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This review examines the effects of ageing on the eye with particular focus on the visual changes of significance to senior surgeons who currently account for 20%\u201325% of the surgeon workforce. The major age\u2010related diseases of the eye, which include cataracts, glaucoma, age\u2010related macular degeneration and diabetic retinopathy, are surmised; together with physiologic ocular changes that accompany normal ageing, including loss of accommodation (presbyopia), reduced pupil size (senile miosis), reduced contrast sensitivity, and impaired binocular vision, amongst others. The aforementioned conditions may impair operative visualisation in the elderly surgeon and potentially impact surgical performance. Strategies and available technologies that support operative visualisation\u2014particularly magnification aids, illumination systems and fluorescent dyes in surgery\u2014are appraised with consideration to the senior surgeon who may be affected by the aforementioned visual changes associated with ageing. To inform minimum standards of visual function for safe surgical practice, future prospective studies are needed which report on individual surgeon\u2010related measures of visual function together with postoperative outcomes. This vein of future research will allow for an evidence\u2010based evaluation of proposed safety measures for which the data are currently lacking, thereby providing clarity regarding whether requisite age\u2010based visual assessments improve surgical outcomes, and if so, at what age and frequency should such evaluations take place.<\/jats:p>","DOI":"10.1111\/ans.70213","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T08:29:06Z","timestamp":1749544146000},"page":"1312-1319","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vision &amp; the Ageing Surgeon: A Review"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1946-9936","authenticated-orcid":false,"given":"Lloyd R.","family":"Kopecny","sequence":"first","affiliation":[{"name":"Department of General Surgery Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Agar","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine Randwick Campus, The University of New South Wales  Sydney Australia"},{"name":"Department of Ophthalmology Prince of Wales Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2046-9506","authenticated-orcid":false,"given":"Shing Wai","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of General Surgery Prince of Wales Hospital  Sydney Australia"},{"name":"School of Clinical Medicine Randwick Campus, The University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-5994.2002.00279.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0042-6989(98)00044-3"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8619(02)00107-X"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2004.100.6.1123"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjab145"},{"key":"e_1_2_11_7_1","volume-title":"Australian Bureau of Statistics","author":"Australian Bureau of Statistics","year":"2016"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30425-3"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-009596"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-009739"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2015.09.009"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4189-7"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcn.2012.08.004"},{"key":"e_1_2_11_14_1","first-page":"393","volume-title":"Advances in Experimental Medicine and Biology","author":"Alavi M. 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