Objective: Based on a retrospective cohort study, the management, implementation and application value of cataract screening was explored for the retired athletic patients based on community health care system. Methods: During April 2018 to April 2021, a total of 300 elderly cataract patients treated were enrolled in our hospital retrospectively. The retired athletic patients who underwent general screening management were selected as the control group. The retired athletic patients who underwent screening management based on the community health care system were selected as the study group. The Posterior Capsular Opacification (PCO) classification, compliance behavior, psychological resilience score, self-efficacy score and quality of life score were compared. Results: The PCO grade of the study group was lower (P<0.05). The number of regular re-examinations, drug treatment, regular dietary activities, eye hygiene, quitting smoking and drinking in the study group was remarkably higher (P<0.05). The scores of optimisms, strength, tenacity and psychological resilience in the study group were remarkably higher (P<0.05). After intervention, the scores of self-efficacies augmented. The scores of self-efficacies in the study group were higher than those in the control group at 1 month, 2 months and 3 months after intervention (P<0.05). The scores of distant visions, adjustment ability, reading and fine movements and activities of daily living in the study group were remarkably higher (P<0.05). Conclusion: Cataract screening management in the elderly based on the community health care system can effectively enhance the condition, enhance medical compliance and self-efficacy, alleviate negative emotions and promote the quality of life