Cataracts and Inhaled Corticosteroids

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Abstract
In this issue of the Journal, Cumming et al. report an association between the use of inhaled corticosteroids and the development of posterior subcapsular and nuclear cataracts.1 Although this association was not unexpected — the use of systemic corticosteroids is a risk factor for cataracts — published surveys of smaller groups have not demonstrated a link between inhaled corticosteroids and cataracts. Barenholtz2 recently concluded that corticosteroids administered by nasal inhalation have no effect on the risk of posterior subcapsular cataracts. Abuekteish et al.3 concluded that screening for cataract was unnecessary in children receiving inhaled corticosteroids alone. Using modern ophthalmologic techniques, . . .