Dr Okada1 has written an editorialin response to the international clinical guidelines being developed by theInternational Council of Ophthalmology (ICO), San Francisco, Calif. Dr Okadashould be commended for her broad understanding of the worldwide disparityof clinical practices due to social, cultural, economic, and geographic factors.With the ARCHIVES currently translated into languages on 5 continents, thisinsightful editorial will stimulate the global readers of the ARCHIVES tothink seriously about the issues raised. Dr Okada has brought to our attentionthe practice of acupuncture, herbs, homeopathy, therapeutic massage, and traditional"Oriental" medicine in different Asian communities, and she has rightly pointedout that the possible beneficial effects of these alternative medicines arenow being investigated by the National Center for Complementary and AlternativeMedicine at the National Institutes of Health, Gaithersburg, Md. In addition,she has correctly emphasized that diseases affected by genetic and environmentalfactors will exhibit different manifestations with varying clinical coursesin different parts of the world.
Tso MOM, Abbott R, Spivey B. International Guidelines: All for One and One for All? Arch Ophthalmol. 2004;122(7):1090–1091. doi:10.1001/archopht.122.7.1090-d
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