Should You Delay Cataract Surgery?

When cataract symptoms are mild, it is natural to question whether surgery is immediately necessary. If your vision continues to support your daily activities, postponing treatment may seem like a reasonable and convenient choice.

If left untreated, cataracts will inevitably worsen, although the speed of progression can vary – some cataracts develop gradually, while others may advance more rapidly. As symptoms become more severe, they can impact not only your vision but also your confidence and independence.

In this guide, we’ll look at how long it’s safe to postpone cataract surgery, what happens if treatment is delayed too long, and why early intervention often leads to the best outcomes.

How Long Can Cataract Surgery Be Postponed?  

There is no universal cut-off point for delaying surgery, but the longer you wait, the more the cataract will mature, which can make surgery slightly more complex.

In rare cases, overly advanced cataracts can even increase surgical risk. Most patients have surgery within a few months of diagnosis, but the timing depends on individual needs, the severity of the cataract and whether you are being treated on the NHS or privately. If you are pursuing private care, you have the flexibility to book your cataract surgery promptly and at a time that suits you. 

What Happens If Cataract Surgery Is Delayed?  

Delaying surgery may not cause harm in the short term, but it can gradually reduce your independence and safety. For instance, cataract symptoms such as blurred vision, double vision, or glare can increase the risk of falls and road accidents. The Royal College of Ophthalmologists found that even moderate vision loss due to cataracts increases the risk of falls by 76%. When vision impairment becomes severe, the risk of falling more than doubles. Advanced cataracts can also harden and become more difficult to remove, which may negatively impact your recovery. In very rare cases, untreated cataracts can lead to inflammation or increased eye pressure. 

Signs your cataracts may need prompt attention include: 

• Frequent changes in your glasses prescription
• Difficulty seeing in low light 
• Trouble with night driving
• Halos or glare around lights

If you are experiencing any of these cataract symptoms, we recommend speaking to one of our specialists sooner rather than later. 

Are There Times When Delaying Cataract Surgery Is Advisable?  

In some cases, a short delay might be recommended. For example, if you have another eye condition that needs treatment first, or if you need time to arrange aftercare or travel plans.  

Signs you may not need to book your cataract surgery immediately: 

• You pass the DVLA eyesight requirement for driving 6/12 as measured by your optometrist. 
• Your symptoms are mild and not worsening or impacting your quality of life. 
• An eye health check confirms your cataracts have not progressed to the extent that surgery is recommended.

When Should You Speak to a Consultant?

Your Optegra consultant will always weigh the risks and benefits and guide you through the best course of action. If you’re unsure, it’s worth discussing your situation during a free, no-obligation consultation, where an expert will talk to you about what a cataract is, how the procedure works and the next steps they’d recommend.  

There is no perfect season to have surgery, but comfort, support, and flexibility should all play a role in determining the best time to have cataract surgery for you. 

Book Your Consultation – Take the First Step Towards a Clearer Vision

Cataracts are progressive but highly treatable. If you find that your vision is starting to limit your daily activities, it may be the right time to consider treatment options.

Book a free consultation with an Optegra consultant today and find out whether surgery is the right step for you. With expert care and a personalised approach, you can look forward to a clearer, more confident vision.