Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: The study by Dr Garbe
and colleagues1 should not deter clinicians from using
inhaled steroids aggressively to treat the diseases for which they are
indicated. First, the patients at greatest risk for cataract removal
were those who were receiving high doses of inhaled steroids for
prolonged periods—a very small number of patients. Second, patients
rarely require sustained, high-dose inhaled corticosteroid therapy.
Rather, most patients subsequently have doses tapered to the lowest
dose that will control symptoms. Third, it is possible that, for some
patients receiving prolonged high-dose corticosteroid treatment, such
treatment was not clinically indicated.
Hassaballa H. Inhaled Corticosteroids and Likelihood of Cataract Extraction. JAMA. 1999;281(9):791-793. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-9-jbk0303