This is a systematic, evidence-based literature review and meta-analysis, looking at the visual outcomes (vision 20/40 or better) of cataract surgery in uveitic eyes. The authors searched MEDLINE, EMBASE, CINHAL and CENTRAL, including English language and human studies only. They excluded conference abstracts, unpublished data, very small case-series, and studies reporting on combined procedures and intra-capsular cataracts extraction. Eighty-nine articles met the eligibility criteria out of 2815 articles. The authors standardised the results by determining the ratio of uveitic eyes in each study that achieved vision 20/40 or better after cataract surgery (95% confidence intervals). They found that 71% of eyes with quiet / mostly quiet uveitis of more than two months, at the time of surgery with intraocular lens implant (IOL), achieved the desired visual outcome of 20/40 or better postoperatively, versus 52% that were left aphakic. This was the case in 68% after phacoemulsification, 72% after extracapsular cataract extraction and 40% after pars plana lensectomy. Eyes with acrylic IOL or heparin-surface modified (HSM) polymethylmethacrylate had better outcomes (72%) than eyes with silicone IOLs (30%) or non-HSM polymethylmethacrylate (62%).The best visual outcome was achieved by patients with Fuchs heterochromic uveitis (92%), versus uveitis due to JIA (65%), intermediate uveitis (69%) or Behcet’s disease (36%). Studies regarding rarer uveitides like posterior uveitis, Vogt-Koyanagi-Harada syndrome (VKH), sarcoidosis and sympathetic ophthalmia were scarce and overall did worse with vision 20/40 or better achieved only in 40-49%. The authors highlight the limitations of their review, such as publication bias, the difficulty to adjust for various confounding attributes simultaneously (to account for prognostic characteristics), their use of a visual acuity metric, which evaluated the chance of gaining a visual acuity outcome rather than a frank visual improvement and the variability of the reported time-points, which overall were short-term. They conclude that more research is required to provide better evidence on which surgeons can confidently base their management of uveitic cataracts, with an emphasis on the individual clinical entities.