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Comment on: ‘Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment’

Eye volume 37, page 3878 (2023)Cite this article

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I was interested to read the article by Murphy et al. [1] in which the use of routine pre-operative retinal OCT was compared with clinical examination for a large group of patients being assessed for possible cataract surgery. The findings were interesting, but in my view the conclusions that were drawn are not supported by the findings, which could equally be used to support the opposite approach.

It is perhaps not surprising that 26.5% of a cohort of patients with an average age of 74.5 years had some form of maculopathy. The study goes on to state that of these patients, almost half had maculopathy detectable by OCT but not on clinical (slit-lamp) examination. This no doubt reflects greater sensitivity of OCT over slit-lamp examination, but may also indicate that much of the ‘occult maculopathy’ is not clinically significant disease.

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  1. Murphy G, Owasil R, Kanavati S, Ashena Z, Nanavaty MA. Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment. Eye. 2023;37:665–9. https://doi.org/10.1038/s41433-022-02027-0.

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  1. Ophthalmology Department, Royal Berkshire Foundation NHS Trust, London Road, Reding, Reading, RG1 5AN, UK

    Martin Leyland

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  1. Martin Leyland
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Correspondence to Martin Leyland.

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Leyland, M. Comment on: ‘Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment’. Eye 37, 3878 (2023). https://doi.org/10.1038/s41433-023-02613-w

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