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To the Editor: In their article addressing the risk of cataract extraction in individuals using inhaled corticosteroids, Dr Garbe and colleagues¹ conclude, "In summary, the results of our study demonstrate an increased risk of cataract for prolonged use of high doses of inhaled corticosteroids." We believe that this article does not provide the evidence to take a leap between risk of cataract extraction and risk of cataract overall. Since the focus of this article was to show a positive correlation between extraction and corticosteroid use, the final conclusion should mirror these objectives. Second, while Garbe et al studied a huge population, when all factors were taken into consideration, the pertinent population was quite small. According to the article, only 15 patients had cataract extraction between 1992 and 1994 with no major risk factors as defined by the article, did not receive systemic corticosteroids after the age of 65 years, and . . . [Full Text of this Article]

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