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In daily practice, and when writing text for the website, I value
whether there is truly scientific evidence (that is, whether the level of evidence is high).
Thinking about eye diseases from the viewpoint of “immunology and uveitis,” I have come to understand many things.
Glaucoma, diabetic retinopathy, retinal detachment, age-related macular degeneration, dry eye, keratitis, conjunctivitis, and more.
Thinking from the viewpoint of ocular inflammation and immunology, I spend my days explaining diseases as clearly as possible.
Searching and reading in English means selecting from the world’s information.
Pubmed, Google Scholarare mainly used.
The world of “ocular optics, myopia, and refractive errors” has almost no overlap with immunology.
On the topic of “myopia control,” which I now talk about often:
I did not have much knowledge of it before.
At my previous workplace in Saito, Nishi Ward, I noticed that myopia in children was increasing a great deal.
There are also many articles saying that myopia in children around the world is progressing because of lockdowns and life at home.
» Myopia increasing with COVID: a danger to children’s eye health
Before opening in Takatori, I read many papers related to myopia and ocular optics.
This is a summary of what I have written so far in the “Reading” section of the website.
Myopia control: the scientific evidence
The evidence-level pyramid
When a fact is confirmed by many people, its “reproducibility” increases:
This ranks scientific evidence.
Based on scientific evidence, each society creates clinical practice guidelines.
Medical care as a whole is carried out based on clinical practice guidelines.
This is the “standard treatment” for which high reproducibility has been obtained from the accumulated knowledge of the whole world.
“Expert opinion” is at the very bottom of the evidence levels
because it is not reproducible.
A treatment that worked for one person:
may lead to a wonderful treatment in the future.
Can we wait for evidence to accumulate (scientific evidence to build up)?
The COVID vaccine that could not wait: applying humanity’s latest knowledge at the fastest speed
There is research in the stage before treatment, and it usually takes more than 10 years for a pharmaceutical company to reach clinical application.
Treatments and preventive treatments that cannot wait, like the COVID vaccine, were developed in a very short time by gathering the wisdom of the whole world.
When doing research in the stage before treatment and writing a paper,
in the last paragraph
“IL-17 may be therapeutic targets in autoimmune diseases.”
(IL-17 could be a target for treating autoimmune diseases)
and the likeis what I would write,as a matter of course.
Including ourselves, those who receive the COVID vaccine can be said to be enjoying humanity’s latest knowledge at the fastest speed right now.
Alternative medicine
For healthcare professionals,
complementary and alternative medicine (CAM)
is not something that can be overlooked.
I like tea, and wondered whether there might be a paper saying “tea is good for glaucoma,” and I found one.
» The relationship between tea and glaucoma
The scientific evidence is not sufficient.
Effective treatments have later emerged from chance discoveries.
Even now, many treatments are being tried around the world.
In clinics and hospitals, standard treatment:
we provide care based on the accumulation of knowledge and evidence gained around the world from long ago to the present (that is, care in line with guidelines).
What we tell you in daily practice and write on the website:
We introduce knowledge and evidence with a high level of evidence.
It is not my personal opinion.
The field of ophthalmology is also very broad, and I am still learning a great deal every day.
Unlike research and clinical work at a university department, every day is spent inferring a disease from a state of having no information at all.
All of us, medical professionals and staff who are “lifelong learners,”
will do our best to explain your eyes as clearly as possible.
