In an accompanying commentary, Dr Gordon Johnson of University College London, UK, says that "ophthalmic surgeons should not be pressured to goforquantity at the expense of quality".
To heighten the likelihood of getting showered in adulation narcissists employ an any-port-in-the-storm strategy: Rather than seek appreciation from an expert (e.g. making pasta for Mario Batali), they goforquantity over quality, caring less about who (in terms of credibility) applauds them, caring only that the clapping never ends.