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To the Editor.
—Over the past few years there has been considerable discussion at all levels of government as well as in the private sector of medicine concerning "unnecessary surgery."A number of statements made at meetings as well as in writing indicate concern. For several years, comments by Dr Blodi have made me think of this issue when I see patients in my private practice.Recently, I decided to analyze the diagnoses I had made of a consecutive number of office patients, concentrating primarily on cataract patients. A diagnosis of cataract was made when lens opacities were present to a degree that they were visible on slit-lamp examination and could affect visual acuity. Surgery was indicated when it was thought to be either beneficial or necessary to the patient. Postoperative patients who had had surgery on one eye and a cataract on the other were not included.Of 100
Weinstock FJ. Unnecessary Surgery. Arch Ophthalmol. 1980;98(3):575. doi:10.1001/archopht.1980.01020030571029