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Medical Forum / General / Vision / June 2006

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Dr. Stirling Colgate endorces the concept of plus-prevention

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otisbrown@pa.net - 31 May 2006 05:08 GMT
Dr. Stirling Colgate's support for Steve Leung OD

November 12, 2004

My support for Steve Leung OD and Alfred Bossino

To the Parents,

I have often wondered why the profession of optometry does not change
its treatment for the prevention of myopia with a plus lens -- in these
decades after the ground-breaking scientific research by Dr. Francis
Young, Dr. Howard Howland and others has been successfully completed.

I have seen the number of young myopes increase in the USA and to an
incredible extent in the Far East.  The prevalence is very serious in
Japan, Hong Kong, Singapore, Taiwan and China.

I regret this obvious and rapid increase in the degree of myopia around
the world -- because of the use of the traditional (minus-lens)
treatment.  This is a primitive method indeed.  To this date there has
been no systematic effort to educate the public about this method of
effective nearsightedness prevention with the plus lens.

I personally support and recommend the work of Steve H. Leung and
Alfred Han Bossino.  They are making a sincere effort to educate the
public about the necessity of "correct use" of the plus lens for
prevention.  Mr. Leung's knowledge and skill will be of considerable
value to your child in his goal of maintaining clear distant vision
through the school years.

SAC
otisbrown@pa.net - 31 May 2006 05:12 GMT
Here is Dr. Colgates further statement of the need to
understand the necessity of the plus as the
preventive second-opinion.

Otis

+++++++++++++++++++++++

November 20, 2004

To the Parents:

In the Matter of Steve H. Leung OD and Alfred H. Bossino.

www.chinamyopia.org

Dear Sir,

    I am a senior scientists, astrophysicist and nuclear
physicist at Los Alamos National Laboratory and a member of the
National Academy of Sciences of the USA.  For all of my scientific
career I have been dedicated to understanding the cause of natural
phenomena.  From the age of 13 years, now 66 years ago, I
recognized that the standard response to myopia was perhaps miss
guided.  Instead I used positive lens glasses to correct, or alter
my focal environment, namely one of reading nearly all the time.
(A positive lens "corrects" a near-point focal environment by
altering the light rays to be more parallel from the near-point
object.  as if the print were made more distant.) Being young and
therefore developmentally plastic, my eyes and their focal
properties immediately responded.  Within just a few weeks, the
clarity or focus of distant objects had been restored.    This was
just as I expected from scientific arguments.  I had to maintain a
positive lens for reading thereafter.  This was a small price to
pay for perfect distance vision for all my life.

    I have continued an effort to bring this awareness of the
focal adaptation of the natural eye to the public, but
unfortunately the ease and immediate response of the standard
treatment of using a negative lens to reverse the myopic
adaptation to a near point environment is so immediate and so
rewarding to the myope that I and a few associates have not been
successful.  This is regardless of the decades after the ground
breaking scientific research by Dr.  Francis Young, and Dr.
Howard Howland and others.

    I have worked scientifically with Prof.  Joshua Wallman of
City College New York where his research on the response of the
natural eye to focal and neurological environments is leading the
fundamental research on this topic in the US.  The animal model
used is the recovery function of the deprivation induced myopia of
the chicken eye.  Here myopia and recovery can be altered by 10
diopters in a few weeks.  This extreme animal model allows many
factors of influence to be investigated in a short time.  Although
the complexity of the response of the eye is extraordinary and a
detailed understanding of the mechanisms still eludes all in the
scientific field, nevertheless there is no experiment, no
anecdotal example that contradicts, and no doubt in my mind that
myopia in all animals, including humans, is induced in response to
a near point environment.

    In view of this research and countless personal successful
examples the growing number of myopic individuals in the world is
deplorable, when such a simple remedy is available to the public.

    Steve H. Leung OD is a dedicated optometrist who has
taken a lead in attempting to bring this knowledge and
benefit to their patients.

    For them to be persecuted within his own professional
societies is wrong.  He should be lauded and encouraged instead.

