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Medical Forum / General / Vision / March 2005

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Reputable Scientists say that myopia is genetic - surely it must be true?

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andrew Judd - 15 Mar 2005 07:58 GMT
Dear Readers

No less an organ than the british medical Journal tells us that

http://bmj.bmjjournals.com/cgi/content/full/324/7347/1195#B9

"Two well conducted and well controlled studies show that refractive
errors are much more strongly correlated in monozygotic twins than in
dizygotic twins - ref 9 , 10"

And helpfully allows a link to References to  9 and 10. (Ref 9
Provides more detail but 10 appears to be a similar study using MZ and
DZ twins)

Ref 9 shows its a 'Classical twin study' using the 'Equal environment
assumption'.

http://www.iovs.org/cgi/content/full/42/6/1232?ijkey=b10cc18d7c1f9187636c25d8f16
c93ebacbc7e2d


"Conclusions  

We have demonstrated that genetic effects are important in the
development of refractive error, with heritability of 84% to 86% for
myopia/hyperopia. The heritability of astigmatism is 50% to 65% and
predominantly involves dominant genetic effects"

And here is that environment assumption confirmed in Figure 1.

"C is correlated by a factor of 1.0 for both MZ and DZ twins (the
equal environment assumption)."

So it has to be proven that myopia is strongly genetic? Surely?   This
was all peer reviewed, right?  These guys are all trained scientists,
right?

But if we care to investigate that 'Equal Environment Assumption'

http://www.net4dem.org/cyrev/archive/Misc.%20Articles/IQ/IQandGenetics1.htm1.

For those who have only so much time to find out the facts i have
extracted 3 sections of the page.

1."Comparing monozygotic and dizygotic twins

Another area where increasing recognition of complexity is confounding
issues in IQ research is the study of twins that are raised within
their biological families. Many of the conclusions concerning
inheritance of intelligence come from comparisons between these
monozygotic and dizygotic twins. A fundamental simplifying assumption
underlying these studies is that the environment in which each member
of a twin pair develops and grows up, from conception on, is
essentially identical (Scan & Carter-Saitzman, 1979). The degree to
which twins are considered to experience the same environments is
thought to be the same for either monozygotic or dizygotic pairs.
Thus, according to the argument, the difference in concordance for any
trait between the two classes of twins can be ascribed to genetics.
This "equal environment assumption" is based on the fact that such
twins develop in the same womb and are raised together by their
biological parents a t the same time in the history o f the family an
d in the history of their society. This assumption did not encounter
serious criticism until the early 1960's (Joseph, 19 98).

One of the major problems with this assumption is that the physically
identical nature of monozygotic twins could contribute to making their
environments much more similar than that of dizygotic twins (Billings
et al., 1992). This consequence of genetic identity could result from
the ways in which both family and the larger society treat or deal
with individuals who are known to be identical and physically present
as identical. In addition, the known closer bonds between monozygotic
twins as compared to dizygotic twins can contribute to greater
behavioral similarity. Studies designed to respond to these criticisms
have yielded conflicting results. The research suffers from the same
problems of defining quantitatively those factors that could be
considered to influence behavioral development in a family and social
setting. Furthermore, contrary to the original simplifying
assumptions, the studies have revealed that there are differences in
the shared environments between the two classes of twins (Joseph,
1998). In a review of these studies, Joseph claims that, in the case
of studies of inheritance of schizophrenia, "the evidence suggests
that the classical twin method ... is [based] on the fallacy of the
equal environment assumption" (Joseph, 1998).

2.Several recent papers cast further doubt on the equal environment
assumption as it relates to early stages of development. Dr. Bernie
Devlin and co workers showed that conditions with in the womb may have
substantial effects on the concordance of subsequent scores on IQ
tests for identical twins (Devlin et al.,1997).

3."Given the examples I have provided here, Capron et al.‘s statement
that, in such studies, "... not all environmental factors may be
known..." appears a gentle understatement of the extent of the
problem"

Andrew:-)
RM - 15 Mar 2005 14:35 GMT
Andrew,
I guess I am one of those who has "only so much time" to become involved in
newsgroup discussions.  Can you please just cut to the core of what your
point is in this post?  I doubt that you only want to say that myopia
development has a genetic basis.  That is well known and accepted by almost
everyone (except Otis).  Do I detect a note of sarcasm?
andrew Judd - 15 Mar 2005 20:46 GMT
> Andrew,
> I guess I am one of those who has "only so much time" to become involved in
> newsgroup discussions.  Can you please just cut to the core of what your
> point is in this post?  I doubt that you only want to say that myopia
> development has a genetic basis.  That is well known and accepted by almost
> everyone (except Otis).  Do I detect a note of sarcasm?

Rm

Can you provide a reference to your belief that myopia has a genetic basis?

Thanks

Andrew
RM - 16 Mar 2005 04:17 GMT
> Can you provide a reference to your belief that myopia has a genetic
> basis?
>
> Thanks
>
> Andrew

The genetic basis of myopia is known.  What is also known is that genetics
is not everything.   I offer the following starting information for you.
You can "Google" and "PubMed" yourself for lots more details.

