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Medical Forum / General / Vision / January 2005

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MEDICATION WHICH PARALYSES THE EYE's LENS MUSCLE HAS DAMAGED MY EYE?

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Harvey Twyman - 11 Jan 2005 13:31 GMT
I recently suferred from mild "Iritis" in one eye caused by "Trauma".

I was prescribed "Prednisolone Acetate" (a Steroid) and "Mydrilate"
(Cyclopentolate Hydrochloride) to "Dilate" the pupil.

The "Mydrilate" is used in conjunction with the Steroid to prevent
the "Inflamed Iris" from "Sticking" to the Lens.

The Steroid cleared up the redness and soreness in a day or so.

However I had to stop taking the "Mydrilate" immediately because of
the "Blurring" preventing me from driving safely.

I had a sight test on the first visit to the doctor and could clearly
see the "Bottom Line" of the chart with BOTH eyes.

My Iris reverted to its normal size a day later but my "Lens Muscles"
have STILL not returned to their full control 2 WEEKS Later!

"Mydrilate" works by "Paralysing" the Iris (Mydriasis) and Lens (Cycloplegia)
muscles.

The literature states that "Cycloplegia" (Paralysis of the Lens Muscles)
using the "Cyclopentolate" should disperse within "24 Hours".

My eye is STILL "Blurred" - an eye test is now "Third Row from the Bottom"
and I don't know what to do next.

I've tried "Eye Focusing Exercises" for a while now to "Strengthen" the
"Lens Muscles" but with no improvement.

Comments please.

Harvey Twyman
http://www.Twyman.org.uk/CV
g.gatti@agora.it - 11 Jan 2005 13:52 GMT
So you say you had normal sight without glasses before the trauma and
then the doctors for curing the effects of the trauma, have destroyed
your normal sight by use of cycloplegic dreugs?
Mike Tyner - 11 Jan 2005 14:28 GMT
> So you say you had normal sight without glasses before the trauma and
> then the doctors for curing the effects of the trauma, have destroyed
> your normal sight by use of cycloplegic dreugs?

In iritis, cycloplegics reduce pain and prevent adhesions. You'd rather let
them suffer.

-MT
g.gatti@agora.it - 11 Jan 2005 21:19 GMT
You do not know how to relieve sufferings, answer to this man pains if
you can.

Give him an answer why his doctor blundered.
otisbrown@pa.net - 11 Jan 2005 21:27 GMT
g.ga...@agora.it wrote:
> You do not know how to relieve sufferings, answer to this man pains if
> you can.
>
> Give him an answer why his doctor blundered.

Dear Rishi,

Subject:  RM's arrogance

You are right.

No one answered the question about due care and
concern about the fact that the man should have
been informed of potential adverse consequences
of these drugs.  Instead they attack me
for even mentioning the necessity of
informed consent.  And you tell me they
are not arrogant?

This man has the potential to file a lawsuit
based on the failure to provide this
information to him.

Best,

Otis
Engineer
RM - 11 Jan 2005 22:31 GMT
>> Give him an answer why his doctor blundered.
>
[quoted text clipped - 9 lines]
> based on the failure to provide this
> information to him.

That's the answer-- sue somebody!  If you only understood even a little bit
about cyclopentolate and how the eye works you would realize what a fool you
would make of yourself if you tried such a stunt.

Of course I wouldn't like filing a law suit against an eye doctor-- because
I am part of the "conspiracy of eye doctors" (by the way guys, our next
meeting is scheduled in Bermuda on March 12th).

Otis, you are too ignorant of the way the eye works, and the way topical
medications such as cyclopentolate work, to know anything about this issue.
I hope you value your close relationship with Rishi the Italian nutcase
because he's the only one in this newsgroup who gives any credibility to
your opinions.  I, for one, think your postings are a potential heath hazard
to innocent patients and that you should be stopped.
g.gatti@agora.it - 12 Jan 2005 11:56 GMT
> Otis, you are too ignorant of the way the eye works, and the way topical
> medications such as cyclopentolate work, to know anything about this issue.
> I hope you value your close relationship with Rishi the Italian nutcase
> because he's the only one in this newsgroup who gives any credibility to
> your opinions.  I, for one, think your postings are a potential heath hazard
> to innocent patients and that you should be stopped.

Please Mr. Idiot,
answer why your patient had the eyesight destroyed by following with
care your standards of treatment.

You idiot.
retinula@hotmail.com - 13 Jan 2005 03:08 GMT
you must be the Italian idiot that RM refered to.
How can anyone tell what the cause of the reduced vision is for this
patient-- there is insufficient information.  Without examining him
myself I would imagine his problem stems from his original problem--
iritis.  He needs to see a good eye doctor and ask these questions.
What would you recommend-- sungazing and leeches?
Dr. Leukoma - 12 Jan 2005 02:16 GMT
First of all, "Brown," the use of a mydriatic and a steroid is the
"standard of care" in the treatment of anterior uveitis.  There is no
need for an "informed consent agreement" here.  Secondly, there is no
evidence that the mydriatic is the cause of this man's problem,
inasmuch as the exact nature of the problem has not been disclosed.

