Abstract: A exhaustive perioperative evaluation and management strategy are overriding in cataract extraction. The primary goal of preoperative evaluation is to identify and reduce potential risks that threaten patient safety. Through comprehensive evaluation of medical history, eye examination, and other related examinations, clinical physicians can diagnose pre-existing diseases and identify risk factors that may affect the outcome of cataract surgery. A comprehensive evaluation should include detailed surgical plans and intraoperative decisions, assessing intraocular factors, which can provide key information for selecting appropriate surgical and anesthesia methods. Most of the patients receiving cataract surgery are elderly, and there may be systemic diseases (such as hypertension, diabetes or heart disease) that affect the safety of surgery at the same time. Evaluation and management of these diseases are essential to reduce perioperative complications. Multidisciplinary communication and collaboration between ophthalmologists, anesthesiologists, and other clinicians is key to executing evidence-based perioperative strategies.  This article reviewed the medical history related to cataract surgery, general examination, preoperative fasting, anesthesia precautions, and consideration of some specific diseases (such as hypertension, atrial fibrillation, chronic coronary syndrome, diabetes, lung disease, end-stage renal disease, claustrophobia syndrome, cognitive impairment).(Int Rev Ophthalmol, 2025, 49:  109-114)

Key words: cataract extraction, preoperative evaluation