autosomal dominant polycystic kidney disease (ADPKD) — MRCP Part 1 MCQ

A 69-year-old has bilateral cataracts. Snellen acuity is 6/9, but glare and loss of contrast prevent safe night driving and substantially impair work. Ocular comorbidity does not explain the symptoms, and the patient wants surgery after discussing risks. What should be done?