    I am reminded of the first health professionals who spoke out
about the health problems that smoking brings to a society.
Theirs was a difficult task, but now thirty years later, smoking
in the US has declined to a negligible fraction of society.  If
we, as a culture, can give up smoking, we can also be weaned from
the negative lens.

    I do hope and recommend that you strongly support what these
dedicated optometrists are bringing to your profession.

Sincerely yours,

Stirling A.  Colgate Ph.D.

Dr. Colgate is a Senior Fellow Los Alamos National Laboratory
and a Member of the National Academy of Sciences of the USA.
Neil Brooks - 31 May 2006 05:13 GMT
How interesting.

Perhaps now you're ready to answer my questions:

1. There seems to be a great deal of evidence that primates have widely
differing visual systems.  How is it that you feel so secure in saying
that "all primate eyes" behave similarly ... in ANY regard?
2. In these monkey studies that you reference, isn't it true that the
SAME STUDIES showed that, with even BRIEF periods away from the minus
lens, the myopia was prevented?
3. If there was no medical indication that these monkeys needed
corrective lenses at all, can you be sure that appropriate CORRECTION
of somebody's REFRACTIVE ERROR will have similar results?  If so, how?

4. You continually claim that a minus lens causes something that you
call "stair-case myopia."  Presuming that you mean that it does
this in humans, can you cite your source for this claim?
5. You have repeatedly claimed that the Oakley-Young study is
"proof" of this "stair-case myopia" phenomenon, but
Oakley-Young only establishes that-in some people-myopia can get
worse over time.  It doesn't even CLAIM that a minus lens CAUSES
this.  Please explain your position.
6. Also-at least in part, based on the Oakley-Young study-you
recommend that people use plus lenses to prevent myopia.  Are you aware
that the only people in the Oakley-Young study for whom plus lenses
made ANY difference were those with diagnosed "near-point
esophoria?"  This is a convergence disorder.  Do you have ANY
EVIDENCE that the same result is likely with people who DO NOT HAVE
this convergence disorder?
7. You claim to have known Donald Rehm, the founder of the
International Myopia Prevention Association, for some decades.  I
presume that you are familiar with his FDA petition.  In it, Mr. Rehm
states:
Quote:"A percentage of children may have difficulty "accepting" a large
add because of the strong linkage in the human visual system between
accommodation and convergence (turning the eyes inward when looking at
something close). As a viewed object approaches the eyes, accommodation
and convergence increase in proportion to each other. Over thousands of
years, the brain has learned that this is the normal situation.
Consequently, accommodation stimulates convergence and vice versa.
Thus, if we converge without accommodating the appropriate amount, or
if we accommodate without converging the appropriate amount, problems
can develop for this small percentage of children such as eye fatigue,
double vision, or other types of fusion problems. That is, the two
images can no longer be fused together without discomfort. Normal
binocular vision is interfered with."

Is there a valid reason why you have not attempted to make people aware
of these SERIOUS risks of unprescribed plus lenses?
8. You continually cite Fred Deakins as a (questionable) success story.
Do you think it is honest NOT to mention that Mr.  Deakins is--in
truth--myopic, that he is trying to sell a $40.00 product, and that his
"testimonial" is used as an inducement to buy this product?
9. Do you have any economic interest in the product sold by Mr.
Deakins?
10. You claimed that you were not selling a book--until, that is, I
provided links to websites where it WAS being sold for $24.95 (with
your home address as the "send check to" address).  You then claimed
that the entire book was available for free on the internet--until,
that its--I pointed out that only approximately four of 14+ chapters
were on the internet. Would you please clarify whether or not you have
ever received money for a copy of your book, "How to avoid
nearsightedness: A scientific study of the normal eye's behavior?"
If so, please state how many copies you have sold, and when the last
copy was sold.  If not, please state how long it has been since you
received any money for this book.
11. Do you believe that it is dishonest NOT to mention that you have a
commercial interest in inducing people to visit your website?
12. Presuming that you understand the difference between accommodative
spasm (pseudomyopia) and axial-length myopia, would you please provide
credible proof that either a) pseudomyopia CAUSES axial-length myopia,
or that b) relieving pseudomyopia REDUCES axial-length myopia
13. You CONSTANTLY make reference to "Second Opinion"
optometrists--presumably meaning those who share your views.  Other
than the now-infamous Steve Leung, are there ANY OTHER such "second
opinion optometrists" in the ENTIRE WORLD?  Does any of these people
have any evidence to support the claims that you make?  Would you
please provide it?
14. Mr. Steve Leung is also trying to sell a book.  Do you have any
economic interest in the book sold by Steve Leung?  Do you think it is
honest NOT to mention that Mr. Leung is--in truth--myopic, that he is
trying to sell a book, and that the "testimonials" on his website,
and your repeated referrals TO his website are used as inducements to
sell both your and his  book?
15. Do you feel that it is HONEST NOT TO admit that--even though your
niece, Joy, NEVER WORE MINUS LENSES, and DID USE PLUS LENSES, she is,
at this time, a myope?
otisbrown@pa.net - 31 May 2006 05:16 GMT
We might ask Neil D. Brooks to provide a
list of HIS published scientific papers -- and
compare them to Dr. Young's published
scientific papers.

