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Medical Forum / General / Vision / July 2004Success in Amblyopia Therapy
My son Brandon has improved from seeing 20/60 and 20/200 corrected to 20/20 and 20/30 corrected since starting patching back last October. He was taken off patching two weeks ago. He has glasses for his original RX of +7.5/+4.75 and is now +7/+3.50. The doctor felt that he should stay in his now overplussed Rx until he breaks the glasses (he is 6). He felt that since his weaker (20/30) eye is closer to the right correction, he is getting some therapeutic benefit with the old Rx. We return next February for a follow up. However, in school the teacher noted that he began having difficulty following directions on the board towards the end of the year, so we may elect to get new lenses in August. Would you pursue occassional patching or scotch tape over the good lense to keep up some therapy? Considering his age, will he eventually see 20/20 in both eyes? Would patching affect things now that he's 20/30? I would expect the concern of the neurological connection to his retina is over, and the remaining issue is training the eye muscles to focus to achieve 20/20. Does that sound right? At any rate, we are elated to have made such progress, which was in large measure due to the contributions of this news group. Your advice and concern helped us make critical decisions and probably saved his eyesight. Thank you all. Jeff Edney > My son Brandon has improved from seeing 20/60 and 20/200 corrected to > 20/20 and 20/30 corrected since starting patching back last October. [quoted text clipped - 18 lines] > > Jeff Edney That's terrific news! At 20/30, Brandon is still technically amblyopic. In a binocular situation, he will probably still have dominance of the non-amblyopic eye. Therefore, it certainly wouldn't hurt to keep up some patching activity. My thoughts, anyway. DrG What was the rational for stopping the patching treatment when it is still not equalized? Did he reach a plateau and was unchanged for 3 patching intervals (1 interval = 1 week per year of age, if patching full-time, prorated according to % of time patching - 1/2 time patch = twice as long followup)? If the patch is stopped before equality, the better eye tends to still take over, the the amblyopia tends to get worse again. Need to patch to equal vision, and continue until equal preference, if possible (in my experience). At this point with 20/20 and 20/30, he still is amblyopic. Assuming he has not plateaued, then patching would be expected to continue to correct despite being 20/30. I have patients where the better eye is 20/15, and we keep it up until they try to reach that vision in the other eye also. Also, waiting 8 months for a followup visit? If the treatment does need to be modified, a very long interval without supervision has occurred, and you may be losing valuable time while he is still in the treatable age range. The concern of "neurological correction to his retina" is incorrect, and it is not over., The problem is in the brain, not the retina. You do not neurologically correct the retina. I would not stop until he has reached equality, or has plateaued for the 3 patching intervals. David Robins, MD Board certified Ophthalmologist Pediatric and strabismus subspecialty Member of AAPOS (American Academy of Pediatric Ophthalmology and Strabismus) On 6/21/04 2:39 PM, in article cb7981e0.0406211339.5375b144@posting.google.com, "Jeff" <jeffntate@comcast.net> wrote: > My son Brandon has improved from seeing 20/60 and 20/200 corrected to > 20/20 and 20/30 corrected since starting patching back last October. [quoted text clipped - 18 lines] > > Jeff Edney Based on your assessment we have arranged to visit another eye doctor next Wednesday. I had a feeling that the Pediatric Opthamologist at UAB wasn't being aggressive enough with his treatment. He just told us that 20/30 was pretty good and we didn't need to patch any more. No, he had not plateaued as you described. In fact, I think he was worse the last visit in May than back in February. He could only read one of five letters at 20/30 and the doctor said that was seeing 20/30. The UAB doctor seemed to us that Brandon's case wasn't serious enough to waste his time, or at least that's what I came away feeling. Thank god for this news group! Jeff The new doctor found that Brandon has equal vision in both eyes now (or pretty close) and decided to not pursue further patching based on equalization. She said his vision indicated "fusion" and his eyes in her evaluation were working together. We have a follow up in 3 months. She underplussed both his new Rx by 1 diopter (vision is +6.75/+3.5, Rx is +5.75/+2.5). She felt that being underplussed one diopter would assist in becoming less farsighted. His acuity was about 20/25 in each eye separately, and he was reading 3/5 letters with both eyes 20/20. Does this sound like the right approach? She said his degree of progress was unusual in that he has gone from 20/40 corrected in one eye and 20/200 corrected in the other to 20/25 in both with only 6 months of patching (age 5 1/2 to 6). It just shows that the conventional patching and correct prescription (as suggested by you doctors) works! Thanks, Jeff Hi Jeff I hope this is not too invasive or personal for you, but I was wondering if you might be interested in what a number of behavioural optometrists say about some of the issues and influences affecting hyperopia and the high astigmatism that is often associated with hyperopia? Best Andrew > Hi Jeff > [quoted text clipped - 3 lines] > hyperopia and the high astigmatism that is often associated with > hyperopia? Is it short?  