BMJ 1995;311:58 (1 July)

Letters

Elective procedures for normal conditions need high standards

EDITOR,--In his review of the treatment of myopia David S Gartry refers to the "inconvenience" of this condition.1 Refractive myopia is a normal state resulting from the biological variation of several factors in what in most cases are normal tissues. It can convey many benefits, particularly in respect of the effects of presbyopia. Its "treatment" by methods that destroy normal tissues is akin to the approach of Proscrustes, the legendary Greek brigand, whose bed was offered to weary travellers but always proved to be either too long or too short, reflecting the similarly normal variation in height of ancient Greek travellers. Sir Frederick Treves, Edward VII's surgeon, enunciated the dictum that "all surgery is amputatory." The aphorism remains as relevant as ever.

An elective procedure on normal structures that results in 15% of subjects being dissatisfied with the outcome and a smaller percentage incurring important and even disabling consequences is . . . [Full text of this article]


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Relevant Article

Fortnightly Review: Treating myopia with the excimer laser: the present position
David S Gartry
BMJ 1995 310: 979-985. [Abstract] [Full Text]




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