Acute depression leading to a suicide attempt following successful cataract surgery that restored vision in a legally blind patient: A case report from Tanzania

Abstract

Purpose: Cataract surgery is a common and effective procedure for restoring vision, yet it can sometimes lead to unexpected psychological challenges, particularly in legally blind patients. This case report highlights the need for pre- and postoperative psychological assessment and support for some cataract patients to prevent potential mental health crises that may arise if they feel abandoned or unsupported after recovering vision. Observation: We present a case of a legally blind 72-year-old male who, two weeks after a successful cataract surgery, developed acute depression that culminated in a suicide attempt. The psychological distress was possibly triggered by the sudden withdrawal of family support, leaving the patient feeling abandoned and overwhelmed by the abrupt expectation of independence. Conclusion: Despite the success of cataract surgery in restoring vision, some patients may face significant emotional and psychological challenges. This case underscores the importance of holistic patient care, including mental health evaluations and psychosocial support, particularly for legally blind patients undergoing visual rehabilitation.