SignatureCheers, Bev = = = = = = = = = = = = = = = = = = = = = = = = = = = "I read about this syndrome called hypochondria in a magazine. I think I've got it." -- DA > > Hi Jeff > > [quoted text clipped - 5 lines] > > Is it short? I can give you a short one. Hyperopes dont like detail. > The Real Bev <bashley@myrealbox.com> wrote in message > > > [quoted text clipped - 11 lines] > > Hyperopes dont like detail. :-) Well, I can give you an astigmatic hyperopic data point: I HATED programming because you had to do too many tiny things in order to do a bigger thing. I hate housecleaning because it involves a succession of replacements before you can actually move the thing that you WANT to move. I tend to remember the bottom line rather than the steps leading thereto, and it's easier to figure out something all over again than to remember just what worked before. So far, so good. SignatureCheers, Bev [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] If voting could really change things, it would be illegal. --Revolution Books, New York, New York > > Hi Jeff > > [quoted text clipped - 5 lines] > > Is it short? Bev I did a tiny bit of research on you:-) This is not a short answer but might yet keep your interest. Your prescription appears to be R: +3.50 +2.25 10 (also includes 2.25 add) L: +4.50 +2.25 170 So removing the add for reading R: +1.25 +2.25 10 L: +2.25 +2.25 170 So for both eyes you have approximately 180 degree astigmatism. Also you have reasonable anisometropia with your left eye having an extra diopter. Now this might seem completely insane but once you stop laugthing maybe you could run it past a few of your friends before just dimissing it? This stuff is pretty personal for you. I have arrived at this information only based on your eye glass prescription. According to Roberto Kaplan OD based on your astigmatism you tend to be stubborn inflexible and impatient. There is an anger component in this way of reacting to what happens around you. However from **your** point of view you may feel that at times you are being attacked or critised by other people and therefore your stubborness, inflexibility and impatience is really only a 'survival' way of reacting to circumstances. Being yielding flexible and patient **could** create more harmony, better relationships etc without creating the feeling in you that you are being taken advantage of. How does this feel so far? There is more There is an anger component in your astigmatic way of seeing things. Also your hyperopia itself is related to feeling a strong emotion which is often anger. In hyperopia there is a tendency to not express ones anger for fear of offending others. Sometimes you may go ballistic with others but on balance anger remains that is not resolved. Your tendency is to push your strong emotion (probably it is anger) away from you. You resist detail (you wanted a short answer) and find it hard to focus on what is closer to you, instead you tend to find it easier to focus on what is further away from you, such as family and friends or activities that are 'out there' rather than being 'close by' I see you are married to a myope. Myopes are in a manner of speaking behaviourally opposite to hyperopes. Myopes are essentially insecure but may mask that with artificial extroversion or aggression. They get concerned with detail but cant see the big picture so well as you can. However, although you are far seeing, you can benefit from looking at the detail of some things a little more than you do at the moment. But I can imagine that living with a myope might infuriate you sometimes! For example you tend to be inpatient. Your reaction is to not focus on detail and instead to push it away from you...perhaps with a bit of huffing and puffing? If you can believe that being a wee bit more patient could benefit your life then it then becomes possible, for a few moments longer, focus on what is closer to you without going into a reaction. **also** instead of just being angry, see that anger has wisdom associated with it. You are far seeing:-) You have wisdom:-) Rather than just getting angry (which might be terrifying for a myope:-( ) take a few moments to see what your anger is telling you about this circumstance where you flash into anger, reflect a while on it and ***then** be **passionate** about bringing about productive changes in your life. Also for both you and your husband you tend to have issues to do