1.    A well known genetic basis is evident by comparing myopia incidence in
persons of Asian descent versus persons of European descent.  The difference
is something like 70% vs. 30%.  This is true regardless of "environment"
since Asians living in the US or Europe still have the same high rates of
myopia versus the native population and vice versa.

2.    The studies of Young et al. which have identified the locations of
specific genes on human chromosomes that relate to myopia development.  See
these two references:
   Young, T.L., Ronan, S.M., Drahozal, L.A., Wildenberg, S.C., Alvear,
A.B., Oetting, W.S., Atwood, L.D., Wilkin, D.J., & King, R.A. (1998).
Evidence that a locus for familial high myopia maps to chromosome 18p.
American Journal of Human Genetics, 63, 109-119.

   Young, T.L., Ronan, S.M., Alvear, A.B., Wildenberg, S.C., Oetting, W.S.,
Atwood, L.D., Wilkin, D.J., & King, R.A. (1998). Second locus for familial
high myopia maps to chromosome 12q. American Journal of Human Genetics, 63,
1419-1424

3.    Finally, there are population studies that show that myopia
development correlates best with parents who have myopia, and/or siblings
that have myopia.  This correlation is much stronger than prolonged
near-work, and other factors.  See the following two web references:

http://www.optometryonline.net/news/article.cfm?ID=504
http://researchnews.osu.edu/archive/myokid.htm

Finally, I will refer you to several review articles which summarize the
current state of understanding of myopia development.  From there you can
find much more specifics if you are really interested.
http://annals.edu.sg/pdf200401/V33N1p4.pdf
http://www.revoptom.com/index.asp?ArticleType=SiteSpec&page=osc/apr01/lesson_0401.htm
http://dels.nas.edu/ilar/jour_online/40_2/V40_2NortonAnimalModels.asp
http://www.optometrists.asn.au/gui/files/ceo865276.pdf
andrew Judd - 15 Mar 2005 20:44 GMT
I had not intended to be unclear about this post but wanted the reader
to draw their own conclusions.

For those who understandably dont have time to read all that I wrote
here is a summary.

1. Myopia is claimed to be strongly genetically inherited based on for
example Classical twin studies done at a reputable london hospital
which were widely aired in the media last year.

2. These 'Classical' type twin studies are claimed to be
scientifically valid at resolving the issue of 'Nature versus
Nurture'.  Ie which is more important for myopia:

A) Our genetic nature? or

B) Our environment?

3. These Classical studies use the 'Equal Environment Assuption' to
resolve the 'Nature versus Nature' argument.

4. The Equal Environment assumption has been shown to be an erroneous
assumption.

I should add there is no valid data available that supports the idea
that myopia is genetically related.

Andrew
Scott Seidman - 15 Mar 2005 21:56 GMT
> I had not intended to be unclear about this post but wanted the reader
> to draw their own conclusions.
[quoted text clipped - 24 lines]
>
> Andrew

When phrased this way, the question, at least, makes sense (less your
last addition).  What gets in the way is what you consider to be "our
environment".  Most would say the relevant variables are things like how
much near work a person does, while you say it has to do with the persons
relationship to their parents.

Scott
andrew Judd - 16 Mar 2005 04:43 GMT
> > I had not intended to be unclear about this post but wanted the reader
> > to draw their own conclusions.
[quoted text clipped - 32 lines]
>
> Scott

Scott

If anybody knows of any studies that suggest myopia is linked to
genetics and which demonstrate good science then I am very interested
to read them.

Similarly if there are any studies that prove myopia is caused by near
work I am sure Otis would be delighted to hear from you.

Fundamentally my argument is that myopia is related to anxiety - at
least one of your own quoted studies supports that view.

So even more reason for me to be confused as to why you are now
wanting to support the Otis answer to myopia.

Andrew
RM - 16 Mar 2005 12:35 GMT
> So even more reason for me to be confused as to why you are now
> wanting to support the Otis answer to myopia.

The Otis "answer" to myopia is to use plus lenses.  Why people oppose it in
this forum is because it has been tried before in scientific studies and
proven to be ineffective.

I don't think any of us oppose the idea that a near environment has
something to do with myopia development.  There are studies that show this
quite clearly just as they show that genetics has a role as well, an even
clearer role.  The question is how do you counter the environmental
influence(s) to reduce myopia progression.  With the exception of some
experimental pharmacologic treatments, nothing has been shown to work so
far.

The clinicials and vision scientists who post here are all about proof and
fact.  Call that "mental masturbation" if you like.  I wouldn't.  "Mental
masturbation" to me is more like what you are doing.  Coming around here
pontificating about all kinds of causes of visual disorders that have no
basis in science whatsoever.  If seems to make you feel good to make these
kind of statements which you know seem quite outrageous to the eyedocs here.
I liken it to self-gratification through "mental flashing".  Personally I'm
not interested especially since I've taken the time to read a little into
Kaplan's beliefs.
andrew Judd - 17 Mar 2005 02:46 GMT
>>There are studies that show this
quite clearly just as they show that genetics has a role as well, an
even
clearer role.

