To the Editor.
—The article on "Posterior Subcapsular Cataracts: Histopathologic Study of Steroid-Associated Cataracts" by Greiner and Chylack (Archives 97:135-144, 1979) raises an interesting question. The authors assume that all of the posterior subcapsular cataracts occurring in their patients who were not receiving steroids were "senile" posterior subcapsular cataracts. But the ages of these "senile" patients were 42, 47, 53, 55, and 63 years.It seems to me that the term "senile" is being used to describe cataracts not otherwise accounted for. We all do this. On the other hand, posterior subcapsular cataracts are often associated with other metabolic disturbances. I assume that such metabolic problems were looked for in these other five patients and not found. Statistically, however, one or more of these patients should be found on careful investigation to be an alcoholic.1,2 This history is not always easily obtained, especially if not specifically requested.Looking for
Drews RC. Posterior Subcapsular Cataracts. Arch Ophthalmol. 1979;97(8):1543. doi:10.1001/archopht.1979.01020020193024