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The aim of this study is to report the 6‐year incidence of age‐related cataract in a population‐based study.

The design used is a population‐based cohort study.

A cohort of 2484 phakic subjects, aged 40 years and above at baseline, from a south Indian population was included in the study.

Bilateral phakics with visual acuity of 6/12 or better and cataract less than N2, C2 and P2 on the Lens Opacities Classification System II at baseline were included. Subjects with glaucoma and corneal or retinal diseases were excluded. Incident visually significant cataract was defined as visual acuity of less than 6/18 with a corresponding one grade or greater change in Lens Opacities Classification System II or history of having undergone cataract surgery with evidence of pseudophakia or aphakia at the 6‐year follow‐up.

Six‐year incidence of visually …