I'm *so* not one of those followers, but you need a little more info on
your "cases".  Like was the -3.50 a full distance Rx giving 20/20 on
entry? Was it maybe a contact lens Rx? Was the -7.00 done with a
cycloplegic?  Was it CLRx or SRx?  Having said that, I think it is
plausable that the constant near demands he endured during grad school
could increase his myopia that much.

This one definitely has some info missing.  It is too outrageous and
unlikely an outcome to speculate with that little bit of info.  Probably
another case of a hearsay tale growing/morphing in the retelling.

Please expand on the sources of your info, and try to get more info on
them.

w.stacy, o.d.

1. He overused the minus lense and ruined his eyes badly. I bet he was
using his -3.5 glasses even for reading when he can see perfect for
near. I dont understand why some people wear glasses even for reading
when there absolutely is NOOOOOO need to! I bet he had a good deal of
pseudomyopia as well as axial myopia. If his lasik corrected more than
his cycoplegic refraction, he will be back in glasses full time once
presbyopia starts creeping.

2. This makes no sense to me, the two arent even related.

For starters, you need to post prior results as William states. Do we
take your word that this is true? Of course both can happen. The grad
school guy could have easily deteriorated over 2-3 years. He could also
have been -7.00 on entry and too stupid to notice the blur until he
failed his driving test. I see that one all the time. The other guy
could have been over corrected, poorly tested afterwards, given second
sight by god, whatever. You have not shown evidence of anything.

dr grant

Dear Flitz,

My interests are in the PREVENTION
of nearsightedness -- BEFORE you
begin wearing a strong minus lens.

Since perhaps 90 percent of the development
of a negative refractive state for the natural
eye occurrs between the age of
5 to 25, it follows that prevention must start
at that point -- if the individual has the
interest and motivation to do the
work "correctly", and if necessary,
under his own control. See:

www.chinamyopia.org

and

www.myopiafree.com

for details.

Your case #1.

The 30 somthing male most likely
got down-to -3.5 dioters by wearing
an over-prescribed minus in high school
and college.  But "picking up" an
additional -3.5 diopters is completely
consistent with the eye placed in
both a "confined" enviroment, "enhanced"
by a stronger minus lens.

Case #2.  My discussion only concerns
the young eye.  Therefore no comment.

Best,

Otis

Ok. a little more detail then, and think a little harder about this, this
first round was rather disappointing.  Or stop letting your techs do your
refractions and taking your case histories.
Story 1.
No glasses until after high school.  -1.00 both eyes, gradually accepts more
minus over time.
Of course, cyclo'd before Lasik.  Stable refraction of monovision -1.50 and
plano last 8 years. Subject now 50yo.  Uses reading glasses occasionally for
comfort when reading long periods of time.

Story 2.
Presbyopic male without evidence of pathology as could be detected by FA,
OCT or fundus exam. Prior to surgery,  20/20 with -4.00 and +2.00 add, then
5 months after transplant reports for an exam because he noticed that after
surgery, he didn't need his glasses anymore, then as he became mobile,
discovered his glasses made is vision blurry for driving.  Now. plano with
+2 add.

"Enjoy glorious speculation between all or nothing."