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Dr Okada¹ has written an editorial in response to the international clinical guidelines being developed by the International Council of Ophthalmology (ICO), San Francisco, Calif. Dr Okada should be commended for her broad understanding of the worldwide disparity of clinical practices due to social, cultural, economic, and geographic factors. With the ARCHIVES currently translated into languages on 5 continents, this insightful editorial will stimulate the global readers of the ARCHIVES to think seriously about the issues raised. Dr Okada has brought to our attention the practice of acupuncture, herbs, homeopathy, therapeutic massage, and traditional "Oriental" medicine in different Asian communities, and she has rightly pointed out that the possible beneficial effects of these alternative medicines are now being investigated by the National Center for Complementary and Alternative Medicine at the National Institutes of Health, Gaithersburg, Md. In addition, she has correctly emphasized that diseases affected by genetic and environmental factors . . . [Full Text of this Article]

Mark O. M. Tso, MD, DSc; Richard Abbott, MD; Bruce Spivey, MD

Correspondence: Dr Tso, Department of Ophthalmology, Johns Hopkins University, 457 Woods Bldg, 600 N Wolfe St, Baltimore, MD 21287-9142 (matso@jhmi.edu).

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