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Band-Aids and Amblyopia
Philip Lempert, MD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Beauchamp's editorial1 asserts that amblyopia is associated with a significant decrement in quality of life. However, adults with amblyopia did not "regard themselves as disabled and none of them attributed to amblyopia a problem they regarded as significant. . . . Patching appeared to have been responsible for more disabling effects than amblyopia itself."2 Bullying and impaired social interactions related to patching are factors in reducing quality of life for children3 and in limited compliance.4
A retrospective demographic investigation found the following:
No functionally or clinically significant differences existed between people with and without amblyopia in educational outcomes, behavioral difficulties or social maladjustment, participation in social activities, unintended injuries (school, workplace, or road traffic accidents as driver), general or mental health and mortality, paid employment, or occupation-based social class trajectories.5
This directly contradicts Beauchamp's essential premise and his utility calculations.
The optimistic cost-benefit approximations are challenged by limited outcomes in patients . . . [Full Text of this Article] AUTHOR INFORMATION
RELATED LETTER
Band-Aids and Amblyopia—Reply
George R. Beauchamp
Arch Ophthalmol. 2008;126(1):145-146.
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