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Letters Correcting refractive error

Are gimmicky glasses really the answer in low income countries?

BMJ 2011; 343 doi: (Published 21 September 2011) Cite this as: BMJ 2011;343:d5788
  1. John H Sandford-Smith, emeritus consultant ophthalmologist1
  1. 1Leicester, UK
  1. jsandfordsmith{at}

The need for refractive services, especially in rural areas of poor countries, is great and is one of the targets of the World Health Organization’s Vision 20/20 programme. Although these adjustable spectacles seem to meet this need, they have two obvious defects.1 2

Firstly, at $20 (£13; €14.5) each they are 40 times more expensive than a basic pair of spectacles …

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