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December 5, 2012

Fracture Risk After Cataract Surgery

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Washington University School of Medicine, St Louis, Missouri (Dr Rao; raor@vision.wustl.edu); and University of Iowa Hospitals and Clinics, Iowa City (Dr Dlouhy).

JAMA. 2012;308(21):2185. doi:10.1001/jama.2012.13961

To the Editor: Dr Tseng and colleagues1 conducted a retrospective study of the association of fracture risk after cataract surgery in a random 5% sample of Medicare beneficiaries. The authors noted that patients with decreased visual acuity have a higher incidence of fractures.2 Therefore, it is reasonable to propose that fracture risk would decrease after cataract surgery. When corrected for demographic data and comorbidities based on the Charlson Comorbidity Index (CCI) score, this relationship was confirmed for patients with a propensity score decile subgroup of 4 or higher (Table 5 in article) for patients aged 70 years or older, and for those with a CCI score of 3 or higher (Table 6).