Age-related cataracts are a major cause of visual impairment and blindness worldwide, and cataract extraction is the most frequently performed eye surgery. 1 The occurrence and progression of cataracts are associated with various factors, including age, diabetes, hormones, drugs and ultraviolet light. 2 Menopause is the permanent cessation of menstruation that results from the loss of ovarian follicle development. 3 Most menopausal women experience vasomotor symptoms, including flushing, chills, anxiety, sleep disruption and palpitations. The pathophysiology of vasomotor symptoms remains poorly characterised. However, these symptoms are known to be caused by oestrogen withdrawal. 4 Hormone replacement therapy is widely used for the treatment of menopausal symptoms. 5 Systemic and transdermal oestrogen formulations are widely available for this form of treatment. Progesterone-containing formulations are also effective for treating vasomotor symptoms; however, they are not as effective as oestrogen. 6,7 Postmenopausal women have a higher prevalence of cataracts than men of a similar age. 8,9 The female sex hormone has been suggested to play a role in cataract formation and progression. 8 Oestrogen and progesterone receptor mRNAs are present in retinal, ciliary body, iris and lens epithelial cells. 10 In an experimental rat model, oestrogen had a protective effect against the apoptosis of lens epithelial cells. 11 Moreover, some laboratory studies have suggested that oestrogen may provent cataract formation. 12,13