Otis
Neil Brooks - 31 May 2006 05:20 GMT
> We might ask Neil D. Brooks to provide a
> list of HIS published scientific papers -- and
> compare them to Dr. Young's published
> scientific papers.
>
> Otis

Why?

My questions are perfectly valid on their own.

Just how stupid ARE you anyway?

Rhetorical.  No need to answer.  "Exceptionally" about covers it.
acemanvx@yahoo.com - 31 May 2006 05:48 GMT
Thanks for the heads up, Otis! Your optometrists should inform other
optometrists about the use of plus lens(with prisms if neccessary to
prevent double vision) and good vision habits such as not burying your
nose inches away from a book.
Mike Tyner - 31 May 2006 07:15 GMT
> Thanks for the heads up, Otis! Your optometrists should inform other
> optometrists about the use of plus lens

We so appreciate your help in defining our standard of care.

The optometrists whom you say belong to Otis are either dead or lost in
obscurity. Science moves on. Otis doesn't.

-MT
Quick - 31 May 2006 19:15 GMT
>> Thanks for the heads up, Otis! Your optometrists should
>> inform other optometrists about the use of plus lens

Uh oh... Otis, have you lead Ace to believe that you have
a practice and that you have optometrists? Who are the
"your optometrists" that he is refering to?

Have you gone full out representing that you have a practice
now with optometrists working for you?

-Quick
Mike Tyner - 31 May 2006 07:12 GMT
> We might ask Neil D. Brooks to provide a
> list of HIS published scientific papers -- and
> compare them to Dr. Young's published
> scientific papers.

Or yours.

-MT
Dr. Leukoma - 31 May 2006 12:59 GMT
> We might ask Neil D. Brooks to provide a
> list of HIS published scientific papers -- and
> compare them to Dr. Young's published
> scientific papers.
>
> Otis

Linus Pauling, Ph.D., won the Nobel Prize in chemistry.  He also had a
lifelong fascination with vitamin C.  At the time of his death, he was
recommending a daily dosage of 20 grams.  Was he right or wrong in
recommending this amount?  Most physicians thought he was wrong.

DrG
Dick Adams - 31 May 2006 14:36 GMT
> Linus Pauling, Ph.D., won the Nobel Prize in chemistry.  He also had a
> lifelong fascination with vitamin C.  At the time of his death, he was
> recommending a daily dosage of 20 grams.  Was he right or wrong in
> recommending this amount?  Most physicians thought he was wrong.

Well, you gotta admit -- he lived quite long, longer by far, for instance,
than Dr. Atkins, MD who knew all about what one should eat, presumably
based on his medical education..

Notwithstanding that it is a shame that the so called "Plus" is proposed
by some idiots as a panacea, I can't see how it would hurt to wear
reading glasses for reading, starting with the first sign of a myopic shift.  
Might even do some good.

Kind of like praying if you're not even sure there is a God.

--
Dicky  
Mike Tyner - 31 May 2006 14:55 GMT
> Kind of like praying if you're not even sure there is a God.

Or like fraud.

-MT
Dick Adams - 31 May 2006 17:52 GMT
> > Kind of like praying if you're not even sure there is a God.
>
> Or like fraud.

Sounds like "If you're not with us, you are against us."

Well, I am not necessarily with, or against anybody.  But I do not
consider that the possibilities for avoiding myopia have been completely
eliminated.

Particularly, I do not consider that Otis being wrong in some or all
respects should mean that it is time to give up on myopia.

It is like a broken record:
 You think that something might be done about myopia.
 Otis thinks that too.  
 Otis is a nut (fraud, whatever).
 Therefore:
 You are one, too.

It is to much -- Otis is a detail, but the attention given to him and to Ace
is wrecking your newsgroup.  Not that there was much hope for it in
the first place.

--
Dicky
otisbrown@pa.net - 31 May 2006 17:51 GMT
Dear Dicky,

Subject: The plus is NOT A PANACEA.

Dicky> Notwithstanding that it is a shame that the so called "Plus" is
proposed
by some idiots as a panacea,

Otis>  Tragically -- there are many who make excessive claims -- about
may things.

Otis> I ackonwlege that plus-prevention is "difficult" but can lead to
a better result (preventing the first-step into stair-case myopia).

Otis>  I also recommend that the parent be fully informed of this
alternative BEFORE he arrives as a "doctors" office.  And in
fact, I suggest that the parents have their child read
the Snellen -- so there can be an open discussion about
the plus-alternative.

Otis>  The "plus" can not be used -- AFTER the child begins
wearing that wretched minus (and his eyes "adapt" to it).
So, again the parents should be aware of this efffect that
the minus has on all primate eyes.

Otis>  A difficult, but better choice -- for the informed parent.

Dicky>  I can't see how it would hurt to wear
reading glasses for reading, starting with the first sign of a myopic
shift.

Otis>  That is my thesis.  Truly it does take  a lot of motivation
to:

1.  Verify your Snellen at 20/60 (let us say).

2. Agressively use a strong plus (for several months).

3. Monitor your Snellen -- to verify that your vision clears
to pass all legal visual-acuity stadards that apply to you.

4.  When you pass the DMV requirement (but are still in
school) then you just monitor your Snellen -- to make
certain you pass that standard.

Not too difficult -- but it takes personal motivation to do it.

Dicky>  Might even do some good.

Otis>  When the college student verifies that he can clear
"at will" then, yes the preventive plus has done
a lot of good -- for him.

Best,

Otis
Neil Brooks - 31 May 2006 18:32 GMT
>Dear Dicky,
>
[quoted text clipped - 52 lines]
>
>Otis

So ... what happened with your niece, Joy.  She's myopic enough to
have vision-imposed restrictions on her driver's license.

Is it because you're stupid or because she didn't work hard enough?

Thank you.
Dick Adams - 31 May 2006 19:28 GMT
> Dicky>  I can't see how it would hurt to wear
> reading glasses for reading, starting with the first sign of a myopic
[quoted text clipped - 4 lines]
>
> 1.  Verify your Snellen at 20/60 (let us say).

> [ ... ]

20/60 due to myopia is far from the first sign of a myopic shift.  I'd
say that some difficulty reading the 20/20 line would be a first sign,
or the 20/15 line if could read it before.

My thesis is not the same as your thesis, Otis.  My thesis is that once
you start getting nearsighted, you are going to be nearsighted.  My hope
would be that you might conduct yourself so that your nearsightedness
does not worsen too much.

--
Dicky
otisbrown@pa.net - 01 Jun 2006 01:33 GMT
Dear Dick Adams,

Subject:  Is you goal to always keep your distant vision -- through the
school year?

The legal standard in most states is 20/40 in both eyes.  With some
states
at 20/50 and one or two at 20/60.

The real issue is to keep the "minus" off the face as much as possible,
and
if you have the motivation for it -- to clear your 20/60 vision BACK TO
20/40
or better.

This is of course what Dr. Stirling Colgage did -- even though it takes
a
LOT OF SELF-MOTIVATION TO DO IT -- admitedly.

But for the person who will accept this preventive "challenge" and
always
"push" himself in the use of the plus -- the prevention of
this nature is completely possible.

