Conflict of Interest Disclosure Form

It is the policy of Documenta Ophthalmologica to ensure balance, independence, objectivity, and scientific rigor in the Journal. All authors are expected to disclose to the readers any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the article. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers or other corporation whose products or services may be related to the subject matter of the article or who have sponsored the study.

The intent of the policy is not to prevent authors with a potential conflict of interest from publication. It is merely intended that any potential conflict should be identified openly so that the readers may form their own judgements about the article with the full disclosure of the facts. It is for the readers to determine whether the authors’ outside interest may reflect a possible bias in either the exposition of the conclusions presented.

The corresponding author should complete and upload this form together with the manuscript via Editorial Manager or send by fax to the editorial office, for the attention of Diana Epstein on behalf of all authors listed below.

Article Title       …………………………………………………………………..…..

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Authors ………………………………………………………………..……..

Please note that a conflict of interest statement is published with each paper.

I certify that there is no actual or potential conflict of interest in relation to this article. If any conflict exists, please define hereafter:

Conflict (if none, “None” or describe financial interest/arrangement with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this article):

……………………………………………………………………………………….

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Name               ………………………………………………………………..……..

Signature         …………………………………           Date     ……………………

Please upload the completed and signed form together with the manuscript or send by fax to the editorial office (Fax+44 141 244 0125)