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The 20-20-20 rule has no source, and the trial that tested it is negative

September 28, 2026 No Comments

LASIK, PRK, SMILE, dry eye and the 20-20-20 rule: what the randomised trials and Cochrane reviews actually demonstrate.

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Macular degeneration: 8 letters gained at one year, 3 lost at five

September 28, 2026 No Comments

Anti-VEGF injections, AREDS supplements and retinal detachment: the real gain, how long it lasts, and the true window of urgency.

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Cataract: there is no acuity threshold for surgery

September 28, 2026 No Comments

Threshold for surgery, effect on falls, the second eye, lens choice and real complication rates: what the trials and guidelines actually establish.

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La règle des 20-20-20 n’a aucune source, et l’essai qui l’a testée est négatif

September 28, 2026 No Comments

LASIK, PRK, SMILE, sécheresse oculaire et règle des 20-20-20 : ce que les essais randomisés et les revues Cochrane démontrent réellement.

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DMLA : 8 lettres gagnées à un an, 3 lettres perdues à cinq ans

September 28, 2026 No Comments

Injections anti-VEGF, compléments AREDS et décollement de rétine : le gain réel, sa durée, et la vraie fenêtre d’urgence.

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Cataracte : il n’existe aucun seuil d’acuité pour opérer

September 28, 2026 No Comments

Seuil d’opération, effet sur les chutes, second oeil, choix de l’implant et complications réelles : ce que les essais et les recommandations établissent vraiment.

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Carotid stenosis: 5 patients to treat at two weeks, 125 at three months

September 17, 2026 No Comments

Symptomatic and asymptomatic stenosis, the effect of delay, and what the 2026 trial changes for stenosis without symptoms.

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Claudication: walking gains 80 metres, surgery does not extend life

September 17, 2026 No Comments

Supervised walking, stenting, bypass and medical treatment in peripheral arterial disease: what each option has actually demonstrated, and where the trials contradict each other.

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Aortic aneurysm: below 5.5 cm, operating early gains nothing

September 17, 2026 No Comments

Intervention threshold, surveillance intervals, endovascular against open repair and screening: what the randomised trials settled, and where they contradict each other.

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Varicose veins: no technique has shown fewer recurrences at 5 years

September 17, 2026 No Comments

Laser, radiofrequency, foam and open surgery: what the head-to-head trials and the Cochrane review actually establish.

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Carotide : opérée à 2 semaines il faut traiter 5 patients, à 3 mois il en faut 125

September 17, 2026 No Comments

Sténose symptomatique et asymptomatique, effet du délai, et ce que le nouvel essai de 2026 change pour la sténose sans symptôme.

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Claudication : marcher fait gagner 80 mètres, opérer ne fait pas vivre plus longtemps

September 17, 2026 No Comments

Marche supervisée, stent, pontage et traitement médical dans l’artériopathie des membres inférieurs : ce que chaque option a réellement démontré, et sur quoi les essais se contredisent.

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