Medical Forum / General / Vision / June 2006
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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