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In reply

I thank Drs Tso, Abbott, and Spivey for their interest in my recent editorial¹ and greatly appreciate their comments and clarifications regarding the international guidelines being developed by the International Council of Ophthalmology (ICO). Perhaps my editorial and the comments by Dr Tso and colleagues serve to highlight the confusion in the direction or purpose of such guidelines as perceived by the general ophthalmological community and by someone such as myself who is (albeit remotely) involved in the ICO guidelines. In my editorial, I sought to portray the reality of ophthalmology in a non–English-speaking, non–English-reading country with a different genetic and cultural population of patients from the still mainly English-speaking audience of the ARCHIVES who may not be aware of the magnitude of such differences.

In the end, I believe that we are all in agreement that the ICO guidelines (as all guidelines should be) are a work-in-progress, . . . [Full Text of this Article]

Annabelle A. Okada, MD

Correspondence: Dr Okada, Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa Mitaka-Shi, Tokyo 181-8611, Japan (aokada@po.iijnet.or.jp).

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International Guidelines: All for One and One for All?
Mark O. M. Tso, Richard Abbott, and Bruce Spivey
Arch Ophthalmol. 2004;122(7):1090-1091.
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