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Hello and thanks for your question. I think that depends entirely on whether they are affecting your life or not. Cataracts can cause one or more of 5 different symptoms: 1) they can just generally make your quality of vision worse; 2) they can make it more difficult to see small things both up close and 3) far away, even with your glasses on; 4) they can make it so you need more light to see what you're reading; and 5) they can make it more difficult to function visually in glare conditions (such as oncoming headlights at night or bright sunlight during the day). When one or more of those symptoms begins to affect you on a regular basis such that you are having a harder time doing what you want or need to do on a regular basis, then it's time to consider having surgery to remove them. Unfortunately, the only thing that can be done to improve cataracts is to remove them with surgery. Despite OTC or herbal remedies advertising otherwise, nothing can improve a cataract, except surgery. They will likely gradually get worse and sometimes it's more than just gradual. But they'll never get better on their own. Does that make sense?
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