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The editorial by Fong et al¹ in the July 2003 issue of the ARCHIVES raises the question of what the ophthalmologist's role is when confronted with patients with age-related macular degeneration, for which we do not yet have a cure. Recently, I observed 2 very skilled ophthalmologists in vision rehabilitation consultations with patients with age-related macular degeneration, and in each physician's setting, a patient left the examining room stating that this ophthalmologist was the best physician he or she had ever seen. What had the ophthalmologists done? They had not reattached a retina. They had not taken out a cataract. They had not performed refractive surgery.

I put forth the hypothesis that these ophthalmologists were using principles of change management within the context of a chronic disease. Our colleagues in the corporate domain hire professionals to assist employees to adapt to changes in business practices. The change-management discipline includes many . . . [Full Text of this Article]

M. L. Jackson, MD, FRCSC

Correspondence: Dr Jackson, Department of Ophthalmology, Vancouver Island Health Authority, 1952 Bay St, Victoria, British Columbia, Canada V8R 1J8 (mljackson@shaw.ca).

RELATED ARTICLE

Is Part of the Ophthalmologist's Role in Age-Related Macular Degeneration Change Management of a Chronic Disease?—Reply
Donald S. Fong, William E. Benson, and Valerie C. Crook
Arch Ophthalmol. 2004;122(7):1090.
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