Skip to main content Skip to main navigation menu Skip to site footer

Quality of Life after Cataract Surgery

  • Sarah Eisya Putri ,
  • Ahmad Ashraf ,
  • Ichlas Nanang Afandi ,


Background: Cataracts are the common cause of blindness, causing disorders, limitations, and restrictions in patients’ physical, social, and daily activities. Cataract surgery can be performed as the only treatment. Objective assessment of the impact of cataracts, such as visual acuity, has not been able to describe overall visual function, so the subjective assessment is an overall quality of life assessment. This literature review aims to elaborate on successful factors for cataract surgery and factors related to the quality of life after cataract surgery.

Methods: This literature review conducted 21 research publications from 2011-2020 cited from some reputable sources using “cataract”, “cataract surgery”, “patient-reported outcome,” and “quality of life” as keywords.

Results: Successful factors for cataract surgery influenced by visual acuity, co-existing ocular comorbidities, and surgeon include surgical technique, surgeons’ skill, a complication of the surgery, and post-operative follow-up care. Visual acuity related to the quality of life after cataract surgery, such as productivity, psychosocial, education, and environment, must also be assessed. Quality of life after cataract surgery can be measured using questionnaires as patient-reported outcomes.

Conclusion: Cataract surgery significantly improved quality of life. Postoperative ocular outcomes are not the only target of surgery. Improved non-ocular outcomes, such as increased productivity, income, and even social status, need to be achieved to have a good quality of life after cataract surgery.


