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The aim of this study was to provide an evidence\u2010based recommendation for the indication of cataract surgery based on which group of patients are most likely to benefit from surgery. A systematic literature search was performed in the\n                      <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">COCHRANE LIBRARY<\/jats:styled-content>\n                      databases. Studies evaluating the outcome after cataract surgery according to preoperative visual acuity and visual complaints were included in a meta\u2010analysis. We identified eight observational studies comparing outcome after cataract surgery in patients with poor (&lt;20\/40) and fair (&gt;20\/40) preoperative visual acuity. We could not find any studies that compared outcome after cataract surgery in patients with few or many preoperative visual complaints. A meta\u2010analysis showed that the outcome of cataract surgery, evaluated as objective and subjective visual improvement, was independent on preoperative visual acuity. There is a lack of scientific evidence to guide the clinician in deciding which patients are most likely to benefit from surgery. To overcome this shortage of evidence, many systems have been developed internationally to prioritize patients on waiting lists for cataract surgery, but the Swedish\n                      <jats:styled-content style=\"fixed-case\">NIKE<\/jats:styled-content>\n                      (Nationell Indikationsmodell f\u00f6r Katarakt Ekstraktion) is the only system where an association to the preoperative scoring of a patient has been related to outcome of cataract surgery. We advise that clinicians are inspired by the\n                      <jats:styled-content style=\"fixed-case\">NIKE<\/jats:styled-content>\n                      system when they decide which patients to operate to ensure that surgery is only offered to patients who are expected to benefit from cataract surgery.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.12758","type":"journal-article","created":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T21:40:26Z","timestamp":1433367626000},"page":"10-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Indication for cataract surgery. Do we have evidence of who will benefit from surgery? 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