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The subtitle of the recent study by Kass et al¹ is too sensational for the modest results. Even if an ophthalmologist treated all patients with the pressure elevations they describe, he or she could prevent only 1 case of glaucoma per 100 patients treated each year (9.5% in observation eyes - 4.4% in treated eyes over 5 years). This preventable case of glaucoma would have early disc changes and no field loss or early field loss and would, in all probability, be responsive to ocular hypotensive medication.

I am concerned that the media or even the drug companies could report this medical news to the public in the briefest and simplest way possible, by referring to the subtitle while ignoring the qualification of the companion article.² The public might get the impression that this was a matter of preventable blindness instead of early glaucoma. It would be unfortunate if consumer . . . [Full Text of this Article]

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Ocular Hypertension Treatment Study Results Could Be Misconstrued—Reply
Michael A. Kass and Mae O. Gordon
Arch Ophthalmol. 2003;121(7):1070.
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