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January 1991

Diagnosis and Management in Vision Care Book Review-Reply

Author Affiliations

Providence, RI

Arch Ophthalmol. 1991;109(1):12. doi:10.1001/archopht.1991.01080010013004

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In Reply.  —I appreciate the interest and directness expressed by Dr Koval. However, I believe that he is wrong. Neither my review nor my intention was to demonstrate that "optometrists possess inadequate knowledge and skill in the diagnosis and management of ocular disorders." I agree with him that this matter lies within the purview of state boards and malpractice attorneys.My review considered a single volume on eye care. I found the book seriously deficient and I cited several egregious examples that Dr Koval summarized very well. Failure to consider postoperative infection, failure to adequately protect against UV light, and failure to properly manage amblyopia are major issues.In this time of change in the scope of practice of health care professionals and especially of increased interaction between ophthalmologists and optometrists, it is important that our textbooks and other teaching materials be of the highest standard. In my judgment, Diagnosis

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