Key result
Cataract surgery improves vision, but hypertension and obesity remain uncontrolled despite medical intervention.
Why the study?
The co-occurrence of mature cataract, Class II obesity, and Grade 2 hypertension with behavioral risk factors presents a complex challenge requiring holistic management in primary care.
Case Report (n=1)
This case highlights that while specialist intervention successfully treated cataract, simultaneous chronic conditions like hypertension and obesity require sustained, integrated management and patient adherence in primary care.
Case report suggests integrated family medicine care for comorbid cataract, obesity, and hypertension; leaves open generalizability pending controlled studies.
Background: The co-occurrence of cataract, obesity, and hypertension represents a complex challengein primary care, requiring a holistic management approach. This case examines a patient with theseinterrelated conditions and significant behavioral risk factors. Objective: To describe thecomprehensive management of a patient with mature cataract, Class II Obesity, and Grade 2Hypertension using a family medicine approach. Case: A 52-year-old male presented with progressivevision loss in his right eye over two years. Examination revealed mature cataract (OD vision 3/60),obesity (BMI 33.46 kg/m2), and hypertension (BP 164/94 mmHg). Risk factors included smoking,unhealthy diet, physical inactivity, and family history of hypertension. Management: Interventionsincluded surgical referral for cataract, dual antihypertensive therapy (amlodipine and lisinopril), andlifestyle modification for obesity. Family assessment revealed high functionality (APGAR score 10).Results: Cataract surgery improved visual acuity to 6/24. However, hypertension remaineduncontrolled (176/116 mmHg) at follow-up, while obesity management showed limited progress. Thefamily provided strong support throughout care. Conclusion: While targeted specialist interventionsuccessfully addressed the cataract, the persistence of uncontrolled hypertension and obesityunderscores the need for sustained, integrated management of multiple chronic conditions in primarycare, emphasizing continuous lifestyle modification and medication adherence.
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Rahayu et al. (2026) conducted a case report in Mature cataract, Class II Obesity, and Grade II Hypertension (n=1). Comprehensive management including cataract surgery, dual antihypertensive therapy, and lifestyle modification was evaluated. Cataract surgery successfully improved visual acuity from 3/60 to 6/24, but hypertension (176/116 mmHg) and obesity remained uncontrolled at follow-up despite medical and lifestyle interventions.
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