Indications for Cataract Surgery

Functional, functional, functional. Document difficult with reading, driving, glare, recognizing faces
Read: US Dept. of Health and Human Services Practice Clinical Guideline #4
Cataract in Adults: Management of Functional Impairment
In Iowa must document functional decline with patient's signature for medicare
Elsewhere:
Best corrected Visual Acuity <= 20/50 at far or near acceptable to VA, Medicare, etc..
Best corrected Visual Acuity > 20/40
mandatory to document functional disability
eg. monocular diplopia, glare, occupational impairment...
Uncommon indications: lens induced disease, eg. glaucoma
medical need to visualize the fundus, eg. diabetes


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