Sir,

We thank Dr Yeo1 for the kind comments and would like to answer the specific points raised:

  1. 1

    The lists were training lists and trainees started on the straight forward cases and avoided, for example, white cataracts, pseudo-exfoliation, and vitrectomized eyes initially and we believe that this is the standard practice.

  2. 2

    The trainers were not blinded and there was no clear tendency to take over early, please note that completed number of cases in the 6-month block ranged from 151 to 194. In fact, the program was designed with reverse module training to ensure that this was minimized as repeatedly taking over cases both reduces confidence and interferes with learning, which we were keen to avoid.

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