The request states: "Please describe your major
research accomplishments during the past five years."
.PP
I have submitted nothing for publication.
.PP
Of unpublished work
I report first of all, U.S Patent #
which I obtained some years ago.
This patent, based on work which I did in my basement
without institutional support of any kind,
describes a surgical operation for glaucoma
which entails the subconjunctival placement
of a thin platinum wire
through the limbus which can be heated to incandescence
with radio frequency currents induced from an externally
positioned coil. 
.PP
I have written a mathematical equation which defines
the rate of optic nerve destruction in glaucoma as a function
of intraocular pressure, axial length, and scleral thickness.
The equation gives plausible results over a wide range of
pressures. It has proved of considerable practical usefulness to me
in corroborating (and correcting) the intuitive judgments
about the adequacy of glaucoma control.
.PP
From the velocity of choroidal perfusion on fluorescein
angiography and the geometry of the choroidal vasculature
apparent to ophthalmoscopy, I have deduced the existence
of a biophysical servomechanism that controls the intraocular
pressure in the healthy eye, which is corroborated by the
phenomena of phthisis and of rhegmatogenous and post-mortem
retinal detachment.
.PP
I have written a set of computer programs for the conduct of
my ophthalmology practice which I have used successfully without
interruption for the last eight years. There programs enable me
to keep all data (with the exception of drawings and diagrams)
immediately accessible by computer, eliminating the need for
filing and retrieving written records, making possible statistical
analysis of tonometric data while the patient is being examined,
making possible also the entry of charges and appointments
by the examining physician without the intervention of secretarial
help. Aside from the enhancement of my clinical work,
the computerization of my practice has increased its economic
efficiency.
.PP
Over the years, I have been confronted with various
interesting and difficult professional, administrative,
and legal challenges. 
I have made it a habit to accept each of these problems
as a research project
and to pursue it to its conclusion
in a professional manner,
vigorously and with rational calculation.
In response to the challenges
that confronted me over the years I have had occasion to 
make myself proficient in such diverse fields of law as
civil procedure, gift, estate and income taxation, trusts
real estate and administrative law. While I surely do not
expect academic credit for these efforts,
I mention them because aside from their practical value
they have given contributed to
a different perspective on my medical practice.
I have learned from them
to view ophthalmology not only as the rational professional 
and academic discipline that it purports to be,
but as a social enterprise which exhibits characteristics
common to many political institutions.
I note how the social pressures created by competetion
not so much for money as for reputation
have fostered a spectrum of values
which from a different view
appear trivial if not indeed destructive.
Numerous examples come to mind.  I mention only a few:
1. We incongruously exalt rarity for its own sake.
We spend a disproportionate amount of time and effort
on "rare" diseases which if they exist at all,
are unknowable to us and of no practical consequence
precisely because they are so rare.
2. We deny the inherent limitations of communication,
prodding each other to publish more and more papers,
while we are deluged with publications which we have
no time to read, much less to try to understand, so that
if someone among us were indeed to have a worthwhile idea,
it would almost surely be drowned by all the noise.
3. We deny the inherent limitations of organization,
endlessly fashioning rules and regulations that 
do not make sense and become mere pretexts
for the arbitrary exercise of power.
4. In the frenzy to rationalize and organize our work
we have lost sight of the fact that the practice of medicine,
if it is to remain civilized, must be an interaction between
individual human beings, requiring the communication not only
of objective data but also the sharing of feelings and experiences.
5. In our intoxication with technology and science,
we systematically deny their limitations,
we are unable to come to terms with our therapeutic failures,
and consequently we have become unable to fulfill
what has historically been the physician's most important
function, to help the patient reconcile himself to
the limitations of his nature.
.PP
I consider these conclusions, and others like them,
to be my "major research accomplishments during the past five years."
I understand that they are unconventional,
but I consider them more valid than much that passes
the censorship of the referee.
I am in the process of writing about
them in a broader context.
Meanwhile their implementation in practice confirms their validity.