Hi Rose--I have the same thing--beginnings of cataracts and I also live in a sunny place. (why don't all sunglasses have side flaps to block the sun from the sides?) Now whenever I am in the sun, I hold a jacket above and around my head area to block as much rays as I can. I look ridiculous but I don't care. Got to find a big floppy hat.. which also looks ridiculous on me though

As for your hot flashes-wow they sound intense. sorry you had to go through them for so long. Have you tried alternative treatments?