Dr LeClaire1 suggests that the association between the incidence of macular degeneration and prior cataract surgery found in the Beaver Dam Eye Study may not be a causative one, in that visual symptoms resulting from maculopathy may have been incorrectly attributed to cataract, prompting the surgical intervention. This is a possible explanation of our finding.
Klein R, Klein BEK. Relationship of Ocular Factors to the Incidence of Age-Related Maculopathy—Reply. Arch Ophthalmol. 1998;116(10):1404-1405. doi: