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Br J Ophthalmol 2003;87:932 doi:10.1136/bjo.87.8.932
  • Editorial

Evolution and evidence based medicine

  1. R A Hill
  1. University of California, Irvine Department of Ophthalmology, UC Irvine, Irvine, CA92697-4375, USA; rahill@uci.edu

      A costly but necessary practice

      Evolution as a process has led inventors and glaucoma surgeons to sites distal to the pretrabecular, trabecular, and post-trabecular origins of difficult to treat glaucomas. Evolution as a process has also led investigators to the multicentre randomised trials of sufficient power to answer questions and advance medical knowledge in a stepwise fashion. “Evidence based medicine” is …

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