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Editor,—Allan and co-authors raised an interesting question in their recent suggestion that alternatives to conventional postoperative care, including shared care with non-ophthalmologists, should be evaluated.1 Previous studies looking at this issue have been contradictory. A study by the American Office of Technology looked at the differences in education and training between optometrists and ophthalmologists and concluded that the co-management of postoperative cataract patients may carry “potential risks”.2 In contrast, a large retrospective review of over 2000 co-managed patients concluded that co-managed postoperative care with optometrists “can be successfully organised, coordinated and delivered”.3 Similar suggestions have been made by other authors.4 5
In 1994 we carried …