  1. Tsai LM, Afshari NA, Brasington CR, Cole C, Currie BD, Edgington BD, et al. 2022-2023 Basic and Clinical Science Course, Section 11: Lens and Cataract. 2022.
  2. Matta S, Park J, Shantha GPS, Khanna RC, Rao GN. Cataract surgery visual outcomes and associated risk factors in secondary level eye care centers of L V Prasad Eye Institute, India. PLoS One. 2016;11(1).
  3. Seksi Penanggulangan Buta Katarak. Buku Pedoman Penyelenggaraan Bakti Sosial Operasi Katarak. Jakarta; 2013.
  4. Jenderal Pencegahan dan Pengendalian Penyakit Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular D. Buku Pedoman Manajemen Penyakit Tidak Menular. 2019.
  5. Zhu M, Yu J, Zhang J, Yan Q, Liu Y. Evaluating vision-related quality of life in preoperative age-related cataract patients and analyzing its influencing factors in China: A cross-sectional study Cataract and refractive surgery. BMC Ophthalmol. 2015;15(1).
  6. Badan Pusat Statistik. Analisis Statistik Sosial (Bonus Demografi dan Pertumbuhan Ekonomi). 2012;
  7. Pusdatin Kemkes RI. Situasi Gangguan Penglihatan. 2018;(Kementrian Kesehatan RI).
  8. Chan E, Mahroo OAR, Spalton DJ. Complications of cataract surgery. Vol. 93, Clinical and Experimental Optometry. 2010. p. 379–89.
  9. Jain S, Rajshekar K, Aggarwal A, Chauhan A, Gauba VK. Effects of cataract surgery and intra-ocular lens implantation on visual function and quality of life in age-related cataract patients: A systematic review protocol. Syst Rev. 2019;8(1).
  10. World Health Organization. World report on vision: Executive Summary. Geneva; 2019.
  11. Rapley M, Podgorelec S. Quality of Life Research-a Critical Introduction. Sage Publication, Inc . 2003; Available from:
  12. Hyman DW. Epidemiology of eye disease in the elderly. Eye (Basingstoke). 1987;1(2):330–41.
  13. Gogate P, Optom J, Deshpande S, Naidoo K. Meta-analysis to compare the safety and efficacy of manual small incision cataract surgery and phacoemulsification. Middle East Afr J Ophthalmol. 2015;22(3):362.
  14. Cook C. How to improve the outcome of cataract surgery. Community Eye Health. 2000;13(35):37–8.
  15. Asia-Pacific Association of Cataract & Refractive Surgeons. Prinsip-prinsip Petunjuk Teknis Operasi Katarak [Internet]. 2020. Available from:
  16. Gogate PM, Deshpande M, Wormald RP, Deshpande R. Extracapsular cataract surgery compared with manual small incision cataract surgery in community eye care setting in western India: a randomised controlled trial [Internet]. Vol. 87, Br J Ophthalmol. 2003. Available from:
  17. Kessel L, Andresen J, Erngaard D, Flesner P, Tendal B, Hjortdal J. Indication for cataract surgery. Do we have evidence of who will benefit from surgery? A systematic review and meta‐analysis. Acta Ophthalmol. 2016;94(1):10–20.
  18. Harrer A, Gerstmeyer K, Hirnschall N, Pesudovs K, Lundström M, Findl O. Impact of bilateral cataract surgery on vision-related activity limitations. J Cataract Refract Surg. 2013;39(5):680–5.
  19. Tan ACS, Tay WT, Zheng YF, Tan AG, Wang JJ, Mitchell P, et al. The impact of bilateral or unilateral cataract surgery on visual functioning: When does second eye cataract surgery benefit patients? British Journal of Ophthalmology. 2012;96(6):846–51.
  20. Gogate P, Vakil V, Khandekar R, Deshpande M, Limburg H. Monitoring and modernization to improve visual outcomes of cataract surgery in a community eyecare center in western India. J Cataract Refract Surg. 2011;37(2):328–34.
  21. Hashemi H, Mohammadi SF, Z-Mehrjardi H, Majdi M, Ashrafi E, Mehravaran S, et al. The role of demographic characteristics in the outcomes of cataract surgery and gender roles in the uptake of postoperative eye care: A hospital-based study. Vol. 19, Ophthalmic Epidemiology. 2012. p. 242–8.
  22. Yan X, Guan C, Mueller A, Iezzi B, He M, Liang H, et al. Outcomes and projected impact on vision restoration of the China million cataract surgeries program. Ophthalmic Epidemiol. 2013;20(5):294–300.
  23. Haripriya A, Chang DF, Reena M, Shekhar M. Complication rates of phacoemulsification and manual small-incision cataract surgery at Aravind Eye Hospital. J Cataract Refract Surg. 2012;38(8):1360–9.
  24. Nderitu P, Ursell P. Factors affecting cataract surgery operating time among trainees and consultants. J Cataract Refract Surg. 2019;45(6):816–22.
  25. Gupta S, Haripriya A, Vardhan SA, Ravilla T, Ravindran RD. Residents’ Learning Curve for Manual Small-Incision Cataract Surgery at Aravind Eye Hospital, India. Ophthalmology. 2018;125(11):1692–9.
  26. Winarti T, Mahayana IT, Setyowati R, Pawiroranu S. Perbandingan komplikasi antara fakoemulsifikasi dan manual Small-Incision Cataract Surgery (mSICS) pada operasi katarak massal: Sebuah penelitian kohort retrospektif. Journal of Community Empowerment for Health. 2019;2(1):97.
  27. Meyer JJ, Murray NL. NL Correlation of early and late cataract surgery outcomes. Vol. 12, Nepal J Ophthalmol. 2020.
  28. Congdon N, Yan X, Lansingh V, Sisay A, Müller A, Chan V, et al. Assessment of cataract surgical outcomes in settings where follow-up is poor: PRECOG, a multicentre observational study. Lancet Glob Health. 2013;1(1).
  29. World Health Organization. Informal Consultation on Analysis of Blindness Prevention Outcomes. Geneva; 1998.
  30. Gupta S, Ravindran RD, Subburaman GBB, Vardhan S. A, Ravilla T. Evidence on Importance of Follow-up Visits after Cataract Surgery. Ophthalmology. 2019;126(6):910–2.
  31. Broman AT, Munoz B, West SK, Rodriguez J, Sanchez R, Snyder R, et al. Psychometric Properties of the 25-Item NEI-VFQ in a Hispanic Population: Proyecto VER. 2001.
  32. Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV. Outcomes of high volume cataract surgeries in a developing country. Vol. 89, British Journal of Ophthalmology. 2005. p. 1079–83.
  33. Chan CWN, Wong JCC, Chan KSK, Wong WK, Tam KCK, Chau PSY. Evaluation of quality of life in patients with cataract in Hong Kong. J Cataract Refract Surg. 2003;29(9):1753–60.
  34. Polack S. The impact of cataract surgery on health related quality of life in Kenya, the Philippines, and Bangladesh. Ophthalmic Epidemiol. 2010;17(6):387–99.
  35. Lindfield R, Kuper H, Polack S, Eusebio C, Mathenge W, Wadud Z, et al. Outcome of cataract surgery at one year in Kenya, the Philippines and Bangladesh. British Journal of Ophthalmology. 2009;93(7):875–80.
  36. Kuper H, Polack S, Eusebio C, Mathenge W, Wadud Z, Foster A. A Case-Control Study to Assess the Relationship between Poverty and Visual Impairment from Cataract in Kenya, the Philippines, and Bangladesh. PLoS Med. 2008;5(12):e244.
  37. Dandona L, Dandona R, Srinivas M, Giridhar P, Vilas K, Prasad MN, et al. Blindness in the Indian State of Andhra Pradesh. 2001.
  38. Lewallen S, Mousa A, Bassett K, Courtright P. Cataract surgical coverage remains lower in women. British Journal of Ophthalmology. 2009;93(3):295–8.
  39. Division of Mental Health and Prevention of Substance Abuse World Health Organization. Programme on Mental Health: WHOQOL User Manual. 2012.
  40. Pequeno NPF, Pequeno NPF, Cabral NL de A, Marchioni DM, Lima SCVC, Lyra C de O. Quality of life assessment instruments for adults: a systematic review of population-based studies. Vol. 18, Health and Quality of Life Outcomes. BioMed Central; 2020.
  41. Gothwal VK, Wright TA, Lamoureux EL, Khadka J, McAlinden C, Pesudovs K. Improvements in visual ability with first-eye, second-eye, and bilateral cataract surgery measured with the Visual Symptoms and Quality of Life Questionnaire. J Cataract Refract Surg. 2011;37(7):1208–16.
  42. Grzybowski A. Recent developments in cataract surgery. Ann Transl Med. 2020;8(22):1540–1540.
  43. Lamoureux EL, Pallant JF, Pesudovs K, Hassell JB, Keeffe JE. The impact of vision impairment questionnaire: An evaluation of its measurement properties using Rasch analysis. Invest Ophthalmol Vis Sci. 2006;47(11):4732–41.
  44. Pesudovs K. Item Banking: A Generational Change in Patient-Reported Outcome Measurement. Optometry and Vision Science. 2010;87(4):285–93.
  45. Kabanovski A, Hatch W, Chaudhary V, El-Defrawy S, Reid R, Ahmed IIK, et al. Validation and application of Catquest-9SF in various populations: A systematic review. Surv Ophthalmol. 2020;65(3):348–60.

How to Cite

Putri, S. E., Ahmad Ashraf, & Ichlas Nanang Afandi. (2021). Quality of Life after Cataract Surgery. Bali Medical Journal, 13(1), 138–142.




Search Panel

Sarah Eisya Putri
Google Scholar
BMJ Journal

Ahmad Ashraf
Google Scholar
BMJ Journal

Ichlas Nanang Afandi
Google Scholar
BMJ Journal