Sir,

We read with interest the clinical study by Leslie et al,1 in the May (2003) issue of Eye. The authors eloquently showed the contamination results before and after the use of an automated rinsing system. They hypothesized that the contamination may be the cause of endophthalmitis found in their unit, but another observation can be made from their results. The contaminants noted by the authors included organisms, lens capsule and cells. The question of whether these organisms were viable or not is certainly significant but the finding of lens material may pose a risk of transmission of Creutzfeldt–Jakob disease (CJD).

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