A case report from East Africa has highlighted the need for pre and post-operative psychological care for cataract surgery patients, particularly those who are legally blind. The report, published in American Journal of Ophthalmology Case Reports,1 presented the case of a 72-year-old legally blind man from Tanzania who had successful cataract surgery.

He attempted suicide as a result of acute depression, possibly triggered by the sudden withdrawal of care and support from his family after his vision was restored.

“Cataract surgery, while highly effective in restoring vision and improving the quality of life, can sometimes lead to unexpected psychological challenges, particularly in legally blind elderly patients during the readjustment period,” the case report noted.

“The sudden restoration of vision may trigger feelings of anxiety, depression, and a sense of abandonment, especially when caregivers abruptly withdraw support.

“Most cataract patients are elderly and may have underlying physical or social frailties, isolation, or other chronic health conditions. These factors may impair their ability to adapt to sudden changes, whether positive or negative, in their daily lives.”

The case report concluded that relatives and caregivers must be well-informed about the importance of a “gradual transition and adjustment period to prevent patients from feeling neglected or abandoned”.

Reference

1. Nyamsaya S, Mafwiri M. Acute depression leading to a suicide attempt following successful cataract surgery that restored vision in a legally blind patient: A case report from Tanzania. Am. J. Ophthalmol. Case Rep. 2025;102405. doi: 10.1016/j. ajoc.2025.102405.