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The article by Schumacher et al¹ titled "Quantification of Aqueous Flare After Phacoemulsification With Intraocular Lens Implantation in Eyes With Pseudoexfoliation Syndrome" provided new information regarding cataract surgery in patients with pseudoexfoliation (PEX) syndrome. The anterior chamber aqueous flare was measured using a laser flare-cell meter in patients with or without PEX syndrome undergoing cataract surgery. The authors found that aqueous flare in eyes with PEX was significantly more extensive compared with eyes without PEX at 3 and 5 days after surgery. Based on this result, the authors concluded that a significantly high value of aqueous flare may be an important risk factor for early postoperative complications.

We agree with the authors' conclusion; however, we have a concern regarding their data analysis. In this study the authors compared postoperative aqueous flare values between eyes with PEX and cataracts and eyes with cataracts only (control group). One day after cataract surgery, . . . [Full Text of this Article]

Susanne Schumacher, MD; Nhung X. Nguyen, MD; Michael Küchle, MD; Gottfried O. H. Naumann, MD
Erlangen, Germany