with power and control. Bit of a battle there perhaps at times i would imagine. Myopes tend to have difficulty seeing they have the power to just be themselves. They kind of seek permission from others, which to them is like being good, anxious to please others, but others can often see this trait as just being plain annoying! Bev, you are far more far seeing than your husband who can get lost in detail, but that clarity in far seeing can create problems for **others** who cannot see what **you** can see so clearly, and you will not tend to be very tolerant of the other persons more narrow perception, because to **you** others can seem blind. Sometimes this belief in your vision and the rightness of it can be very difficult for other people close to you:-( Living with a hyperope can be challenging too:-( This might seem like mind reading but is based on good science. What is further interesting is that these kinds of vision problems are related to the relationship you have with yourself. That relationship is then reflected in the relationship you have with others. Clearing your inner vision can have profound changes in your relationships with others, and create passion for life, which makes for less anger and frustration:-) If you are so far interested:-), if you let me have your husbands prescription I could then reflect back to you the myopic and astigmatic 'survival personality' correlates that Kaplan and others have identified that apply to his prescription. Also as you are not precisely 180 degree astigmatic there are other influences to your astigmatism which might interest you. I guess i stand or fall based on what you say next! Best Andrew:-) > > > I hope this is not too invasive or personal for you, but I was > > > wondering if you might be interested in what a number of behavioural [quoted text clipped - 28 lines] > This stuff is pretty personal for you. I have arrived at this > information only based on your eye glass prescription. Well, if you did more than BASIC research you have more to go on than just my prescription. Still, I will assume you're telling the truth... > According to Roberto Kaplan OD based on your astigmatism you tend to > be stubborn inflexible and impatient. There is an anger component in > this way of reacting to what happens around you. OK, so far, so good, you bastard! > However from **your** point of view you may feel that at times you are > being attacked or critised by other people and therefore your > stubborness, inflexibility and impatience is really only a 'survival' > way of reacting to circumstances. Sometimes, but more likely it's a response to something that pissed me off about somebody else not related to their opinion of me. Honest. > Being yielding flexible and patient **could** create more harmony, > better relationships etc without creating the feeling in you that you > are being taken advantage of. Yeah, it could, and I truly try to be more patient. I haven't killed my MIL, so I think on the whole I'm succeeding. OTOH, I see little reason to be more than nominally patient with strangers. > How does this feel so far? Pretty basic, and probably applies to a goodly chunk of the population. > There is more > > There is an anger component in your astigmatic way of seeing things. > Also your hyperopia itself is related to feeling a strong emotion > which is often anger. That doesn't sound right. I wasn't aware of my vision problems until I was maybe 38, and I was pissed off LONG before that! Although I did try glasses when I was 16 -- somebody else's glasses made edges a bit sharper, but I hated the way the glasses I got for myself made my eyes feel. If I'd known then what I know now, I would have known that the damn things were just wrong and should have been redone, but I didn't get glasses that I actually needed and wore for 20 years or so. > In hyperopia there is a tendency to not express ones anger for fear of > offending others. Sometimes you may go ballistic with others but on > balance anger remains that is not resolved. This is probably also applicable to most people living with way too many other people. We wouldn't have anywhere near as much road rage if we were allowed to shoot from our cars! > Your tendency is to push your strong emotion (probably it is anger) > away from you. Unclear. Do you mean suppress? > You resist detail (you wanted a short answer) and find it hard to > focus on what is closer to you, instead you tend to find it easier to > focus on what is further away from you, such as family and friends or > activities that are 'out there' rather than being 'close by' Nope, far more introspective than I'd like to be. Hence this reply :-) > I see you are married to a myope. > [quoted text clipped - 4 lines] > extroversion or aggression. They get concerned with detail but cant > see the big picture so well as you can. That sounds, again, pretty basic. Without glasses, myopes can't see ANYTHING but detail. > However, although you are far seeing, you can benefit from looking at > the detail of some things a little more than you do at the moment. > But I can imagine that living with a myope might infuriate you > sometimes! Hey, emmetropes are bad enough! > For example you tend to be inpatient. Your reaction is to not focus > on detail and instead to push it away from you...perhaps with a bit of > huffing and puffing? Again, unclear. > If you can believe that being a wee bit more patient could benefit > your life then it then becomes possible, for a few moments longer, [quoted text clipped - 7 lines] > it and ***then** be **passionate** about bringing about productive > changes in your life. Sorry, this is starting to sound like astrology -- you read into it what you expect to read into it. > Also for both you and your husband you tend to have issues to do with > power and control. Bit of a battle there perhaps at times i would > imagine. Myopes tend to have difficulty seeing they have the power > to just be themselves. They kind of seek permission from others, > which to them is like being good, anxious to please others, but others > can often see this trait as just being plain annoying! That's dead wrong. Husband has never needed anybody's approval and is fully confident that he can do anything he puts his mind to, and he's absolutely right. I have independent confirmation for that -- I've chatted with his bosses and work-friends, who were in absolute awe of his abilities. > Bev, you are > far more far seeing than your husband who can get lost in detail, but [quoted text clipped - 4 lines] > vision and the rightness of it can be very difficult for other people > close to you:-( Living with a hyperope can be challenging too:-( Surely not! > This might seem like mind reading but is based on good science. > [quoted text clipped - 15 lines] > > I guess i stand or fall based on what you say next! I wouldn't say you fell, but my interest has been, um, satisfied. SignatureCheers, Bev [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] If voting could really change things, it would be illegal. --Revolution Books, New York, New York > > > > I hope this is not too invasive or personal for you, but I was > > > > wondering if you might be interested in what a number of behavioural [quoted text clipped - 66 lines] > That doesn't sound right. I wasn't aware of my vision problems until I > was maybe 38, and I was pissed off LONG before that! Dont forget that while you are young and had good accommodation you could compensate for hyperopia by accommodating...so what you are saying below suggests that you were hyperopic and did compensate. > Although I did try > glasses when I was 16 -- somebody else's glasses made edges a bit [quoted text clipped - 15 lines] > > Unclear. Do you mean suppress? Not suppression. With suppression you would not be aware you were angry. I think you are aware at at least some level you are pissed off, but i would guess you are unsure what to do with it. Remember this is a general pattern associated with hyperopia. It cant fully and accurately describe you in complete detail. From what you are saying it seems as if anger, and the astigmatic stubborness inflexibility and inpatience are issues in your life. I am saying that this is a common general pattern in hyperopia which is not the same as happens in other types of vision problem. > > You resist detail (you wanted a short answer) and find it hard to > > focus on what is closer to you, instead you tend to find it easier to > > focus on what is further away from you, such as family and friends or > > activities that are 'out there' rather than being 'close by' > > Nope, far more introspective than I'd like to be. Hence this reply :-) You are more instrospective than you like to be....fair enuf. But is this the same as saying you do not like to be introspective which is what i would expect due to hyperopia being present? The hyperopic pattern is to not like getting involved in paper work and detail. What I have superficially noticed about you is that when answering posts (and you have been here since 1997 at least), you dont get involved in optometry details. You seem more of a political person, or a commentator. Is that a fair observation? > > I see you are married to a myope. > > [quoted text clipped - 7 lines] > That sounds, again, pretty basic. Without glasses, myopes can't see > ANYTHING but detail. I am not referring to what they see with their eyes though. They like to dissect things, analyse things, break things **and** ideas down into tiny parts. Its like the guy who wants to know how many CC's the car has, how the fuel is aspirated, its torque at 1000 rpm etc versus the lady who wants a red car and does not care which end the engine goes. One overlooks the car is too small for his family and gets lost in detail, while the other wants a functional utility vehicle. > > However, although you are far seeing, you can benefit from looking at > > the detail of some things a little more than you do at the moment. [quoted text clipped - 8 lines] > > Again, unclear. > > If you can believe that being a wee bit more patient could benefit > > your