I want to congratulate you on your research into your discovery/hypothesis as I found it to be profound and surprising. I heard your lecture at the Christian Ophthalmology Society meeting. Luff, MA, FRCS, FRCS(Ophth), FRCOphthįellow, Royal College of Ophthalmologistsįellow, Royal College of Surgeons of Edinburgh Knobbe’s message is heard by those with both the political power and the financial commitment to take action.” *

The visual health of many millions of people worldwide over the coming decades may depend on whether Dr. To impact on the visual health of a nation we need a paradigm shift in the attitude of government and a radical rethink of the artificially constructed boundaries between nutrition and medicine. Knobbe’s remarkable book offers the first tangible lifeline.

However, for newly diagnosed patients seeking hope and clinicians struggling for an answer, Dr. Furthermore, a radical change to the diet of billions will not happen quickly. His hypothesis is unlikely to be welcomed by those committed to pharmacological intervention. Dr Knobbe’s rational conclusion that a shift from traditional foods can wreak havoc on macular function will come as no surprise to those who have postulated a similar cause for the multitude of chronic diseases now endemic in so-called developed nations.

The data are stark and the potential consequences of dietary deficiency sobering. Knobbe concludes that we have been looking in the wrong place.įrom a meticulous examination of ophthalmic history, comparative epidemiology and dietary change across the globe, he constructs a cogent and compelling argument for defects in basic nutrition as the fundamental driver of AMD. In researching our frustrating lack of success in the quest for a unifying cause of AMD, Dr. A massive financial investment (both University-based and pharmaceutical) has made no impact on the incidence of a disease that has resisted minor nutritional tinkering and seen no significant gain from our exponentially increased knowledge of genetics. This epidemic continues to grow, oblivious to a plethora of research. “As the prevalence of AMD escalates, the devastating consequences of visual loss take their relentless toll on individuals, families and health economies.

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