Whether cataracts and macular precursors can be operated on at the same time is determined by the specific condition. Generally, if the indications for surgery are met, surgery for both diseases can be performed at the same time through a combination of cataract surgery with a glass excision. However, if you do not meet the surgical criteria, you can determine which disease has the greater impact on your vision and prioritize surgery for that disease before proceeding with the other. There are certain indications for combined cataract surgery, i.e., the patient has a cloudy lens that affects vision, a macular prefovea that pulls on the macula and affects vision, and excludes contraindications to surgery. If these surgical indications are met, glass-cut combined cataract surgery can be considered to treat both cataract and macular precursor at the same time. However, this type of surgery is technically difficult and requires a high level of skill from the surgeon. If you do not meet the indications for a combined cataract surgery, you can prioritize this type of surgery by examining the main factors that are causing your vision loss. If the condition of macular preoptic membrane is more serious, macular preoptic membrane surgery can be prioritized, followed by cataract surgery; if the condition of cataract is more serious, cataract surgery will be prioritized, followed by macular preoptic membrane surgery. It is recommended that patients with cataracts or macular precursors seek prompt medical attention to evaluate their condition and follow the doctor’s instructions.