life then it then becomes possible, for a few moments longer, [quoted text clipped - 10 lines] > Sorry, this is starting to sound like astrology -- you read into it what > you expect to read into it. Well here i am assuming you do get angry and that it might be possible to live life differently if you could more easily be passionate about what is currently making you angry. Rather than shooting other motorists (sure i know that was a joke) it might be easier to become an advocate for car pooling or something. > > > Also for both you and your husband you tend to have issues to do with [quoted text clipped - 9 lines] > chatted with his bosses and work-friends, who were in absolute awe of > his abilities. Seems i am more wrong about the thing i know the most about - myopia! and less wrong about the thing i know least about - hyperopia! :-( Myopic people are usually very competant workers as they are exstremely conscientious and very attentive to detail. They are very logical and analytical. Myopia tends to become more visible in relationships. The weakness or insecurity is not manifested in professional life as much as personal life. The richest man on the planet is after all a myope.....but a bit nerdy. > > Bev, you are > > far more far seeing than your husband who can get lost in detail, but [quoted text clipped - 28 lines] > > I wouldn't say you fell, but my interest has been, um, satisfied. Well all in all I was relieved to see you entered into the spirit of the post i made and did not take offence:-) > > > There is an anger component in your astigmatic way of seeing things. > > > Also your hyperopia itself is related to feeling a strong emotion [quoted text clipped - 6 lines] > could compensate for hyperopia by accommodating...so what you are > saying below suggests that you were hyperopic and did compensate. If I couldn't tell I had a vision problem, how could I react to it? And if my personality caused the vision problem, why did it take so long to manifest itself -- there are lots of young astigmatic hyperopes, aren't there? Or are there? > Remember this is a general pattern associated with hyperopia. It cant > fully and accurately describe you in complete detail. From what you [quoted text clipped - 19 lines] > involved in optometry details. You seem more of a political person, > or a commentator. Is that a fair observation? Sure. I'm only interested in the tech details insofar as they can be useful to me. > > > I see you are married to a myope. > > > [quoted text clipped - 17 lines] > overlooks the car is too small for his family and gets lost in detail, > while the other wants a functional utility vehicle. That's not a good comparison -- there's too much applied gender difference. > > Sorry, this is starting to sound like astrology -- you read into it what > > you expect to read into it. [quoted text clipped - 4 lines] > motorists (sure i know that was a joke) it might be easier to become > an advocate for car pooling or something. Nope, I love driving cars. I love riding motorcycles. Since I love both those things, I can't very well advocate others' stopping driving in favor of public transportation even though it would definitely be of benefit to me. Shooting is clearly the best way -- remember, I'm a SoCalian, and we learn to reload with one hand! > Seems i am more wrong about the thing i know the most about - myopia! > and less wrong about the thing i know least about - hyperopia! :-( More likely that my husband is pretty damn atypical of anything at all. > Myopic people are usually very competant workers as they are > exstremely conscientious and very attentive to detail. They are very > logical and analytical. That's a fair assessment. Son is also that way, and it will be interesting to see which of us he follows re vision. At nearly 38 he seems more like his father, but he bought a pair of 99-cent readers to use when making changes to tiny circuit board traces. > Myopia tends to become more visible in relationships. The weakness or > insecurity is not manifested in professional life as much as personal > life. > > The richest man on the planet is after all a myope.....but a bit > nerdy. Perhaps he was, but now Gates is just a shithead. Or do you mean the Sultan of Brunei? > > > I guess i stand or fall based on what you say next! > > > > I wouldn't say you fell, but my interest has been, um, satisfied. > > Well all in all I was relieved to see you entered into the spirit of > the post i made and did not take offence:-) People who intend to offend are generally quite obvious about it :-) SignatureCheers, Bev ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ "The language of victimization is infinitely extensible." -- Me > > [quoted text clipped - 10 lines] > > If I couldn't tell I had a vision problem, how could I react to it? I meant that the eye compensates for the hyperopia by using some of its spare focusing abilitity - which we have heaps of when we are younger. Many young people have varying degrees of hyperopia but they dont notice it until they become older, but