Editor,—We would certainly concur with Whitefieldet al 1 that an important reason why patients decline day case surgery is the need for an examination the next day. We would also question this necessity following uncomplicated sutureless phacoemulsification with lens implant. However, we feel it may be unsafe practice if patients are not examined at all in the early postoperative period.

Firstly, intraocular pressure can be raised following cataract surgery,2 as indeed it was in three …