—Drs Fleischman and Lerner report on their positive experience with outpatient vitreoretinal surgery. They criticize the design of our study and question our conclusions about the need for hospitalization in most patients undergoing vitreoretinal surgery.Despite Fleischman and Lerner's assertion in their opening sentence, we did not attempt "to establish prospectively the necessity for inpatient hospital care." Rather, we prospectively studied 200 cases to "determine the postoperative hospitalization requirements."1 Fleischman and Lerner report their own experience with outpatient surgery based on a review of some patient records without giving any details as to the number of cases involved, the method of analysis, or the criteria for hospital admission. They are satisfied with their approach because they have not received any significant complaints. They report that a retrospective telephone survey of 20 consecutive outpatient surgical cases was performed and that the patients did not report major complaints or pain.
Michels RG, Isernhagen RD, Glaser BM, de Bustros S, Enger C. To Admit or Not to Admit, That Is the Question-Reply. Arch Ophthalmol. 1988;106(11):1501. doi:10.1001/archopht.1988.01060140669004