it can be measured if they have a full eye exam. > if my personality caused the vision problem, why did it take so long to > manifest itself -- there are lots of young astigmatic hyperopes, aren't > there? Or are there? This is an interesting question. Relatively high astigmatism is observed to be associated with hyperopia in adults but does the astigmatism develop later in life? We need some of those damned statistics or perhaps an opinion from an opto? > > Remember this is a general pattern associated with hyperopia. It cant > > fully and accurately describe you in complete detail. From what you [quoted text clipped - 47 lines] > That's not a good comparison -- there's too much applied gender > difference. That gender comparison is actually relevant. In a generalised manner we can say that men are more left brained than women. Many men favour a way of looking at life based on logic, analysis, detail and thinking in a verbal manner, compared to looking at life in a touchy feely, emotional, intuitive, creative holistic manner. In a healthy person there is a balance of these ways of being but women seem better at integrating these two different ways of seeing. Do men tend to get stuck in detail **or** get stuck in emotion for example? In women the communication pathway between the left and right brains has been found to be bigger - which might account for this difference. Myopes are excessively left brained. They do well in left brained type intelligence tests but tend to be emotionally immature, and find it hard to be spontaneously expressive in a natural manner appropriate for the particular moment - hence the nerd or geek factor:-( I am a myope by the way! It has been suggested that hyperopes are excessively right brained. As you said earlier you will look at detail if you need to. > > > Sorry, this is starting to sound like astrology -- you read into it what > > > you expect to read into it. [quoted text clipped - 10 lines] > benefit to me. Shooting is clearly the best way -- remember, I'm a > SoCalian, and we learn to reload with one hand! I cant help chuckling here:-) I have a mixed feelings about violence. I get excited by a good boxing match or street fight. I will punch somebody if i really have to - and make sure they stay down with it! But my mother and father were always very vocal against violence but used to believe in smacking and mum only stopped slapping me around the face as hard as she could once i got to the age where i was big enuf to physically restrain her:-( > > Seems i am more wrong about the thing i know the most about - myopia! > > and less wrong about the thing i know least about - hyperopia! :-( [quoted text clipped - 9 lines] > seems more like his father, but he bought a pair of 99-cent readers to > use when making changes to tiny circuit board traces. Electronics is a fairly right brained activity. The exact detail has to be known but the fun for many is not in the detail (which has already been worked out by others) but in assembling the parts to construct a whole product. The detail is important but it is the finished product which has priority. Looking at things in parts is left brained, and looking at things in wholes is right brained. So we could look at a person and judge their different qualities and weigh up if we like them or not.....or we can just take one look and not like them at all. Neither separate way of viewing people would be very successful, because we are not just a left brain or a right brain but both. > > > Myopia tends to become more visible in relationships. The weakness or [quoted text clipped - 6 lines] > Perhaps he was, but now Gates is just a shithead. Or do you mean the > Sultan of Brunei? The sultan is richer but I was thinking of Bill. Bill being a myope is interesting Myopes are in need of a certain kind of emotional experience before they can return to a more balanced way of being. Often this can be traced to difficult relationships with loved ones earlier in their lives. Myopes become separated from loved ones *before* they are emotionally ready for this but often are driven to separate due to a need for independance from excessively controlling care givers. They are kind of in a limbo state of being emotionally dependant but unable to be emotionally independant. Love hate relationships are common in their past, but hate is not seen as being a result of wanting a particular kind of loving response that was not experienced or not **perceived** to be experienced. Because myopes are preocuppied with their own emotional difficulties (at an inner level) they tend to be rather self absorbed. This can make them selfish. Bill is kind of stuck in this confusing world. That can make him seem like a complete shithead, but all he really needs is somebody to love the child in him. With so much wealth he must struggle to work out who loves him and who just wants his money. Myopes are insecure and have issues to do with power and control:-) > > > > I guess i stand or fall based on what you say next! > > > [quoted text clipped - 4 