I consider the risks involved in surgery for cataracts good reason to delay if cataracts are not having a significant effect. The NHS say "There is a very small risk – around 1 in 1,000 – of permanent sight loss in the treated eye as a direct result of the operation."[1] The risk may well be smaller with private treatment but it ain't going to be nil.
I was advised of evidence of cataracts 4 years ago. My acuity is not what it was but at 6/6 is good enough for me to drive and to carry out the other activities I wish to continue. I do not yet have trouble in low light - except for reading and close work - or when driving at night. So that's 4 years of binocular vision I might have lost if I'd opted for surgery straight away.
There's also the fact that the NHS will treat only if cataracts affect quality of life. So cost can be a reason to wait.
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