CarolC, I am an optometrist, but no fancy pants for me. Perhaps I can answer some of your questions. There are multiple studies that seem to indicate the amount of sunlight exposure, over a lifetime, can influence when cataracts will develop. More light, sooner cataracts. Vitamins have not been shown to be of any value in slowing the progression of cataracts, and in this I must differ with my colleague. You are somewhat young to be getting cataracts, but it does sometimes happen. Rate of progression is extremely variable. They might never get worse than they are now. Then again, they may need to be removed in several months. Most likely it will be something in between. Having them monitored on a 6 month basis is prudent. There is no reason to have them removed just because you have them. It is wise to wait until they become a real nuisance. Conversely, don't wait too long, because when they are extremely advanced, more ultrasound energy must be applied during the surgery, which can lead to complications. And by the way, there is no such thing as laser cataract surgery. It is done with ultrasound using a technique call phacoemulsification. Sometimes YAG laser is used months or years after surgery to clear up a membrane that can form behind the implant. Once that is gone, it will never return. In the meantime, your family optometrist is perfectly well trained and experienced to advise you regarding the necessity and timing of surgery, as well as recommending a good surgeon. All the best to you, Al