To the Editor.
—I wish to offer a few comments concerning Zimmerman's editorial1 in the February 1990 issue of the Archives regarding second opinions in ophthalmic health care.A properly implemented second opinion program may be the least onerous and most efficient method of preventing unnecessary surgery. Apparently, there is evidence that the volume of cataract surgery is stabilizing, but this may not be true, and it may not be germane.A reasonable premise seems to be that low-volume surgeons who are established in practice probably are not performing a significant number of unnecessary surgeries. Thus, it is not necessary to screen every practitioner. The procedures most likely to be abused are cataract surgery and various types of laser surgery. Perhaps second opinions on cataract surgery need only be required of surgeons in newly established practices and of those surgeons performing more than a small number of cataract surgeries—
Spizziri LJ. Too Much Eye Surgery? Arch Ophthalmol. 1990;108(10):1379. doi:10.1001/archopht.1990.01070120025011
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