Now, go back and try to cure your myopia.

DrG

> g.ga...@agora.it wrote:
> > You do not know how to relieve sufferings, answer to this man pains
[quoted text clipped - 25 lines]
> Otis
> Engineer
retinula@hotmail.com - 12 Jan 2005 02:42 GMT
there was no wrong-doing on the part of the eye doctor here.  The
treatment he received is routine and no "informed consent" is required.
The patient is likely suffering from further consequences of his
iritis and the eye drops he received has nothing to do with it.

otisbrown apparently has some axes to grind against eye care
professionals.  He likewise has a weak understanding of routine eye
care.
Mike Tyner - 11 Jan 2005 14:24 GMT
> Comments please.

Here's one - too many caps and quotes.

So how many times did you use the cyclopentolate?  Two or three? Once?

The blur from cyclopentolate is much more noticeable _up close_. Unless
you're farsighted, the distance blur results from large pupils, not
cycloplegia. Can you focus up close with that eye? If so, cycloplegia isn't
the culprit. (Of course that also depends on your age, which you don't
give.)

There may be other reasons for the blur - damage from the original trauma,
as well as iris adhesions and aqueous flare.

-MT
otisbrown@pa.net - 11 Jan 2005 17:58 GMT
Dear Harvey,

Some people have adverse reactions to druges.

Atropine is a poison.  Some have violent reactions to it.

You should have been informed of these possible
consequences of the use of these drugs
and their derivitives.

Did you sign a "concent" form indicating that
you had been so informed?

I deeply regret the consequences of these drugs
causing loss of distant vision.

Please let us know how you cleared your vison back
to reading "the bottom line".

Best,

Otis
Mike Tyner - 11 Jan 2005 18:32 GMT
> I deeply regret the consequences of these drugs
> causing loss of distant vision.

And I deeply regret that you don't have a clue what you're talking about.

Aspirin is a poison. Vitamin A is a poison. Giving advice from ignorance is
poison, too.

Would you explain to us how cyclopentolate could cause loss of distance
vision?

Would you cite the incidence of loss of vision from cyclopentolate?

Would you suggest some other agent more appropriate during an attack of
iritis?

I thought not.

-MT
RM - 11 Jan 2005 19:45 GMT
> Atropine is a poison.  Some have violent reactions to it.
>
[quoted text clipped - 7 lines]
> I deeply regret the consequences of these drugs
> causing loss of distant vision.

You, sir, are an idiot.

Once again you are handing out medical advise when you don't know what you
are talking about.

What does the MINOR toxic affects of ocular administration of atropine have
to do with this patient who was given cyclopentolate anyway?  They are quite
different drugs.  And ocular administration of either has virtually no risk
of harming anyone unless someone pours the whole bottle in their eye and
gets half of it in their mouth.  If might seem otherwise to a layperson such
as yourself who reads the side effects in a PDR, but everything seems scary
to a person who doesn't know very much-- and that's you Otis!

The problem this person is experiencing has nothing to do with drug
toxicity.

I would love to find a way to sick the authorities on you for your
propensity to try to practice medicine without a license.
g.gatti@agora.it - 11 Jan 2005 21:21 GMT
> I would love to find a way to sick the authorities on you for your
> propensity to try to practice medicine without a license.

But what about the physicians who treated this man and destroyed his
eyesight?

Let poor Otis go.

Please explain what has happened to this man, who followed licensed
medical men and was simply befooled.
Philip D Izaac - 12 Jan 2005 04:00 GMT
> Dear Harvey,
>
> Some people have adverse reactions to druges.
>
> Atropine is a poison.  Some have violent reactions to it.

Atropine? When this come up.

> You should have been informed of these possible
> consequences of the use of these drugs
[quoted text clipped - 5 lines]
> I deeply regret the consequences of these drugs
> causing loss of distant vision.

Here you go again. With the little information that was offered, you
concluded that vision loss was due to the drugs.
Was this the best corrected visual acuity? You don't know?
But your conclusion: Loss of (distant) Vision. Very dramatic. do you even
know what that means?
Did the risk of side effects outweigh the benifits of the drugs in question?
Do doctors now stop prescribing drugs to avoid being sued and are then sued
because they did not follow the standard of care?

I have concluded that you are a health hazard.

Where is you disclaimer.

Roland J. Izaac

> Please let us know how you cleared your vison back
> to reading "the bottom line".
>
> Best,
>
> Otis
 
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