vol1 - Page 245
Page 245
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And maintenance of visual field, I mean
, . . you have to put this into perspective,
I mean most of these drugs have been around
i_. long enough that the newer criteria wehave
become aware of as the science or the
practice of ophthalmology or any other
discipline has developed have led to the
establishment of different criteria as time
has gone bye So we are much more cognizant
,..i.._ " of the
_ that we need to look at different
thingeo
After some discussions Green returns to the point:
YouSd have to include in that [evaluation of
utility an assessment of] visual field. So
..,ii_ the study would have to be over long enough
time to en_ you to include that as a
criterion. _g
The essential point Government witnesses are, however
inartfullys seeking, to make is that_ in their opinionr our
knowledge of marijuana is incomplete. The studies on marijuana
have been too limited in number of subjects_ and there are no
_
studies to demonstrate marijuana induced reductions in ocular
tension result in a retention of visual field. They acknowledge
many currently used glaucoma control d_/gs_ including the
..... miotics_ epinephrine qompounds and the diuretics, were accepted
into medical use solely on the basis of their IOP lowering
utility. But government witnesses assert that in light of
advancing information, modern standards of accepted medical use
now go beyond an assessment of a drug's !OP lowering effects and
must include clinical evidence that dz_g induced decreases in
....... i_ ocular pressure actually prevent progressive injury to the optic
disc,
540./ Cross-examination of Keith Greene PhoDo_ Tro 9-73.
541/ at 9-74o
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