We read with interest the recent issue of Eye (July 2002) that included the papers of the Cambridge Ophthalmological Symposium on the various aspects of retinal detachment. In particular, the editorial by Scott1 and the article by Asaria and Gregor2 caught our interest.

It seems now an accepted practice that all retinal detachment surgery is performed in tertiary referral centres or by vitreoretinal surgeons carrying out surgery in district general hospitals. In this light, we would like to share with your readers the results of an audit carried out in a district general hospital on the outcome of primary retinal detachment surgery performed by general ophthalmologists. This audit coincidentally preceded a decision by the department to refer all patients with retinal detachment to the regional vitreoretinal centre when their services were established.

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