Oh really?  Genetics has an even clearer role?  Please give a citation
and text that we can all share to check you are not making it up.

vision scientists who post here are all about proof and
> fact.  

Come on! Dont be coy!  Lets have a name. Just a single name.
RM - 17 Mar 2005 04:51 GMT
> Oh really?  Genetics has an even clearer role?  Please give a citation
> and text that we can all share to check you are not making it up.
[quoted text clipped - 3 lines]
>
> Come on! Dont be coy!  Lets have a name. Just a single name.

Andrew, your foolishness continues to amaze me.  Why not look at the post
that I sent you on 3/15 per your request that contains the references you
are asking for!

Now go wack-off somewhere privately so we don't all have to watch you.
Rich - 17 Mar 2005 02:48 GMT
My soon-to-be-published book, "Myopia for Dummies", gives the
definitive answer to this question: LIFESTYLE causes myopia, not genes.

Contrary to popular belief, people in east Asia are no more genetically
susceptible to short-sightedness than any other population group.

The epidemics of myopia in countries such as Singapore and Japan are
due solely to changes in lifestyle, and similar levels could soon be
seen in many western countries as lifestyles there continue to change.

As kids spend more time indoors, on computers or watching television,
Westerners are going to become just as myopic.

Myopia is on the increase in most places, but in countries such as
Singapore it has reached extraordinary levels. There, 80 per cent of
18-year-old male army recruits are myopic, up from 25 per cent just 30
years ago.

Employers such as the police are having problems finding people who
meet their requirements. There is also an increasing incidence of
extreme myopia, which can lead to blindness.
---------------------------
--Rich

Just kidding about "Myopia for Dummies"!  Actually, the above was
paraphrased from a report by Dr Ian Morgan of the  Visual Sciences
Group, Research School of Biological Sciences, Australian National
University
The complete article is available on this site:

http://www.newscientist.com/article.ns?id=dn6117
Dr Judy - 17 Mar 2005 19:14 GMT
 snip

> If anybody knows of any studies that suggest myopia is linked to
> genetics and which demonstrate good science then I am very interested
> to read them.

> Similarly if there are any studies that prove myopia is caused by near
> work I am sure Otis would be delighted to hear from you.

Since you don't believe the twin study that you yourself posted,
(genetically identical  twins have very similar amounts of myopia, non
genetically identical twins are not as similar), I don't know what kind of
"proof" you are looking for.  A PubMed search using Myopia and Genetic as
keywords yields over 750 citations.

I think most vision scientists would say that myopia is multifactorial, it
depends upon a number of genetic factors, environmental factors and their
interaction -- it is neither 100% due to genetics nor is it 100% due to
environment.

> Fundamentally my argument is that myopia is related to anxiety - at
> least one of your own quoted studies supports that view.

To rephrase your question:
" If anybody knows of any studies that suggest myopia is linked to anxiety
and which demonstrate good science then I am very interested to read them"

Dr Judy

> So even more reason for me to be confused as to why you are now
> wanting to support the Otis answer to myopia.
>
> Andrew
andrew Judd - 18 Mar 2005 00:22 GMT

> Since you don't believe the twin study that you yourself posted,
> (genetically identical  twins have very similar amounts of myopia, non
> genetically identical twins are not as similar), I don't know what kind of
> "proof" you are looking for.  A PubMed search using Myopia and Genetic as
> keywords yields over 750 citations.

Dear Dr Judy

I dont know how much up to speed you are on what else i have said on
these twin studies.

It is simple to get facts that Identical twins have statistically
greater correlation of myopia, than none identical twins.

If myopia was related to some other environmentally related factor we
would expect twins who are treated similarly to have similar myopia.

Alternatively we could argue that myopia has a genetic component that
may be influenced by environmental factors - this is more or less what
you are suggesting.

Therefore a study that statistically examines twins must also take
into account environmental factors.

The Classical Twin Study methodology makes an assumption that excludes
environmentally **different** treatment of identical twins compared to
none identical twins and **therefore** assumes that, in this Classical
Twin Study methodology, environment is not an issue that causes
distortion of results.

Other scientists have argued that this is a flawed assumption and have
they have got statistically meaningful results to support that
argument.  Identical twins are commonly observed to be dressed the
same, confused for one another by care givers etc.

Further I have found that St Thomases hospital (Hammond et al)
Classical Twin Study designers ask all of their twin sets if they were
differently treated.  If the answer is yes then they are not included
in the study.   This clearly skews results in favour of genetics if
environment (being treated differently) is then later not considered a
factor in the results.

I can appreciate that the nature versus nurture argument creates
strong views.

But for example no study on intelligence in races for example would
ever be taken seriously with this kind of Classical twin study
methodology.

Andrew
andrew Judd - 15 Mar 2005 23:31 GMT
Sorry my link for the equal environment assumption had some extra characters added

http://www.net4dem.org/cyrev/archive/Misc.%20Articles/IQ/IQandGenetics1.htm
 
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