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Biomedical subjects

P Abplanalp

Publications and source records attributed to P Abplanalp.

7 recordsLinked to original sources

Informed consent as an ethical issue in modern optometry.

BACKGROUND: Modern optometric practice contains many more mildly invasive procedures than it has traditionally. Concurrently, patients expect a more active role in decisions concerning their own health care, as, increasingly, these decisions may have harmful, as well as, salubrious, consequences. METHODS: Literature from the philosophy of ethics as it pertains to the issue of informed consent was examined and applied to optometric procedures and practices. RESULTS: A strong analogy exists between particular aspects of optometric practice and corresponding elements of medical practice with respect to well established ethical principles of informed consent. The legal doctrine of informed consent is not the only view applicable to optometry. CONCLUSION: Modern optometric practice may easily and advantageously be adapted to incorporate ethical principles of informed consent. These principles, which should be distinguished from legal principles which bear upon the same issues, may enhance the quality of health-care decisions by optometrists without creating serious obstacles to the individual optometrist's practice mode.

Ethics, Medical

Visual improvement in an albinotic patient with an alteration of congenital nystagmus.

Biofeedback techniques were used to alter congenital nystagmus (CN) in an albino. In response to auditory cues, the patient was able to reduce the amplitude of the nystagmus by 50% or more. In response to a combination of auditory and visual cues, the patient was able to alter the waveform of the nystagmus in such a manner that progressively larger portions of each cycle of the nystagmus were spent with the eye relatively stationary. Presumably as a consequence of this alteration in waveform, the patient's visual acuity (VA) improved from 6/35 to 6/25. The results indicate that, although VA in albinos is limited ultimately by the presence of foveal hypoplasia, other components of the typical albinotic syndrome (such as the accompanying nystagmus) can add to the acuity reduction and should, therefore, be treated.

Adult

The role and goals of academic optometry. Some unfulfilled missions.

The authors express the opinion that optometry schools have obligations to the profession and the public which involve missions beyond their primary function of educating and training students. They identify those missions which they believe are highly important but only partially addressed. They are: clinical research; expansion of optometry's scientific base; specialized patient care; and education of practitioners. They offer explanations for lack of progress, but insist it is vital that these obligations be met by our schools, and offer suggestions toward this end.

Community Health Services