lines] > > People who intend to offend are generally quite obvious about it :-) Thanks for listening:-) Andrew > > > The richest man on the planet is after all a myope.....but a bit > > > nerdy. [quoted text clipped - 26 lines] > the child in him. With so much wealth he must struggle to work out > who loves him and who just wants his money. Who could love a person who wants to inflict crap on the entire world and has actually pretty much succeeded in doing so? If she really loves him, Melinda must be a very strange and complex person. God help the kid. > Myopes are insecure and have issues to do with power and control:-) Maybe he just needs a good rebooting, a few kicks short of an actual Blue Screen Of Death... SignatureCheers, Bev =-=-=-=-=-=-=-=-=-=-=-= SAVE GAS, FART IN A JAR > Maybe he just needs a good rebooting, a few kicks short of an actual > Blue Screen Of Death... Well why stop there? I use to be solidly an IBM programmer who hated MS Even IBM executives told us that their mission was to kill MS Meanwhile back in the real World IBM make Billions and Billions via the patents that they take out on the kinds of ideas that MS eventually incorporates into its products. Who knows? Maybe IBM has some secret think tank that promotes MS type wobbly architectures because it knows that IBM itself would never lower itself to make money in such a manner **but** it is fully aware that it can make money from MS indirectly? Maybe not, but meanwhile we are all more or less happily chatting and emailing via IBM ideas that are build into Bill's products. Its kind of a win win situation:-) > > Maybe he just needs a good rebooting, a few kicks short of an actual > > Blue Screen Of Death... > > Well why stop there? > > I use to be solidly an IBM programmer who hated MS Then you came after IBM bought MSDOS from Gates. I wonder how different our lives would be if Gary Kildall had been willing to cancel his previous engagement and talk to the IBM people about CP/M. > Even IBM executives told us that their mission was to kill MS A goal worthy of Don Quixote, although he's really IBM's creation. Frankengates? > Meanwhile back in the real World IBM make Billions and Billions via > the patents that they take out on the kinds of ideas that MS > eventually incorporates into its products. Most originally came from Xerox, and Jobs lifted it first. > Who knows? Maybe IBM has some secret think tank that promotes MS type > wobbly architectures because it knows that IBM itself would never > lower itself to make money in such a manner **but** it is fully aware > that it can make money from MS indirectly? I would not like to think that all those nice men with white dress shirts and pocket protectors would be so duplicitous. I think it's pretty cool that IBM is now lolidly behind linux (for whatever that's worth), but I have to wonder about their stenciling pro-linux slogans all over (I think) the sidewalks in Hollywood. Graffiti is graffiti, even done in a good cause. > Maybe not, but meanwhile we are all more or less happily chatting and > emailing via IBM ideas that are build into Bill's products. Some of are happier with Linus' offerings. I've got a winmachine running, but mostly for TurboTax and hardware that doesn't have non-windows drivers. Cheap cameras, mostly... > Its kind of a win win situation:-) Only for extremely low values of "win". SignatureCheers, Bev ++++++++++++++++++++++++++++++ Linux -- the ultimate freebie! > > Hi Jeff > > [quoted text clipped - 5 lines] > > Is it short? Bev I did a tiny bit of research on you:-) This is not a short answer but might yet keep your interest. Your prescription appears to be R: +3.50 +2.25 10 (also includes 2.25 add) L: +4.50 +2.25 170 So removing the add for reading R: +1.25 +2.25 10 L: +2.25 +2.25 170 So for both eyes you have approximately 180 degree astigmatism. Also you have reasonable anisometropia with your left eye having an extra diopter. Now this might seem completely insane but once you stop laugthing maybe you could run it past a few of your friends before just dimissing it? This stuff is pretty personal for you. I have arrived at this information only based on your eye glass prescription. According to Roberto Kaplan OD based on your astigmatism you tend to be stubborn inflexible and impatient. There is an anger component in this way of reacting to what happens around you. However from **your** point of view you may feel that at times you are being attacked or critised by other people and therefore your stubborness, inflexibility and impatience is really only a 'survival' way of reacting to circumstances. Being yielding flexible and patient **could** create more harmony, better relationships etc without creating the feeling in you that you are being taken advantage of. How does this feel so far? There is more There is an anger component in your astigmatic way of seeing things. Also your hyperopia itself is related to feeling a strong emotion which is often anger. In hyperopia there is a tendency to not express ones anger for fear of offending others. Sometimes