By nature, cataracts get progressively worse with time. While the cloudiness you experience may seem tolerable now, the quality of your vision may eventually deteriorate to a point where you can no longer drive, read or see at night. Many patients who resolve not to have the surgery wind up having to have it later. It is your decision whether to wait until your cataracts cause serious impairment or to take care of them sooner so that you do not have to struggle with lower quality vision for an extended period.