A 67 year-old lady presented with complaints of gradual decrease in vision in both the eyes since 2 years. She was unable to carry out her daily activities and could not recognize people at some distance till they came quite close. Watching television and reading were becoming increasingly difficult for her. On examination her vision in the right eye was 6/60, while left eye had 6/36. Anterior segment examination showed normal anterior chambers with normal pupils. Lens had cataract in both the eyes, right eye more than left eye. Fundus examination showed no abnormality and Intraocular Pressure was 14 and 16.

She was diagnosed to have Immature senile cataract both eyes. Since she was having problem in doing her daily work she was advised cataract surgery with Intraocular Lens Implantation. She underwent Phacoemulsification with foldable lens implantation in the right eye first and on the second day postoperatively her vision in the right eye was 6/9 without glasses. She had no significant postoperative pain and was comfortable from first postoperative day. The left eye was operated 3 months later for cataract with similar results. The lady was very happy as she could now read a lot and play cards, which she was missing earlier.

A 43 year – old gentleman came with problem of blurred vision in the left eye. He was a senior Executive in a software company and his work involved a lot of reading and computer work. He had been having this problem for the last 3- 4 months and it was becoming increasingly difficult for him to do his office work now. On examination he had a visual acuity of 6/6 in the right eye and 6/9 part in the left eye. Lens in the left eye showed a small central cataract while right eye was normal. Retinal examination was also normal in both the eyes.

Since the patient’s work involved a lot of fine work like reading and computer work, which was being hampered, he was advised to consider cataract surgery in the left eye. He underwent phacoemulsification in the left eye 4 days later. His post postoperative vision in this eye was 6/5 and he could satisfactorily carry out his extensive daily work.

A 72 year – old lady had diminished vision in the right eye for 4 years. On check up her vision in the right eye was counting fingers 3 meters while left eye was 6/18. Anterior segment examination showed some clouding of the lens in both the eyes. Intraocular pressures were normal. Fundus examination right eye showed a large whitish scar in the macula while left eye showed small pale yellowish dot like lesions in and around the macula. The patient was diagnosed to have Age related macular degeneration in the right eye and Drusen (age related changes) in the left eye with Immature senile cataract both eyes.

She was explained about the irreversible damage to the central part in the left eye and the poor visual prognosis even after cataract surgery. She was told that cataract surgery may help her peripheral vision a little but central vision is not likely to improve. She decided to go ahead with cataract surgery right eye. Post operatively she felt better as she could see the surrounding areas more clearly that helped her in walking and moving around.