you may go ballistic with others but on balance anger remains that is not resolved. Your tendency is to push your strong emotion (probably it is anger) away from you. You resist detail (you wanted a short answer) and find it hard to focus on what is closer to you, instead you tend to find it easier to focus on what is further away from you, such as family and friends or activities that are 'out there' rather than being 'close by' I see you are married to a myope. Myopes are in a manner of speaking behaviourally opposite to hyperopes. Myopes are essentially insecure but may mask that with artificial extroversion or aggression. They get concerned with detail but cant see the big picture so well as you can. However, although you are far seeing, you can benefit from looking at the detail of some things a little more than you do at the moment. But I can imagine that living with a myope might infuriate you sometimes! For example you tend to be inpatient. Your reaction is to not focus on detail and instead to push it away from you...perhaps with a bit of huffing and puffing? If you can believe that being a wee bit more patient could benefit your life then it then becomes possible, for a few moments longer, focus on what is closer to you without going into a reaction. **also** instead of just being angry, see that anger has wisdom associated with it. You are far seeing:-) You have wisdom:-) Rather than just getting angry (which might be terrifying for a myope:-( ) take a few moments to see what your anger is telling you about this circumstance where you flash into anger, reflect a while on it and ***then** be **passionate** about bringing about productive changes in your life. Also for both you and your husband you tend to have issues to do with power and control. Bit of a battle there perhaps at times i would imagine. Myopes tend to have difficulty seeing they have the power to just be themselves. They kind of seek permission from others, which to them is like being good, anxious to please others, but others can often see this trait as just being plain annoying! Bev, you are far more far seeing than your husband who can get lost in detail, but that clarity in far seeing can create problems for **others** who cannot see what **you** can see so clearly, and you will not tend to be very tolerant of the other persons more narrow perception, because to **you** others can seem blind. Sometimes this belief in your vision and the rightness of it can be very difficult for other people close to you:-( Living with a hyperope can be challenging too:-( This might seem like mind reading but is based on good science. What is further interesting is that these kinds of vision problems are related to the relationship you have with yourself. That relationship is then reflected in the relationship you have with others. Clearing your inner vision can have profound changes in your relationships with others, and create passion for life, which makes for less anger and frustration:-) If you are so far interested:-), if you let me have your husbands prescription I could then reflect back to you the myopic and astigmatic 'survival personality' correlates that Kaplan and others have identified that apply to his prescription. Also as you are not precisely 180 degree astigmatic there are other influences to your astigmatism which might interest you. I guess i stand or fall based on what you say next! Best Andrew:-) He has no astigmatism associated with his hyperopia. I am only interested in the subject of whether a equal but 1 diopter less than measured is the correct approach in treating someone with ansiometropia and bilateral amblyopia who has had a high degree of success in results with patching. Thanks, Jeff > Hi Jeff > [quoted text clipped - 7 lines] > > Andrew Sounds like your son is on the right track. Equal vision. Equal underplus of each eye to stay balanced. 1 diopter is about right for this age. No proof this encourages emmetropization, but I believe in it also. Going from 20/200 to 20/25 is 6 months is fast, but not that unusual. However, I don't remember if the 20/200 was with or without glasses at the beginning. Only corrected vision counts. That is why I see them back with glasses and no patch shortly after,in order to measure vision correctly, not the out of focus vision that is refraction as well as amblyopia combined. Assuming he stays equal without patching, only glasses changes would be needed over time. If he regresses for some reason, repatching may be required til he reaches an age where it will not go backward, which may be as old as 8-10 years old. He should be followed, with gradually longer intervals in between, until he is older. On 7/14/04 7:44 PM, in article cb7981e0.0407141844.6d001091@posting.google.com, "Jeff" <jeffntate@comcast.net> wrote: > The new doctor found that Brandon has equal vision in both eyes now > (or pretty close) and decided to not pursue further patching based on [quoted text clipped - 13 lines] > Thanks, > Jeff |
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