Background: Cataract Surgery is commonly done surgery in the geriatric age group. These patients may have several systemic diseases to which adequate attention must be paid during surgical planning, local anesthesia administration and in the postoperative period. This study aimed to find the actual need for any anesthetic intervention during surgery, pertaining to the patient's systemic condition.Objectives: To assess perioperative management required for patients who have undergone cataract surgeries with respect to (w.r.t.) specific systemic comorbidities.Methods: Hospital records of 2022 patients who had undergone cataract surgery over two years were analyzed retrospectively. 519 patients were found to have one or more systemic comorbidities and were included in this study. Data were analyzed to determine perioperative management (monitoring and interventions) required for these patients w.r.t. their systemic comorbidities.