But it does take a lot of personal insight and motivation to do it.

Best,

Otis

> > Dicky>  I can't see how it would hurt to wear
> > reading glasses for reading, starting with the first sign of a myopic
[quoted text clipped - 18 lines]
> --
> Dicky
Neil Brooks - 01 Jun 2006 01:39 GMT
>But it does take a lot of personal insight and motivation to do it.

Is that why your niece, Joy, failed and became a myope--likely
moderately or highly so in her left eye??

In her case, is it more an issue of a lack of insight or is she just
lazy?

Thank you.
acemanvx@yahoo.com - 01 Jun 2006 03:13 GMT
> >But it does take a lot of personal insight and motivation to do it.
>
[quoted text clipped - 5 lines]
>
> Thank you.

Otis has yet to confirm what pescription Joy is except that Joy almost
never wears the minus lens so shes probably barely myopic in one eye
and worse in the other but the better eye lets her see fine without the
wretched minus lens.

"My thesis is not the same as your thesis, Otis.  My thesis is that
once
you start getting nearsighted, you are going to be nearsighted.  My
hope
would be that you might conduct yourself so that your nearsightedness
does not worsen too much."

This is what alot of people say, including my optometrists. They all
think myopia goes in one direction-higher, higher, higher! However even
if you cant reverse it, if you slow the myopia progression enough you
will never have bad unaided vision and be functional much of the time
without glasses.
otisbrown@pa.net - 01 Jun 2006 05:04 GMT
Dicky> "My thesis is not the same as your thesis, Otis.  My thesis is
that once
you start getting nearsighted, you are going to be nearsighted.  My
hope
would be that you might conduct yourself so that your nearsightedness
does not worsen too much."

Otis> And my thesis -- similar to yours -- is that if ANYTHING is
to be done for true-prevention -- a decision or choice
must be made at that point, where the kid can
function with no minus (i.e., would pass the DMV strandard).;
I certainly agree that ONCE YOU BEGIN WEARING THE MINUS -- YOU
WILL NOT BE ABLE TO GET OUT OF IT -- OR "REVERSE" IT.
On that issue -- I do agree with the M.O. ODs.

Otis> The issue is whether the parent can child will understand
the necessity of it -- and place a high value or keeping
or retaining clear distant vision -- when otherwise their
refractive STATE will move down at a rate of -1/2 diopter
per year.

Otis> Thus prevention is indeed possible -- but difficult for
these obvious reasons.

Ace> This is what alot of people say, including my optometrists. They
all
think myopia goes in one direction-higher, higher, higher!

Otis> It does -- if you will not begin plus-prevention at the 20/50
level.
The Oakley-Young study confirms what you have just said.

Ace>  However even
if you cant reverse it, if you slow the myopia progression enough you
> will never have bad unaided vision and be functional much of the time
> without glasses.

Otis> The issue is how much the person values his or her distrant
vision through the school years.  And that issue is truly
a personal decision -- not a "medical" decision.

Best,

Otis
Neil Brooks - 01 Jun 2006 05:28 GMT
> Ace> This is what alot of people say, including my optometrists. They
> all
[quoted text clipped - 3 lines]
> level.
> The Oakley-Young study confirms what you have just said.

Only to somebody who has NEVER read it, and who has FAITH in what you
say, rather than doing any independent research.
The Central Scrutinizer - 31 May 2006 18:15 GMT
>We might ask Neil D. Brooks to provide a list of HIS published scientific papers

Another dodge; and not a particularly artful one at that.

> We might ask Neil D. Brooks to provide a
> list of HIS published scientific papers -- and
> compare them to Dr. Young's published
> scientific papers.
>
> Otis
CatmanX - 01 Jun 2006 21:55 GMT
What's going on Cletis?

You are the toothpaste man now?

You really stick to your own warped personality rathe rthan pretend to
be someone with no experience in bioscience.

Ooops, sorry, you already are someone with no expertise in bioscience.

Well, just think of someone who is remotely valid to pretend to propose
an arguement, like Francis Young. Sorry, you've tried him already.

Why not pretend to be Helmholtz and admit the errors of your ways?

dr grant
 
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