When vision begins to limit day‑to‑day life — reading, driving, recognising faces or enjoying hobbies — surgery becomes sensible. I will plan the timing with you so that recovery is smooth and life can return quickly to normal.

For the technically minded: Indication is primarily functional rather than based on a fixed visual acuity threshold; measures include best corrected visual acuity (BCVA), contrast sensitivity and patient‑reported outcome measures. Earlier surgery may reduce ultrasound energy requirements and endothelial cell stress by avoiding very dense nuclei.