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Medical Forum / General / General / August 2007

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Eye Care Quackery

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ZenVortex - 12 Aug 2007 17:07 GMT
The big problem facing the eye care profession is that NONE of the
treatment procedures in use have been proven effective through
randomized clinical trials (RCT), and are therefore QUACKERY.  This
applies to cataract surgery, glaucoma surgery, LASIK, etc, etc.
Although eye surgeries are generally considered to be effective, no
attempt has been made to allow for placebo effects or investigator
bias, so it is not really known if they are effective or not.

The worst offenders are corrective lenses, which have never been
subjected to any type of investigation -- let alone a RCT.  All that
is known about corrective lenses is that about 95% of people who use
them become progressively worse.  In EVERY investigation where
corrective lens wearers were used as a control group, the corrective
lens group got worse.   What this means is that according to
established RCT treatment criteria, ALL EYE DOCTORS ARE CERTIFIED AND
LICENSED QUACKS.

As far as eye exercises, they are in the same league as other eye care
procedures.  People who use them say that they work, and clinical
studies have been carried out that seem to confirm their
effectiveness.  Unfortunately, due to the hostitlity of the eye care
establishment toward alternatives to corrective lenses, none of these
studies have been published in eye care journals.
Peter Moran - 12 Aug 2007 23:12 GMT
> The big problem facing the eye care profession is that NONE of the
> treatment procedures in use have been proven effective through
[quoted text clipped - 3 lines]
> attempt has been made to allow for placebo effects or investigator
> bias, so it is not really known if they are effective or not.

Wrong.  A misunderstanding of the role of RCTs.   With these conditions
there are immediate objective measures of treatment success e.g. vastly
better visual performance, objective measures of improved lens refraction,
and internal eye pressure in the case of glaucoma surgery.    The conditions
being treated also never get better spontaneously or  respond in any
significant way to placebos.

Also, the important question in the treatment of glaucoma is whether surgery
or medication is the better treatment and at least four RCTs have looked at
that question.
See
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSear
ch=15846712&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.
Pubmed_RVAbstractPlus


Of course you can find  some questions that may not been adequately examined
via RCTs, such as your example below of whether wearing spectacles causes
vision to deteriorate quicker than normal in the long term, but does this
matter more to us than being able to read whatever we wish and to drive
safely?   It is not as though there is are proven alternative measures, and
a vast experience of the use of spectacles suggests that they have no
drastic effect over above the normal effects of aging.    How many people
would volunteer to give up the option of spectacles in the interests of an
RCT to answer that question?

Peter Moran

> The worst offenders are corrective lenses, which have never been
> subjected to any type of investigation -- let alone a RCT.  All that
[quoted text clipped - 11 lines]
> establishment toward alternatives to corrective lenses, none of these
> studies have been published in eye care journals.
 
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