To the Editor We read with interest the timely article by Venincasa et al1 on applicant perceptions of the US ophthalmology residency matching process. Particularly striking were financial barriers, which necessitated that 68% of respondents obtain additional funds from family, loans, or credit cards. Given the ballooning debt of US medical students,2 the expense of the ophthalmology residency application process is an obvious area to target for reform.